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740618.pdfIlan Check Nu ..................... BUILDING [k//J! / A % 7 [0 4 PROPOSED USE L7V ' _ ` L.. -elO '7y PLUMBING ('T BUILDING DEPARTMENT Applicant Flu ZONES — NUMBPERMER 74U618 HEAT & GAB LINE I n PERMIT APPLICATION Inside Heavy Elites / SIGN tRETAINING WALL ADDRESS X01 O of l low///zi, N - NAE (OH NAME ON BUSINESS) SWIMMING POOL PERMISSIBLE '*ACTUAL LOT COVERAGE "J' `jo LOT COVERAGE j i DEMOLITION p� MAILING D — EBB PRE -MOVE INSPECTION v PERMISSIBLE IIEI.OfI�T^ . I'ItOPOBEjI�IFfIGIST � ` EXCAVATION OR FILL tJ 7H " (/Ir {I C Ty -1 urGt/ TELEPHONE NUMHE.R ACTUAL 'A TOTAL G 3 3A p S I hereby acknowledge that I have rend this application; that the in- 7 / V (� f �j �� REQUtT'AO IRED YARDS PROPS h Ized agent of the owner. I agree to comply with city and state laws reg.- NAME APPLICATION APPROVAL laling construction; and In doing the work authorized thereby, no Derson FRONT HIDE REAR FRONT E REAR 7,5 /S'QQZ5 Z40 will be employed In violation of the Labor Cade of the Stale of Woshinglon THIS PERMIT O relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - LEGAL LOT VARIANCE OR CO DITIO L UB ONLY THE WORK NOTED I shalt be completed in ninety days; MOVED -IN BUILDINGS shall be Som- N ADDRESS b n six months.) (3 YES C] NO PERMIT NUMBER S16NATU1tL WNER OR AGENT) l INSPECTION C - DEPARTMENT PLAN IN 'P APPR VAL 1 AT • _ I t CITY — DATE TELEPHONE NUMBER < I STREET R/t EXIOTINO STREET R/W1~.�. DEFICIENCY THIS PROPERTY a - Any construction on the public domain (curbs, .1,1=lke, driveways. morq.res, air.) x111 require separate permission. NAME /./.F�.I..FT. R/l'�:/..��.I•'r. Sr/..FT. COMP. PLAN BT. ..... XLw1�' REMARKS Driveway slopes not to exceed those C ADDRE indicated on Standard Rwq. No. 103 I A'r C E EAe>e ffjtM f CITY I TELEPHONE NUMBER IZDUW(QlNb �C^lri UWDtRC NL7 U SERVICE SIZE CLEARANCE METEIIL�ZE I�(�� STATE CENSE NUDiBER LI CITY LICENSE NUMBER I REMARKS < Legal Description Of Properly ,(Show Below or Attach Four Copies) // 8 6A1 C a_L A k E_ TYPE CONNECTION VERIFI .D -GfCa� ��►n I PERC. TEST PER 1 NUM ER y. / X 5 /' µ) O REMARKS w � < FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED -�/V ES ❑ NO 22Zi SPECIAL INSPECTORREWIREDOCCUPANCY OR UP ❑ YES aNO Z J d `I I GA8 RESIDENTIAL ❑ LINE THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL S. LOCAL SALES TAX :L�rA SIGN SH ULDEDMBE CODED�31.0,4,./ ADD El RETAINING RK El DEMOLISH F E �/HyOULDBE [J -7 �� L'/�c7 ✓ /iii.//LrN �L-/C/ V.L: C� / ALTER EXCAVATE ❑ OR FILL D (.....................Ft.) E] REPAIR PRE-bfOVE INSP. swim POOL NUMBER OF STORIES NUMBER OF DWELLING 1 UNITS NATURF. OF WORK TO RF. OONF. Ilan Check Nu ..................... BUILDING [k//J! / A % 7 [0 4 PROPOSED USE L7V ' _ ` L.. -elO '7y PLUMBING ('T / VV If, PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAB LINE n FENCE SIGN tRETAINING WALL N 1 SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DILE (j (J'r r) I hereby acknowledge that I have rend this application; that the in- 7 / V (� f �j formation given Is correct; and that I am the owner, or the duly author- Ized agent of the owner. I agree to comply with city and state laws reg.- ATTENTION APPLICATION APPROVAL laling construction; and In doing the work authorized thereby, no Derson will be employed In violation of the Labor Cade of the Stale of Woshinglon THIS 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 THE WORK NOTED uty; and fees are paid, and receipt is ac - shalt be completed in ninety days; MOVED -IN BUILDINGS shall be Som- knowledged in apace provided. b n six months.) S16NATU1tL WNER OR AGENT) DATE SIGNED INSPECTION R C R' BIO ATURE - DEPARTMENT �1 CITY OF EDMONDS — DATE NOTE: irant Subject to Plan Cbeck Fre %%5.2525 This Permit re— work I. be done on private properly ONLY. Any construction on the public domain (curbs, .1,1=lke, driveways. morq.res, air.) x111 require separate permission. FILD i This Permit covers work to be done oa privets properly ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will ream,. separate permission. INSPECTOR 20NE -��{• NVMDER BUILDING DEPARTMENT Applicant FIR _ (:.r Inside Lines PERMIT APPLICATION - ao ADDRMS8 1 / i i% -� ; ) '�` I NAME (Ori NAME OF BUSINESS) ,? PERMISSIBLE ^ ACT — 1 LILT COVERAGE .-, -. �i'a IAT COVAAOE Ill E MAILING AuRaas HEIGHT HEIOT PROPOSED HEIGHT C ACTUAL LOT AREA TOTAL BLDG. AREA, o C TY TELEPHONE NUMBER _ • I)1)/REQUCE . YARDS PRAO+ POSE7'D -YARDH .I REAR NAME FRONT SIDE REAR FRONT /,SIDE fF.� LEGAL LOT VARIANCE OR CON 1TIONNI, BE,.. la ADDRESS Q YEe ❑ NO PERMIT NUMBER ------� PLANNING DEPT. APPROVAL DATE: CITY MEIt TELEPHONE NUD f, STREET R/{V /. THIS PROPERTY G7 EXISTING STREET R/ /W-�'l�/. �rPT. DEFICIENCY 4;7I,f) W f t NAME COMP. PLAN BT. R/ J.....:.:.FT. .....r..pT. _ - �)•'�` lll•i •dl.Lra„ sion��s noi: to ; Cd .4REMARKS - ADDRESS" iru:�c:,'i.•-d or, Stanriawl i.Vo, 10: ) w � Ill�jjj+ ��1'o�. t i; (i'l? IT Iii- J W7,1�L;. �. �. cA:{�y✓�J CrM 5 CITY TELEPHONE NUMBER NY ASETEi.Sl'LE SERVICE BiZE CLEARANCE CHECKED BY STATE LICENSE NUMBER I CITY LICENSE NUMBER .: :' I REMARKS t. Legal Description of Property (Show Below or Attach Four Copies) •.-/ }? (� I +1 A' F TYPE CONNECTION VERIFIED BY' .-� 1. ERC. TEST PERAHTrUAfBER t{ f I p7 w ;.\ 1 i r Y FIRE ZONE F e STREET IMPROVED [STREET / YES ❑ NO ! SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL GI LINE ❑ YES 0 NO _(_ '•' I CHECKED BY, IN THE CITY ``� NEN PLAN THIS SITE IS LOCATED LOCAL SALES TAX ❑ NON-RESIDENTIAL EJSIGN).J'/�., /, /-. •_, �,__. OF EDMONDS. SHOULD BE CODED 31.04. 0 ADDEj F-1RETAINING WAIS' REMARKS,) DEMOLISH % _' _ / / ,;�; ❑ FENCE EXAVATE ALTER ❑ C OR FILL L.........z.......... Fl.) • REPAIR PRE -MOVE Ej SWIM INSP. POOL - NUAfBER OF STORIES I NUMBER OF DNLLINO i E r UNITS (1 NATURE OF WORK TO BE DONE V Vnluation Fee Kht...ipl No. i Plan Check N. ..................... Y BUILDING a PROPOSED USE PLUMBING U aPLOT PLAN (Indicate Sul (tin Ctb oke �ahaltln6 BUceta) HEAT & GAS LINE J I ` FENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE i ( •; -'� I hereby aoknawiedgo that I have read this application; that the In- ./ ��/••) 1- /'- 1 Milan" given le correct; and that I am the owner, or the duly author. I%ed agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL 1 leting construction; and In doing the work authorized thereby, no pernon will be In violation of the Labor Cade of the State of Washington THIS PERMIT This application is not a permit until ; relating to Workmen's Compensation Insurance. to AUTHORIZER signed by the Building OPtIC161 Or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY Tit WORK NOTED utyi and Pees are paid, and receipt is Be shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pitted In .1. month..) ,� S SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE,, ,I I DEPARTMENT is CITY OF t 4,- NOTE: Applicant Subject to Plan Check Fce EDMOND9 DATE -. .l'1 -• 'i 775-2525 This Permit covers work to be done oa privets properly ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will ream,. separate permission. INSPECTOR