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750154.pdfrA y, ,Valuation Fee Receipt No ,U/ I � —Al YES ONO (�/1 —12-7 � BUILDING uOOCT «' Z,) SPECIAL INSPECTOR REQUIRED BUILDING DEPARTMENT Applicant Fill US �j C NUMBER -150154 �j-1r A/ .� d PLOT PLAN (InienBuilding setbacks, abutting streets) GAS PERMIT APPLICATION Inside Heavy Lines 7OB NEW RESIDENTIAL FENCE LINE ADDRESS s_ THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL NAME (OR NAME OF DUSINE88) WjRr t OF EDMONDS. CAL SALES TAX ADD SWIMMING POOL . f ,Aj � LA�Xy 4 • p� • '/G ` ///�. „ /`�/ !�• PLOTCD ERA � LOT COVERAOE� II µ•f' ACTUAL LOT COVERAGE �' SHOULD BE CODEDLO31.04. to MAILING ADDRESS/ --_70 Z10,7 / Z V./ Pt- I V • G/� • CC. PERMISSIBLE HEIGHT- PROPOSEp RIGHT N! rI iZi { I TOTAL AMOUNT DUE CIT �r / TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BL 6,/AREA FE NCz..........Ft.) I ,i APPLICATION APPROVAL E 77, 9,, G, N ✓ y "�-� / d REQUIRED YARDS PPRRgP _ED YARDS THIS PERMIT This application is not a permit until relating to Workmen's Compenne.tlon Insurance. NAME ❑ FRONT BIDE REAR FRONT SIDE REAR SWIM f lcnowledged in space provided. d lnen the.) Per a n Oita POOL U IRE T R' 8 NA UAE `� • Ir/ �� LEGAL LOT VARIANCE OR COND AL IONll9 NUMBER OF I H ADDRESS %�S S/ /�• © YES ID NO PERMIT NUMBER F1 IiCtJV NOTE: Applicant Subject o Plan Clerk Fee 1 C CITY TELEPHONE NUMBER PLANNING APPROV � This Ferrurrn work to be done on private Property ONLY. I UNITS �( STREET R/4V EXISTING STREET R/IVW.PO. FT. DEFICIENCYtHI8 PROPERTY t7 7 BE DONE '[7 ; NAME C-0 • COMP. PLAN ST. R/ r. I REMARKS R a 5r1� nnuaEse WIr, 'PlIyEli c 7 i /� // /J �7 ` �/Z� 7W_ 1 �-y Ss e-. CHEC BY y CITY TELEPHONE NUMBER r.�" �/ ,(% . I q`' 5�s' V STATE LICENSE NUMBER LI�JCENSE t METER SIZE I SERVICE SIZE CLEARANCE I CHECKED B /�j/ a `NUMB t" St", t -1J I / �Y!/LrtA Legal Description of Property (Show Below or�A Four Copies) REbfAliHB �_. Isi7/✓6 ! 4 % 3 p TYPC. NECTION I VERIFIED -BY f' PERC. TEST PERMIT NU BER rA y, ,Valuation Fee Receipt No ,U/ I � —Al YES ONO (�/1 —12-7 � BUILDING uOOCT «' Z,) SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP PLUMBING �j-1r A/ .� d PLOT PLAN (InienBuilding setbacks, abutting streets) GAS F] YES NO I F- Z NEW RESIDENTIAL FENCE LINE PLAN CHECILED DY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL s1cN OF EDMONDS. CAL SALES TAX ADD SWIMMING POOL DEMOLITION SHOULD BE CODEDLO31.04. PRE -MOVE INSPECTION EJDEMOLISH EXCAVATION OR FILL RETAINING WALL REMARKS TOTAL AMOUNT DUE I7V ALTER formntlan give iven le correct; and that I ane the owner, or the duly author- EXCAVATE El FE NCz..........Ft.) ATTENTION APPLICATION APPROVAL i❑^ ❑ FILL OR1. Will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compenne.tlon Insurance. REPAIR ❑ NOTE: Permit Limit One Year (Except DEMOLITIONS which ❑ SWIM .hall be completed In al-ty day,; MOVED•IN BUILDINGS shall be cone. lcnowledged in space provided. d lnen the.) Per a n NSPRE-MOVE P. POOL INSPECTION DEPARTMENT IRE T R' 8 NA UAE `� • Ir/ �� NUMBER OF STORIES NUMBER OF ED51ONDS DATE NOTE: Applicant Subject o Plan Clerk Fee / DWELLING 775-2525 �4 This Ferrurrn work to be done on private Property ONLY. UNITS marquees, etc.) will require Separate permission. !/ NATURE GF {YORK TO BE DONE rA y, ,Valuation Fee Receipt No Plan Check NdT..^•••......I�'j (�/1 —12-7 � BUILDING uOOCT «' Z,) 0. PROPOSED USE PLUMBING �j-1r A/ .� d PLOT PLAN (InienBuilding setbacks, abutting streets) HEAT A GAS LINE f4r•=/�-+te •�� FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that I have read thin application; that the in- TOTAL AMOUNT DUE so— formntlan give iven le correct; and that I ane the owner, or the duly author- agent of the owner. I agree toe with City and state Iawe ATTENTION APPLICATION APPROVAL lati wall lnting mnetructlon; and In doing the worir authorised thereby, no Dereon eby person Will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compenne.tlon Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY µORA NOTED ut and fees are paid, and receipt is ac - p .hall be completed In al-ty day,; MOVED•IN BUILDINGS shall be cone. lcnowledged in space provided. d lnen the.) Per a n SiGNAT tE VNER OR AGE T) DATE SIGNED INSPECTION DEPARTMENT IRE T R' 8 NA UAE `� • Ir/ �� CITY OF ED51ONDS DATE NOTE: Applicant Subject o Plan Clerk Fee 775-2525 �4 This Ferrurrn work to be done on private Property ONLY. Any c.mitructlan on aha public domain (curbs, sidewalks, drlvewy'e. marquees, etc.) will require Separate permission. FILE l } USE )'-' PERMIT 1 I B U I L D, N G '•.DEPARTMENT Applicant Fm r g° /a NUMBER I PERMIT APPLICATIONInsideHeavy Lines , - ' J AD ADDRESS �-" t J � NAME (OR NAME OF BUBINEBB) PERMla BIBLE 7s All"' -/r:- LOT COVERAGE LOT COVAAOE 1 MAILING ADDRESS TI PERMISSIBLE HEIOIiT PROPOSE HEIGHT C 1 a TELEPHONE NUMBER A UAL LOT ARETOTAL BLDG.%NA ACTI Z I CITY ! ,r[ -J_:/ /,.{�jJ. ��(�:.I ..> ( �� REQUIRED YARDS RO/aS D YAM DH I }'RONT S1DE REAR FRONT BIDE REAR NAME / i �j LEGAL LO'r VAHIA NCEOR CONDI ONAL US ADDRE80 Q YES [3 NO PERMIT NUMBER yN V t •�l.l «C !'�% Y A% -L PLANNING DEF'('. APPROV ] td CITY TELEP}lONE NUAtDEft ' �y '- ' '-•'(AL _ ';.:�C:i i ( r�(•-L'-r u�rti, (, =�-- I -f lf. q STREET'R/W / EXISTING STREET R/W�Z'.LO.FT. DEFICIENCY HIS PROPERTY O NAME / COMP, PLAN ST. R/WI.1�lJFT. Z SCI / � !'�+ !"�cl/i.! �/I->"^i�l/''/ lt.Y'✓S% C. RDMARKB 11 ADDRESS ('\ Iy I l YF �• 1h4�� (- I YF- W :'-. / •%l /rr�' /i_Ci :-.�, %'.: , lI�{ -I CHECK,BY M CITY TELEPHONE NUMBER I � �% METER SIZE M SERVICE SIZE CLEARANCE AAA D CHECKED B� Y STATE LICENSE NUMBER C3TY LICENSE NUM."{ I � �i::l /p kkkFIII (`'"7L4"— 15--' / REMARKS �(, 1� Legal Description of Properly (Show Below Or Attach Four Coplce) ' 1 TYPE CO NECTIION )....�J VERIFIED BY F /��'�'1/ f✓ �7i .+t -"t i/• '�)' f--rn PER0. TESTPERMIT N .HER a 1 IiEMA L m jK FIRE//Z77 R CTI N B R E S O ED .I /•71 / YES Ej No 77i SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP i NEW RESIDENTIAL GAe LINE [3 YES -'O-NO I_ i ! PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX EJ ADDEl❑ NON•REeIDENTIAL s1cN RETAINING SHOULD BE CODED 31.04. REMARKS ' DEMOLISIi WALL Ij -]EXCAVATE FENCE '%-I'.-I=%'�J='7n)"•"�7�Z7iL-l-:'`jL"T�'('J7%"".M'�"lLl i�l'� ALTER F . OR FILL (........_x .......... Ft.) ❑ REPAIR ❑ PRE-TIOVE SWIM INSP. POOL J I ! NUMBER OF STORIES NUA[DEIt OF r DWELLING / UNITS ----•^ NATURE OF WORK TO BE DONE Valenti- Fee Receipt No. Plan Check No. l..,st:'.�.: I /l, ;. ,.. �� G. .C+i'.:.> /"' % / .til . BUILDING Off) [o W �4 PROPOSED UBE PLUMBING PLOT PLAN (Indicate Building setbacks,butting streets) HEAT & GAS LINE10 c/I FENCE i I SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledgo that I have read this application; that the In. �•.._ formation elven le correct; and that I ato the owner, or the duty author- ized agent of the owner. I agree to comply with city and elate lawn regu- ATTENTION APPLICATION APPROVAL ,,ting construction: and In doing the worlt authorized thereby, no person will be employed In violation of the Labor Cade of the State of Washington THIS PERMIT This application is not a permit until totaling 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 aft shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. ! pletcd In six menthe.) SIGNATURE -(OWNER Oft AGENT)I DATE BIONEU INSPECTION DIRECTOR'S SIGNATURE 1 DEPARTMENT CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 Tatspermit covers work to he done on private properly ONLY. Any eonslr etlmt on the public domain (curbs, sidewalks, driveways, INSPECTOR marquees, etc,) will require separate permission. :J