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740603.pdfI 0603 Nu BUILDING DEPARTMENT Applicant Fill Bra Z NE Ply'— 00 inside Heavy Linos PERMIT APPLICATION Al / ADDRESS f / NAy261,E (Oft NAME BUBINE/BB) ,1_ PERMISSIBLE o /OF LOCOVERAGE � i �O LOT COVEItAOE j. MAILING ADDRESS PERMISSIBLE IIEIGI azo PROPOSED HE ilT� a EA TOTAL BLDG. EA �e. a O CITY TELEPHONE NUMBER ACTUAL OT A ��II 0� �_ h � G`IiN:Ivc/1 /�/Z �-66�8 REQ IRED YARDS YRO BED VARUS p � j FRONT SIDE REAR NT SIDE REAR E NAME . A %e5 /5-11 OV f Ci.�II LEGAL LOT VARIANCE OR DITIONAL USE P F ADDRESS YES NO PERMIT NUMBER 1 y S PLANNING �jT ,,,APPft VAL I r. CITY TEL PHONE NUMBER r� Imo' t �� /"F J < STREET R/W C ' EXISTING STREET R/W ............Fr. DEFICIENCY THIS PROPERTY NAME COMP. PLAN 8T. R/W ............FT. ............FT. - Dw 1V REMARKS z C ADDHEBB :G ra CHECKED BY ; CITY TELEPHONE NUMBER Z I O METER BILE SERVICE SIZE CLEARANCE CHECKED BY U STATE LICENSE NUMBER CITY LICENSE NUMBER I I I pk17 REMARKS Legal Description of Property (BhoW or Attach Four Copies) [Below �'O / 3 D/YM Al c `/�/ 9/1 / f' �/ v/ S' / U r✓ TYPE CONNECTION VERIFIED BYAl I PERC. TEST PERMIT NUMBER '• n W REMARKS )� fa 'a j 1 �/ I FIRIP,�9NE TYPE OF CONSTRUCTION STREET IMPROVED,' / E3 YES ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP i ® RESIDENTIAL GAS LINE Q YES NO ' FJ NEW PLAN CHECI(El�i IIP THIS SITE IS LOCATED IN THE CITY i ❑ NON-RESIDENTIAL ❑ EDMONDS. LOCAL SALES TAX SIGNOF SHOULD BE CODED 31.04. RETAINING ❑ ADD 0 WA rsshlARxs '�, k b TO DEMOLISH❑ LL C / p- /.J? dl Cy !TOG•Y/A��L ALTER E]PRE-MOVE BtVIMx ❑F i ..........Ft.) N�{ES� �l REPAIR ❑ )NBP, ❑ POOL NUMBER OF STORIES NUMBER OF G p DWELLING i- UNITE I NATURE OF WORK TO BE DONE Valuation Fee Receipt Na. ✓G 110i f Ct) R,46/C/ � Finn Check No ..................... i 0 BUILDING 6� [ 4 PROPOSED USE a. O (' p It' Ijtlllll t, PLUMBING PLOT PLAN Building HEAT & GAS LINE 5 0 Undlenle setbacks, abutting streets) /zq �� 1 J^t FENCE . SIGN RETAINING WALL �^ V SWIMMING POOL DEMOLITION 4 ' PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL A51OUNT DUE SI I �� 1 hereby acknowledge that I have read this application: that the In.43 , given le correct: and that I sun the owner, or the duly author- ized agent of tha owner. I agree to comply with city and elate law, regu- ATTENTION APPLICATION APPROVAL ,sting construction; and In doing the work authorlxed thereby, no person will be employed In violation of the Labor Code of the Slate or Washington TIUS PERMIT This application is not a permit until ' relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep. NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE {YORK NOTED uty; and fees are paid, and receipt is Be shall be completed In ninety days; MOVED -IN BUILDINGS ,hall he com- knowledged in space provided. pieced In als month,.) SIGNATURE (OWNER OR AGENT) DATE B1GNE INSPECTION DIRECTOR' 8•I(GNAT i./% DEPARTMENT CITY OF NOTE: Applicant SBGject to Plan Cheek Fee" EDMONDS DATE - 775 -2525 This 1'e Rult sayers work to be done on prh•ale property ONLY. Any canstructlua an the public domain (curbs, sidewalks, driveways, FILE marquees, eteal will require separate permission. 11111 Plan Check N •- BUILDING DEPARTMENT Applicant Fln ZOFNE d nIDIETIt PERMIT APPLICATION DIM. Heavy Linos aGH ADDRESS / /�— (�// BUILDING NAME (OR NAME OF BUSINESS) J (7 I a (p ( SPECIAL INSPECTOR REQUIRED ❑ YES VNO OCCUPANCY GROUP -r } ) n PFR h11tleIB E ^ tAT COVERAGI? ACTUAL LOT COVERAGE 01 < ❑ 1 ' a MAILl O ADDRESS x PERMISSIBLE HEIO / PROPOSED HE r57 NON-RESIDENTIAL DEMOLISHE]RETUNING EXCAVATE '. '1 SIGN FENCE / i , c / 0 REMARKS /�„ —rY,04— xX n t-C�/�' /3,e) / G% REPAIR C) CITY CITY - TELEPHONE NUMBER ACTUAL LOT AREA .!T. TOTAL HLDO. RCS ( A NUMBER OF J< N-Glffri�(7r.u.„ L UTAED YARU9 FRONT BIDE hn., 17D ,n);v� ISO OtlED VARDtl REAR Flt NT BIDE REAR NAME `— G ADDRESS fF: i ' LEGAL VARIANCE O BCONDSTIONAL U E H Q] YES NO PERMIT NUMBER ' Valumlon PLA NNI 6 D,E T. API' VAL DATE: � �CITY N TELEPHONE NUMBER n ' i I I STREET X/{V O DEMOLITION EXISTING STREET R/W ............FT, DEFICIENCY THIS PROPERTY C- NAME COMP. PLAN ST. R/W ............FT. ............FT. IWW ____..-� •--" REMARKS PRE -MOVE INSPECTION F ADDRESS W � a MAO DEPARTMENT CITY OF EDDIONDS DwTE i NOTE: Applicant Subject to Plan Check Fee / ^� • r This I'ermll ro o b, re work tdo 775.2525 ue on "Vote property' ONLY. j Any construction on 111, public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate perndeslon. 'INSPECTOR Plan Check N N/A U (. Ujl FIRE((ONE TYPE OF CONSTRUCTION STREET IMPROVED _. .Y I '� ❑ YES [3 NO BUILDING v 5r SPECIAL INSPECTOR REQUIRED ❑ YES VNO OCCUPANCY GROUP -r xEw RESIDENTIAL ❑ LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY ADD ALTER ❑ NON-RESIDENTIAL DEMOLISHE]RETUNING EXCAVATE ❑ SIGN FENCE r LOCAL SOHOULD BE CODED 31.045ALE5 TAX REMARKS /�„ —rY,04— xX n t-C�/�' /3,e) / G% REPAIR ❑PRE On FILL -MOVE INSP El (.......... .......... r,.) SWITIt POOL t )006/! C/J —JL1k6%J YV/A .0 ~ NUMBER OF STORIES NUMBER OF �\!J 11�Y` FENCE DWELLING `— fF: i UNITS SIGN NATURE OF WORK TO BE DONE r, -t: ILS 1 L .1, , ' Valumlon Fee Receipt F DEPARTMENT CITY OF EDDIONDS DwTE i NOTE: Applicant Subject to Plan Check Fee / ^� • r This I'ermll ro o b, re work tdo 775.2525 ue on "Vote property' ONLY. j Any construction on 111, public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate perndeslon. 'INSPECTOR Plan Check N BUILDING v 5r a. PROPOSED USE��� lI' PLUMBING APLOT PLAN (Indicate BUlidln6 ecWorks. abutting street.) HEAT & GAS LINE 32 \ �\!J 11�Y` FENCE `— SIGN ' RETAINING WALL i I N { i •... ., i I SWIMMING POOL DEMOLITION C- ____..-� •--" PRE -MOVE INSPECTION 1 EXCAVATION OR FILL S D•CJ ///� TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In• formation given iscorrect; and that I am the owner, or tho duly author- j Ized agent of the owner. I agree to comply wltlt city and .tote lows resu toting construction; and In doing the work authorised thereby, no person ATTENTION APPLICATION APPROVAL will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until c ' relating to Workmen's Compensation Insurance, AUTHORIZER signed by the Building Official OT his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE µ•ORI{ NOTED utyj and fees are paid, and receipt is ac - ,hall be completed In ninety days; MOVED -IN BUILDINGS shall be cem• knowledged in apace provided, picted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE DEPARTMENT CITY OF EDDIONDS DwTE i NOTE: Applicant Subject to Plan Check Fee / ^� • r This I'ermll ro o b, re work tdo 775.2525 ue on "Vote property' ONLY. j Any construction on 111, public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate perndeslon. 'INSPECTOR