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750161.pdf11 I f�•1/� L fN ❑ YES 0 NO SPECIAL INSPECTOR REQUIRED OCCUPANCY OWWP GA9 ❑ RESIDENTIAL ❑ ❑ YESNO I 1 LINE EINEW PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SION OF EDMONDS. LOCAL SALES TAX i ADD RETAINI 14G BUILDING DEPARTMENT Applicant FlllZONE NUMBER 750161 �'b USE PERMIT , DEMOLISH F ENC ALTER EXCAVATE FENCE �Afi"96 y PERMIT APPLICATION Inside Heavy Linea I ❑ OR FILL (.....................Ft.) ADDRESS / �6 / 7 1�� REPAIR ❑ INSE PRE -MOVE yC 1 POOL SIVIL� //C�� / �" 0U/ A? �`Sjl � �� NAME (OR NAME OF BUSINESS) / NUMBER OF STORIES NUMBER OF 1 PE1CAff SMLE ^ ACTUAL J LOT COVERAOEs LOT M D LINO ADDRESS �/ I 7�vp�C�QG �% n f0 KK COVERAGE jie r<�c PEIiDIItldISLE HEIGHT PROPOSED HE 1�, I NATURE OF WORK TO BE DONE Valuation Fee RecclPt No. C CITY TELEPHONE NUMBER ACTUAL LOTTOTAL St.lAUJO - }S�r .(�.� BUILDING 4 PROPOSED USE IYN. tv4RC, 1,ja,ie a PLUMBING REQUIRED YARDSPROPOSED YARDS PLOT PLAN (Indleato B.Ilding soWacke abutting street.) HEAT k GAS LINE NAME FRONT SIDE. REAR FRONT SIDE REAR 7 FENCE S 5 ao� ivy -79 .yt �t � ADDRESS LEGAL LOT VARIANCE Oil CONll[TIONAL USF. I M Q YES NO PERMIT NUMBER RETAINING WALL /lt -O USZ X Q PLANNING D P A P VAL DATE: DEMOLITION CITY TEL NUMBER — V �U PRE -MOVE INSPECTION STREET R/lY OFT. EXCAVATION OR FILL EXISTING STREET R/ . _ DEFICIENCY THIS PROPERTY W — I hereby TOTAL AMOUNT DUE NAME j� Jr COMP. PLAN 8T. R/W .... FT. W IJoi agent of tho owner. I agree to comply with city and state laws regu- ATTENTION REMARKS O.K. to into lating construction; and In doing the work authorized thereby, no person ADDREBd ,o connect sanitary sewers but with no larger line than 2 -inch will be employed In vlol.thm of the Labor Code of the State of Washington C W reiatl.g to Norkmcn's Compensation m Iurance. AUTHORIZES E Zi CHEC ED Y ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - Ci Y TIT UPRONE NUMBER ]Inowledged in space provided. S AT (OI •[ ) DATE SIGNED C DI CT '8 BIONATU DEPARTMENT Q METER SIZE SERVICE SIZE CLEARANCE 1 ) CUEK D BY EDbfONDS DATE STATE LICENHE NUa1DER CITY LICENSE NUMBER I I Any conslructlon on the public domain (tarts, sidewalks, driveways, 2a3-oa- oa3 marquees,ete.) 1,111 reculr. separate, pe Chet... REMARKS FILE y7 t f Property (Show Belloojw/ or FF or Copies) /Legal ('A�tJj�acIt lDDescripttiiono H✓ 1 / / �'�/✓t.l.w YXT 1 A:�]j(LJ TYPE CONNECTION y� WERIF Lm �a IY1PERC. TEST NUMBER U I 1+ n W 9 W m REMARKS v FIRE�yS— TYPE OF CONSTRUCTION STREET IMPROVED } I 11 I f�•1/� L fN ❑ YES 0 NO SPECIAL INSPECTOR REQUIRED OCCUPANCY OWWP GA9 ❑ RESIDENTIAL ❑ ❑ YESNO I 1 LINE EINEW PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SION OF EDMONDS. LOCAL SALES TAX i ADD RETAINI 14G REMARKS SHOULD 8E CODED 31 04 1' DEMOLISH F ENC ALTER EXCAVATE FENCE �Afi"96 y 7 / � WA I7,AC�&V 7 ❑ OR FILL (.....................Ft.) 1�� REPAIR ❑ INSE PRE -MOVE yC 1 POOL SIVIL� //C�� / �" 0U/ A? �`Sjl � �� NUMBER OF STORIES NUMBER OF DWELLING I —� UNITS NATURE OF WORK TO BE DONE Valuation Fee RecclPt No. Plan Check N. ..................... .(�.� BUILDING 4 PROPOSED USE a PLUMBING PLOT PLAN (Indleato B.Ilding soWacke abutting street.) HEAT k GAS LINE - 7 FENCE -79 .yt �t SIGN I ffY tS-hNL 1 41 RETAINING WALL /lt -O USZ X SWIMMING POOL DEMOLITION �U PRE -MOVE INSPECTION EXCAVATION OR FILL r — I hereby TOTAL AMOUNT DUE /G) O I acknowledge that I have rend this application; that the In - formation given 1. correct; and that I am the owner, or the duly author. IJoi agent of tho owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION lating construction; and In doing the work authorized thereby, no person APPROVAL will be employed In vlol.thm of the Labor Code of the State of Washington THIS PERMIT This application Is not a permit until reiatl.g to Norkmcn's Compensation m Iurance. 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 - shall be Completed In ninety days; MOVED -IN BUILDINGS shall be cam. PI d In elx months.) ]Inowledged in space provided. S AT (OI •[ ) DATE SIGNED INSPECTION DI CT '8 BIONATU DEPARTMENT I /"'• CITY OF 1 ) NOTE: Applicant Subject to Plan Check Fee EDbfONDS DATE This Permit c rrrn .cork le be dons an Prlrnte DroPerly ONLY. 775.2525 Any conslructlon on the public domain (tarts, sidewalks, driveways, marquees,ete.) 1,111 reculr. separate, pe Chet... FILE kn // cL1, Fill �,. BUILDING DEPARTMENT Applicantw nPERMIT OKE lL S—g NUMBER " PERMIT APPLICATION Hen Linos '7o RE ADD as NAME (Olt NAME OF BUSINESS) t l/ PERMISSIBLE '" ACTUAL & + I ') ', IAT COVERAGES �..), LOT COVE AGE OE ,.;--gin ^ . td MA NO A/DUREde' y/I �`,/lj, PP:Rt IItldlHLE HEIGHT PROPOSED HEIGHT y yn /}' `7. �'••�� yt/ )t,rjl•f'� ARE?TOTAL BLDG.`AR/A F O CIT TELEP1iONE NUMHSR ACTUAL LOT (: 7i7i 11 �� )k-1 � l IV^' •, ItEgU1Rt:D YAItUtl IRO OBLU VARUS �, .. FRONT SIDE REAR FRONT tlIUE REAR i NAME C- ci �O LEGAL LOT VARIANCE Olt CONDITIONAL UBE W1� ADDRESS Q YES NO PERMIT NUMBER hi PLANNING DP .API' 3 VAL DATEi �'�`/ j C CITY TELEPHONE NUh1BElt tlT(LBET R/{V r O 6 EXISTING STREET R/Wjl.. OFT. DEFICIENCY THIS PROPERTY NAME ./"{ COMP. PLAN ST. R/N?7 Jl: ....(,�...FT. E ti z�(('''� 1 to conner:.t into ae'•)+;r"^ o 1 94 ADDREBd ! 2 'Lii:ai^r laroor line Y.T:an 2 -inch ra ii but. wi til nn � '' C CITY ..,(tLEPONE NUMR I I d + 1 METER SIZE SERVICE SIZE I CLEARANCE I CAHEtf'KED HY K-, I ' STATEE LIC BE NUMBER CITY LICENSE NUMBER I /{ ') - V d U � -REMARKS I' � Legal G' DCectlp[lon o[ Property (Show Below F Attach ur Copies) Tor n/1 r,�' 1 �/ �/� (':� (• I p d, � TYPE CONNECTION ERIF 'D Y PERC. TEB PERMq NUh BER + G7 O REMARKS i07 E TYPE OF CONSTRUCTIN STREET IMPROVED RE O FIZON I .7 / /�/ ' , [„k: I I E] YES 0 NO I I SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ”' i ! NO I El RESIDENTIAL GAS LINE ❑ YES DY IS LOCATED IN THE CITY NEW PLAN CHECKED THIS SITE LOCAL SALES TAX DL NON-RESIDENTIAL BION SHOULD BE CODED 31.04. SH UE ADD ❑ RETAINING HALL ,. ^ ', ❑ DEh10LI8H ,, II I - lrC-tl� i+J/ l/�r �j•� //^•�*'JL1. ALTER E]REMARKS EX FENCE-* ❑ ORCFILLTE ......................Ft.) REPAIR ❑ PRE -MOVE SWIM ❑INSP. .® POOL l�Cc�•!y`'("^' �r}` •� 1 1 NUMBER OF STORIES NUMBER OF l DWELLING _ I UNITS NATURE OF WORK TO BE DONE Valuation FeeReceipt No. Plan Check No ..................... T. 6UILDIN6 , FO L PROP BED USE PLUMBING G O PLOT,PLAN (Indicate B``S1ydl g-aelVaaCA1e nl/rce�te) HEAT & GAS LINE /n/tbutting r.rr.0 FENCE -.t •� SIGN RETAINING WALL - 7— POOL ��'1 �'��' I SWIMMING _ DESSOLITION 7-'t- _� •,- PRE -MOVE INSPECTION EXCAVATION OR FILL 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 the duly author - lied agent of the owner. I agree to Comply With city and state laws regu- ATTENTION APPLICATION APPROVAL laling construction; and In doing the work authorized thereby, no 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 Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED uty; and fees are paid, and receipt is ac - shall bo completed In ninety days; MOVED -1N BUILDINGS shall be nom- knowledged In space provided. pleted In six months.),; __ ,.., �, •� SIGNATURE (Ot NEROR AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE / F-' DEPARTMENT � 1 CITY or DATE- A LNOTE: NOTE:Applicant Subject to Plan Check Fee 775-2525 � This Permit fug Work to be done on private property ONLY. Any construction oa the public domom (earns, ld—alk., driveways, INSPECTOR _ marquees, etc.) will require separate permission.