740526.pdfZPLOT
TOTAL AMOUNT DUE
PLUMBING
PLAN (Indicate Building aetbacke, abutting streets)
i;
HEAT & GAS LINE
r,
ATTENTION
toting construction; and in doing the work Authorized thereby no person
will be employed In violation of the Labor Code of the Blots of Washington
BUILDING DEPARTMENT
relatlog to Workmen -s Compensation Insurance.
USEPERMIT I .b
NUMBER
SIGN
ONLY THE
WORK NOTED
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Applicant
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IICN 32E (OWN£!\OIi AGENT)INSPECTION
Inside Heavy Linos
PERMIT APPLICATION
ID u
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ADDRESS / F^f .3
SWIMMING POOL
"8111
NAME (OR NAME OF HUBINESe)
DEMOLITION
/ O O
PRE -MOVE INSPECTION
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k N Il'AI�
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YEItMItleIBLE ACTUAL
LOT COVERAGE 2 j • cp" LOT COVESiAOE
/
775.2525
M
MAfl�t 6 REBS
Any eonelruetlon uu 11 a public domain (curbs, sidewalks, drl a .ys.
PERMISSIBLE HF�JOF PROPOSEDjj ESQHT,
.nrqurr., etc.l will require separate permisslon.
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ACPUAL LOT AREA4 TOTAL 1/))Q.•AL EA
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EXIBTIN6 STREETR/�4!/�DEFICIENCY THIS PROPERTY
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REMARKS
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PLAN CHECKED II THIS SITE IS LOCATED IN THE CITY
E] NON-RESIDENTIAL
E]sIGN
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NUMBER OF BTURIE8 NUMBER OF
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NATURE OF {YORK TO BE DONE
Valuation
Fee
Receipt No.
Plan check N. .....................
SO,
L PROPOSED UBE
BUILDING
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ZPLOT
TOTAL AMOUNT DUE
PLUMBING
PLAN (Indicate Building aetbacke, abutting streets)
formationm given Is correct; and that I athe owner, or the duly author-
HEAT & GAS LINE
A
ATTENTION
toting construction; and in doing the work Authorized thereby no person
will be employed In violation of the Labor Code of the Blots of Washington
FENCE
relatlog to Workmen -s Compensation Insurance.
AVTIIORIZES
SIGN
ONLY THE
WORK NOTED
.hall be completed In ninety days: MOVED -IN BUILDINGS shall be com-
RETAINING WALL
pleted In s0: months.)
N
IICN 32E (OWN£!\OIi AGENT)INSPECTION
SWIMMING POOL
"8111
DEMOLITION
CITY OF
PRE -MOVE INSPECTION
NOTE: Appliralrt Subject to Plait Check Fce
EXCAVATION OR FILL
Ys�
/ G ',eo"
APPLICATION! APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in apace provided.
1�
FILE
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; Last tae in.
formationm given Is correct; and that I athe owner, or the duly author-
Ired agent of the owner. I agree to comply with city and elate laws regu-
ATTENTION
toting construction; and in doing the work Authorized thereby no person
will be employed In violation of the Labor Code of the Blots of Washington
TIDa PERMIT
relatlog to Workmen -s Compensation Insurance.
AVTIIORIZES
NOTE: Permit Limit One Year (Eaccpt DEMOLITIONS which
ONLY THE
WORK NOTED
.hall be completed In ninety days: MOVED -IN BUILDINGS shall be com-
pleted In s0: months.)
IICN 32E (OWN£!\OIi AGENT)INSPECTION
DEPARTMENT
"8111
CITY OF
EDDfONDE4
NOTE: Appliralrt Subject to Plait Check Fce
775.2525
This 1'rnnil c nark in IW done an plltale property ONLY.
Any eonelruetlon uu 11 a public domain (curbs, sidewalks, drl a .ys.
.nrqurr., etc.l will require separate permisslon.
Ys�
/ G ',eo"
APPLICATION! APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in apace provided.
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BUILDING DEPARTMENT Applicant Fill
lj NUMBER
PERMIT APPLICATION I Inside Heavy Lines
ADDRESS y{ /1 Q 'J .%'-! '
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NAME
(OR NAME OF BUSINESS)
PERD1188IBLEACTUAL 9
LOT COVERAGE [�
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7!11 TOTAL DLDO. AREA ZPZ
ACTUAL LOT A A / ��
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CITY
In 765
1.r,:t O t �(/
R QUIRF.D YA RUB PROPOSED YARDS
REAR FRONT BIDE REAR
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NAME
FRONT BIDE
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PLANNING DEPT.)APYR VAL DATE:
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TELEPHONE NUMBER
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EXISTING eTAEET R/t�...),f.:�•LB'T. DEFICIEN�yb
NAME
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41REMARKS
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FIRE ZONE TYPE OF CONSTRUCTION T
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SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
OA9
RESIDENTIAL LINE
NEN
❑ YES pile t.�`"•�
PLAN oHECKEn Bx. THIS SITE IS LOCAT D IN THE CITY
-- ,� 'OF EDMONDS. LOCAL SALES TAX
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NON-RESIDENTIAL ❑ SIGN
El ADD ❑ RETAINING
WALL
-�"�•.��,�„-. HOUL BECODED3LA4.
RE,A K9 i
DEaiOLIS”
FENCE
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❑ ALTER ❑ EXCAVATE ❑
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OR FIT (.
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❑ REPAIR PRE-bIOVE SWIM
INSP. POOL
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NUMBER OF STORIESNUMBER OF
DWELLING /
UNITS
NATURE OF-WORK TO BE DONE
Valuation
Fee Receipt No.
Plan Check NU.....................
BUILDING
y
PROPOSED USE
PLUMBING
a
t cl
PLOT PLAN (Indicate HUIIdln6 setbacks, abutting eree)
HEAT k GAS LINE
r..
FENCE
f
SIGN
RETAINING WALL
N
SWIMMING POOL
l
DEMOLITION
T
PRE-MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I heresy acknowledge that 1 have recd this eppllcntfon; that the In-
lormntton given Is correct; and that I am the owner, or the duly author-
Ized agent of the owner. 1 agree to comply with city and state laws regu-
ATTENTION APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no person
'
will be employed In violation of the Labor Code of the Slate of Washington
THIS PERMIT This application is not a permit until
relating to Workmen's Compensation Ineuranae.
AUTHORIZES signed by the Building Official or his Dep-
Gf.1 which
NOTE: Permit Limit One Year (Except DEMOLITIONS
ONLY THE uty; and fees are paid, and receipt is ac-
WORK NOTED
shall he completed In ninety days; MOVED-IN BUILDINGS shall be com.
Wl owledged in apace provided.
ploUd In six months.)
SIGNATURE (OWNER Oft AGENT) DATE SIGNED
INSPECTION DIRECTOR'S BIGNATURE .
DEPARTMENT
�.,
CITY OF I i' "
EDMONDS DATE
NOTE: Applicant Subject to Plan Cheek Fee775-2525
I
Thle t'ennit a• mere work la UU done on prNnle property ONLY.
A oast ruction on Ilse puhllc domain (curhn, sldswniks, delvewaya,
INSPECTOR
- rlc.) will regUlre separate permieelon.