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740593.pdfi NrA111 88 Plan Check N. ..................... I.EOAL LOT SIT NUMBERFDITIONAI.-; SGI � G.AV�%❑ NO "� I •.G" r `•I I El YES � NO BUILDING PLA! T ) a PR gPOSED UeE 7O 5 PERMIT 740593 Nua1BER /N�/X e T PLAN (Indicate Building aethaeka, abutting at—t.) GAS LSNE B U I D I N G DEPARTMENT Applicant Fill NAM - COMP. PLAN ST. R/whC ybdxr. ...l.J......FT. ❑ Ati APPLICATION Inside Heavy Linos JOB SIGN RETAINING WALT REMARKS tRETAINING TELEPHONE NUMBER PERMIT �j8IGE�8(,E/II�VICE ' ADDRESS Al 5t�_ SIZE CLEARANCE CHE ED BY O STAT LICENSE NUMBER LICENBErNUMBER NAME (OR NAME 3p nuu1 EeB) iCAiC+//U/� l'COVERAOT? ACTUAL%% REMARKS _ ` Below or Attach Fou! Coplee))7�6ULA/D/L /2eO- D REPAIR Ej LOT QD LOT TYPE CONNECTION V RI�I D - !/ A.J�G'•-�Y /l �' ER OF STORIES MAIO ADDREB. Lt `� � PERelIBSIBLE HElOFL'}' � J PROPOSED HEIGHT PERC. TES P RMT aS ER r n f//JeJy/y,, ! � a Id Rent of in. owns. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL i¢ting conetructlan; and In doing the work atithorized thereby, no person 4 _. .. 1 TELE HONE NUMBER ACTUAL LOT A^EA TOTAL/BLDG; AREA S THIS PERMIT This application Is not a permit until relallhg NrA111 88 Plan Check N. ..................... I.EOAL LOT SIT NUMBERFDITIONAI.-; SGI � G.AV�%❑ NO "� I •.G" r `•I I El YES � NO BUILDING PLA! T ) a PR gPOSED SPECIAL INSPECTOR REQUIRED OCCUPANCY ROUP — YES NO IT TELEPHONE NUMBER /N�/X e T PLAN (Indicate Building aethaeka, abutting at—t.) GAS LSNE STREET /\ �y� /� EXISTING STREET R/RL'' -.�,.//.W T. DEFICIENCYTHIS PROPERTY IN THE CITY NAM - COMP. PLAN ST. R/whC ybdxr. ...l.J......FT. ❑ Ati ROMARM DRIVEWAY SLOPES NOT TO EED THOSE C AD ESB SIGN RETAINING WALT REMARKS tRETAINING TELEPHONE NUMBER U_ oz- MY �j8IGE�8(,E/II�VICE ' FENCE ry/ SIZE CLEARANCE CHE ED BY O STAT LICENSE NUMBER LICENBErNUMBER � "/ 3/ !t I 3At iCAiC+//U/� •�=+�!/pl� ❑ REMARKS _ Legal Description at [ppe[ly ( h Below or Attach Fou! Coplee))7�6ULA/D/L /2eO- D REPAIR Ej INSP RE -MOVE O TYPE CONNECTION V RI�I D - !/ A.J�G'•-�Y /l �' ER OF STORIES I 7 I I I 'r PERC. TES P RMT aS ER r n f//JeJy/y,, ! I REMARKS a Id Rent of in. owns. I agree to comply with city and elate laws regu- ATTENTION ! Plan Check N. ..................... "� I •.G" r `•I I El YES � NO BUILDING / o. � Q—O a PR gPOSED SPECIAL INSPECTOR REQUIRED OCCUPANCY ROUP — YES NO IT PLUMBING 0 RESSDENTIAL T PLAN (Indicate Building aethaeka, abutting at—t.) GAS LSNE ❑ ] PLAN CHECKE DY IN THE CITY NEW NON-RESIDENTIAL ❑ Ati THIS SITE IS LOCATED OF SHOULD BEDMONE CODS. DED 3LOCAL1.04. SALES TAX ADD SIGN RETAINING WALT REMARKS tRETAINING WALL DEMOLISH FENCE ��/�QI �..7Y / 7J� ALTER EXCAVATE El 1 iCAiC+//U/� •�=+�!/pl� ❑ OR FILL (.......... x .......... Ft') PRE -MOVE INSPECTION REPAIR Ej INSP RE -MOVE O POOL SWIM - !/ A.J�G'•-�Y /l L/ �� r+] //�� Yf�L:�c•I7J/}� ER OF STORIES NUMBER OF I t hereby acknowledge that I have read this application; that the In- • DWELLING I UNITS ! — Id ! Plan Check N. ..................... BUILDING / o. � Q—O a PR gPOSED USE PLUMBING 0 PL T PLAN (Indicate Building aethaeka, abutting at—t.) BEAT & GAB LINE A_ o 1/ �� —�_�— (/)r / / /j FENCE SIGN tRETAINING WALL N ' I SWIMMING POOL 1 DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE t hereby acknowledge that I have read this application; that the In- tor. ttlon given le correct; And that I am the owner, or the duly author - Id Rent of in. owns. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL i¢ting conetructlan; and In doing the work atithorized thereby, no person will 4a employed In violation of the Labor Code of the Blots of Wuhington THIS PERMIT This application Is not a permit until relallhg to Work...'. Compensation Ineurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees aro paid, and receipt is ac -y .hall be completed In nicety day.; MOVED -IN BUILDINGS zhalt be a..- knowledged In space provided. plet.p in .ix menthe.) SIGNATURE (OIVNElt OR AGENT) DATE SIGNED INSPECTION IRE O 'S 111011A USE DEPARTMENT CITY OF EDbfOND3 TE ' NOTE: A(IAC-1 t Subject to Plan Check Fee 11-N-751 O hie !'ermlt a ark 1. W acne .n private property NLYm 775-2525 J piny conetructlon on the public domain (curb., s1de-1k., 111-111., FILEmarpuee., rte.) will require separate permleelon. C ADDRESS CITY TELEPHONE C4 STATE LICENSE NUMBER CITY LICE. r.rcnl Uaserlouon o[ PtopeNv (Bhow Below Or Attach Foi QRESIDENTIAL I hereby acknowledge that I have rend this application; that the In- GAS T, ❑ NON-RESIDENTIAL ❑ SIGN Z will be employed In violation of the Labor Code of the Stale of Washington COMP PLAN ST R/,64. cEI'r• //••T�H18 FT, yALL NING REMARKS PIRWE11A1Y SI-OPES 140T ❑ DEMOLISH ❑ pleted In six months.) ALTER EXAVAT❑ E ❑ FENC i CITY OF ORFILL. EDMONDS x .......... Ft.) ❑ REPAIR ❑ INSPhtOVE ❑ SWIAT POOL USE PERMIT 740593 NUMBER ) +rill r,•,)nir,. nrPnrnlr nrrinlnn nn. _ I 6 lI R �P/ZFS� . � UL A7") Z- BUILDING DEPARTMENT Applicant Fill) ZONE -. UNITS PERMIT APPLICATION I Insldc }taavy Lines ADDRESS' NAME (OR NAME OF BUBINE83) -- ? •�'(X �o^�� ACTUAL q {Cl LOTC VERA LOT COVERAGE /iD aSS LOT COVERAGE ! td t. p) MAILING ADDRESS _ V !; J f' ^ PEf2h11331HLE HEIGHT � PROPOSED HEIGHT O 1 / NUMBER ACTUAL LOT AREA TOTAL BLU.. AREA 7 CITY TELEPHONE i9 jfi'�/J ... l _ I 1. lC': RE V RED YARDS _ _ P OP08ED YARDS ^^-^ C ADDRESS CITY TELEPHONE C4 STATE LICENSE NUMBER CITY LICE. r.rcnl Uaserlouon o[ PtopeNv (Bhow Below Or Attach Foi !I [�y L PROPOSED USE U aPLOT PLAN (Indicate 1 m YES ❑ NO PERMIT NUMBER ,r '4A QRESIDENTIAL I hereby acknowledge that I have rend this application; that the In- GAS NEN ❑ NON-RESIDENTIAL ❑ SIGN ADD will be employed In violation of the Labor Code of the Stale of Washington COMP PLAN ST R/,64. cEI'r• //••T�H18 FT, yALL NING REMARKS PIRWE11A1Y SI-OPES 140T ❑ DEMOLISH ❑ pleted In six months.) ALTER EXAVAT❑ E ❑ FENC i CITY OF ORFILL. EDMONDS x .......... Ft.) ❑ REPAIR ❑ INSPhtOVE ❑ SWIAT POOL 7Uh18ER OF STORIES NUMDEA OF ) +rill r,•,)nir,. nrPnrnlr nrrinlnn nn. _ I 6 lI R �P/ZFS� . � UL A7") Z- DWELLING I / UNITS MATURE OF WORK TO BE DONE !I [�y L PROPOSED USE U aPLOT PLAN (Indicate 1 m YES ❑ NO PERMIT NUMBER ,r '4A It _3_ � d ,_ •1 \) I hereby acknowledge that I have rend this application; that the In- PLADEET. AP ROVAL formation given Is correct: and that I am the owner, or the duly nulhor- 7N �� /� )- 9WO ATTENTION . STREET IV/ EXISTING STREET R/w"Y' i�T• DEFICIENCY PROPERTY will be employed In violation of the Labor Code of the Stale of Washington COMP PLAN ST R/,64. cEI'r• //••T�H18 FT, AUTHORIZES REMARKS PIRWE11A1Y SI-OPES 140T TO FXCEED T111_f:1F. o pleted In six months.) CC2Y GU INSPECTION CHEC ED� REGnD DEPARTMENT i CITY OF EDMONDS (Y • MET SERVICF� B1ZE CLEARANCE CHECKED BY I 5 34 II 11EMARKS I ) +rill r,•,)nir,. nrPnrnlr nrrinlnn nn. _ I 6 lI R �P/ZFS� . � UL A7") Z- %fid — R j srcuaAa, aa.armt,a�n n�v arau .•��••+ - 7L' /) F-1 YES "m NO LOCAL Plan Check N BUILDING rl PLUMBING ilEAT &CAS LINE eIC, FENCE SIGN TRETAINS.. WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL N SO Uo 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- Imowledged in apace provided. DIRE TO 'ei SIGNATURE >✓'7 / ATE 1a INSPECTOR TOTAL AMOUNT DUE I hereby acknowledge that I have rend this application; that the In- formation given Is correct: and that I am the owner, or the duly nulhor- ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION lating construction; and In dolog the work authorized thereby, no person will be employed In violation of the Labor Code of the Stale of Washington TIUS PERMIT relating to Worhmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORE NOTED shall be completed In ninety day,; MOVED -IN BUILDINGS shall be cem- pleted In six months.) II.NATURE (OWNER Olt AGENT) DATE 81GNEU INSPECTION DEPARTMENT l CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit covers work to be done on private property ONLY. Any ennuirnctlnn m) thn Pabuc domnln (curb,, sidewalk,, driveways, ) +rill r,•,)nir,. nrPnrnlr nrrinlnn nn. _ -1 N SO Uo 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- Imowledged in apace provided. DIRE TO 'ei SIGNATURE >✓'7 / ATE 1a INSPECTOR tl OF tAr t. 740593 7 -/1' ✓� j�,9�O , i i I . �Y Ii S� /, r js' �r 7`�'� 7rt' // 9 j' /, 'o /� 9. fr �. To Cod s,P Tcam. A;6 ; 4-A . ,t N; S71 TiP r -3R wy «arf�oF yrs oo ry TJF' I� Ty -Y'71a�.sj � TPl� L,Ess; iY.�.� ,< �6',L y ✓'�� Tif/aF 'To. G/•7 jr a F � � I IX5,DA1 a i i � I I 1)1465x3 RECORD OF INSPECTIONS Date Passed Foundation N ==T Plumbing (Partial) /L=1L-24UF"/ Frame Furnace & Fuel Lines-!?---/"- Final ines `? i" -Final r