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740573.pdfTYPE CONNECTION 1 C4 RESIDENTIAL BUILDING DEPARTMENT Applicant Fill USE E PERMIT R 740573 NEN 0.. REAMARKB LINE PERMIT APPLICATION Insido Heavy Linos JOB ❑ SIGN PLAN CHECKED DY THIS SITE 15 LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHO LD BE CODED 3104 ADDRESS REMARK. RETAINING WALL / ALTER NAME (OR NOE; OF B INEae/ Pion Cheek N. ..................... Valuation Fee Receipt No. BUILDING ❑ ORFILL ❑ CENC........... Ft.) ThPermit c cork lu be done en Private properly ONLY. le k IS87HLE J PEUAL LOT COVERAG? T COVE G I, ,I 1 POOL F O M 1LINU ADDRESS Ag. C PERMISSIBLE HEIGHT PROPOSED HEIGHT x CIT /�/,/(_ rK 1b)- il-.•• TELEPHONE NUMBER ACTUAL, LOT AREA TOTAL BLDG. AREA ,'4 I, REQUIRED YARDS PROPOSED YARDS NAME FRONT BIDE REAR FRONT BIDE REAR W !Y. j ADDRESS LEGAL LOT VARIANCE OR CONDITIONAL UeE 0 YES NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: CITY TELEPHONE NUMBER ;•. - O STREET R/W EXIBTIN6 STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAAAjjJr��LE COMP. PLAN ST. R/W ............FT. ............FT. ', W REMARKS a p[+ O ^ I� p I I� ADDRE absat� C '^ TELEPHONE NUMBER _131ZE11 CHECKED BY ( STATE LICENSE NUa16ER I CITY LICENSE NUMBER METER SIZE BLRVICE CLEARANCE I CHECKED BY Legal Dtecripllon or Property (Shaw Below or Attach Four Coplee) REaSAlIHS TYPE CONNECTION SIGN C4 RESIDENTIAL El CAS NEN 0.. REAMARKB LINE M m ADD NON•REeIDENTlAL ❑ SIGN PLAN CHECKED DY THIS SITE 15 LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHO LD BE CODED 3104 ❑ DEMOLISH REMARK. RETAINING WALL / ALTER EXCAVATE Pion Cheek N. ..................... Valuation Fee Receipt No. BUILDING ❑ ORFILL ❑ CENC........... Ft.) ThPermit c cork lu be done en Private properly ONLY. le k REPAIR ❑ INSP.EOVE ❑ POOL (UMBER OF BTORtEB NU�IDER OF I DWELLING TYPE CONNECTION SIGN VER"ED BY RETAINING WALL PERC. TEST I PERMIT NUMBER 0.. REAMARKB DEMOLITION M m FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED 0 YES 0 NO NOTE: Permit Limit One Year (Except DEMOLITIONS SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP 0 YES 0 NO which shall be completed In Nasty day.; IIIOYE -IN BUIL DINOS shall be Com- PLAN CHECKED DY THIS SITE 15 LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHO LD BE CODED 3104 REMARK. INSPECTION / DEPARTMENT Pion Cheek N. ..................... Valuation Fee Receipt No. BUILDING EDMONDS NOTE: Aliplicant Subject to Plan Check Fee PLUMBING HEAT & GAS LINE FENCE ThPermit c cork lu be done en Private properly ONLY. le k 775-'2545 Any stunt rurllonOn the Public tlnmalnsidewalks, drh'en•ays, ni.krvin ��•�. rt r.l �•'llt rrn nick .rparntc p,•rmi�rlan, U^ - V I hereby acknowledge that I have read thla application; that the In- SIGN formation given Ia correct; and that I am the owner, or the duty RETAINING WALL N lacing construction: and In doing the work nuthorlxed thereby, no person SWIMMING POOL will be employed In violation Of the Labor Code of the Stale of Wa-hi.gton DEMOLITION rotating to Workmen's Compensation Insurance. PRE•MOVE INSPECTION NOTE: Permit Limit One Year (Except DEMOLITIONS EXCAVATION OR FILL I hereby acknowledge that I have read thla application; that the In- TOTAL AMOUNT DILE formation given Ia correct; and that I am the owner, or the duty agent of the owner. I agrte to comply With city and atate laws rag.- lacing construction: and In doing the work nuthorlxed thereby, no person ATTENTION will be employed In violation Of the Labor Code of the Stale of Wa-hi.gton TIDE PERMIT rotating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS ONLY TILE which shall be completed In Nasty day.; IIIOYE -IN BUIL DINOS shall be Com- WORK NOTED Pitted In six month-.) IIGNA�/L/- (OWN AGENT/' DATE StONEU INSPECTION / DEPARTMENT CITY OF EDMONDS NOTE: Aliplicant Subject to Plan Check Fee ThPermit c cork lu be done en Private properly ONLY. le k 775-'2545 Any stunt rurllonOn the Public tlnmalnsidewalks, drh'en•ays, ni.krvin ��•�. rt r.l �•'llt rrn nick .rparntc p,•rmi�rlan, VAN APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, find receipt is ac- knowledged In space provided. DIH/F OR's SIGNATURE r, DATE 7 FILE