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750184.pdfIf TOTAL AMOUNT DUE QJ, I hereby acknowledge that I have rend t61e application; that the In. /,)y BUILDING DEPARTMENT AppllpAyltFlll PERMIT ONE NUMBERI,.%U I USF I ATTENTION PERMIT APPLICATION Inside Ifeavy Linos JO will be employed In violation of the Labor Code of the Slate of Washington TIHS PERMIT ADDRESS relating to Workmen's Compensation Insuranoc AUTHORIZES Signed by the Building Official Or his Dep - NA SL (OR NAME OF BUSINESS) -`N,L(1)' ONLY THE µ•OTU{ NOTED uty, and fees are paid, and receipt is Be G, PERM IBBIBL ACT L qq LOT COVERAGE\ •.moi r LOT -11 AGE �� _ x pi AILING ADDRESS r vJ ` a PERMItltl[BLE HE[U II'p� PItOPOBED 1S IO O DEPARTMENT I-- , .' ..� CITY OF, TDAYS; 7 EDMONDS NOTE: Applicant Subject to Plan Check Fees. C CITY TELEPHONE NUMBER ACTUAL OT TOTAL BLDG. AREA Any construction on the public domain (curbs, sidewalks, dr Any marquees, Ste.) will require rrparele permleeton. FILE y 40, REQUIRED YAItUtl OPOBF.0 YARDS NAME FRONT BIDE HEAR FRONT SIDEREAR � ((Z� /U .�S �S /J WADDRESS L it- , VARIANCE OR CO I ZONAL USE YES R NO PERMIT NUMBER S— / 5_ 6 3 ' t. iZ PLANNIND PPRO L D I CITY TELEPHONE NUMDEit ' I STREET R/W ,�II��c EXISTING STREET R/HC!� �r�13�TDEFICIENCY THIS PROPERTY O NAME CCOMPS. PLAN 0T. R/r'/ ...."'• ...t�...FT. y REMARKS Driveway slopes not to exceed those c ADDHEtlB indicated on Standard DwS. No. 103 x w � TELEPHONENUMBER ('�P'�'. /�-(-.{',SSS CH CKE BY Cl'rY U t4�N METER Bl'LE SERVICE SIZE CLEARANCE CH C D Y O STATE LICENSE NUMBER CITY LICENSE NUMBERJ/ C REMARKS ? Legal Description of Property (Show Below or Attach Four Copies) � / 7 1 TYPE CONNECTION VERIFI D Y O PERC. TE T P DS Ub HER C ' C w W REMARKS O a a FIRRE-}Z�OO TYPE OF CONSTRUCTION STREET IMPROVED ulylls [] NO SPECIAL INSPECTOR/REQUIREDOCCUPANCY GROUP r ❑ YES ®.1�0 .�/ j_/ PLAN CHECKED Y THIS SITE IS LOCATED IN THE CITY NIC LOCAL SALES TAX E]OAs RESIDENTIAL LINE NEW NON-RESIDENTIAL Blcx I El/ 1 .itC SHOULD BE CODED 31.04. SH ULD ADD RETAINING WALL Mwnx DEMOLISH FENCE ' 4111G ()/✓fr/,i �f(.Q'�!� yG—�/ fU ALTER E]EXCAVATE ❑ OR FILL (.......... x..........n.) REPAIR ❑ PRE -MOVE SWIM INSP. POOL �C�.tJ ��Tw% /� n,✓ .s// �i✓sP�c/•1•✓-T NUMBER OF TORIES NUMBER OF DWELLING �^ ' UNITS I NATURE OF WORK TO BE DONE Valuallon Fee Recelpt No. flan Check No ..................... C� BUILDING [� 4 PROPOSED USE PLUMBING Q PLOT PLAN (Indicate SWIMng setbacks, abutting streets) HEAT A OAS LINE jj'OU xl FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I - TOTAL AMOUNT DUE QJ, I hereby acknowledge that I have rend t61e application; that the In. /,)y format Ion given le correct; and that I am the owner, or the duty author- Ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington TIHS PERMIT This application is not a permit until relating to Workmen's Compensation Insuranoc AUTHORIZES Signed by the Building Official Or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY THE µ•OTU{ NOTED uty, and fees are paid, and receipt is Be shall be completed In ninety days; MOVED -IN BUILDINGS shall be corn- knowledged in space provided. pitted In six months.) _ 31GNATURE (OWNER Olt AGENT) DATE BIGNED INSPECTION 1 E R'9 IGNAIURE / DEPARTMENT I-- , .' ..� CITY OF, TDAYS; 7 EDMONDS NOTE: Applicant Subject to Plan Check Fees. 775-2525 This 1'1rm11, cur<n work to be done an private pnpeety ONLY. Any construction on the public domain (curbs, sidewalks, dr Any marquees, Ste.) will require rrparele permleeton. FILE .^ RESIDENTIAL SPECIAL INSPECTOR/REQUIRED YES O.NO A.'. NEW ❑ NON-RESIDENTIAL ❑ IGN & ADD ❑ DEMOLISH O RETAINING WALL El ALTER CFI ❑ FENC...........FLI .. E ❑ OORLI y-' BUILDING DEPARTMENT Applicant Fill USE PERMIT zorrE �1 ( / xvF3aER PRE'INSPFIOVE PLOT PLAN (Indicate Building Setbacks, abutting streets) PERMIT APPLICATION Insido Heavy Linos ADDRESS NUMBER OF STORIES NUMBER OF FENCE NAME OF IIUBINEBB)-��' DWELL[NG •t-f�s tRETAINING WALL NAME (OR 1 // PERMld BtDL e/s ACTUAL JJ 0 LOT COYERAOE, ),.. ,. LOT COVERAGE Y c TO BE DONE MAILING ADD ESS SWIMMING POOL PEli.111dtlIDLE HF.ICHT PROPOSED HEIOHT � DEMOLITION O 471 t PRE -MOVE INSPECTION CITY TELEPHONE NUMBER ACTUAL BLDG. A; j {= �% /� / 5 / (/. / A�hly REQUIRED YARDS PORED YARDtl TOTAL AMOUNT DUE - I Ihereby acknowledge that I hnvo rend this application; that Ota In- FRONT HIDE REAR FRONT BIDE REAR c formation given le correct; and that I am the owner, or the duly author. NAME ized agent of the owner. I agree to comply with city and state law, regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no yerean LEi AL OT VARIANCE OR CO ITIONAL USE will be employed In violation or the Labor Cade of the Biala of Washington THIS PERMIT This application is not a permit until N ADDRESS Signed by the Building Official or his Dep - BYES ❑ NO PERMIT NUMBER NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE utyi and fees are paid, and receipt is ac - shall be completed in ninety days; MOVED -IN BUILDINGS shall be com. WORK NOTED knowledged In space provided. PLANNING D PT. PYROYAL _ DA F plated In six month,.) I I I I al C1TY TELEPHONE NUMBER INSPECTION DEPARTMENT cc I STRE%�! �, ty EXIS IL/\V EXISTING BTR}:ET R/.... irT. DEFICIENCY THIS PROPERTY II'i i`i:•!(,�i *� % CITY OF Fes' //I/�../ NAME �/ % n COMP. PLAIT BT. R ♦K�.�. NOTE: Applicant Subject to Plan Check Fee �'; (/t FCI �� r REMARKS ;I..,7. VC4)3y i.OPC)S 17Pt r0 exceed Blore Any construction on the public domain (curbs, Sidewalks, driveways, C, ADDRESS , i.n?:).cated (in Standard D3)r. bio. 103 N TELEPHONE NUMBER I F T. k cis ss pt✓tl_ CH CKED� Y H CITY x;11 U 1'JiJ j ' U" METER_dl'LE SERVICE SIZE CLEARANCE CH •C ED Y STATE LICENSE NUMBER CITY LICENSE NUMBER �. I // I I / REMARKS Legal Description 11 Property (Show Bclaw or Attach Four Culls) 197 / TYP,E'COICNECTION VERIFIED BY ! Z1 !. / C� I L 11 I r Fi 7 •}�� -G �il ti"lr.I�L�I // T/ 1. P MI PE RO/ TEST/ NUF HER (al REMARK .^ RESIDENTIAL SPECIAL INSPECTOR/REQUIRED YES O.NO A.'. NEW ❑ NON-RESIDENTIAL ❑ IGN & ADD ❑ DEMOLISH O RETAINING WALL El ALTER CFI ❑ FENC...........FLI .. E ❑ OORLI ❑ REPAIR PRE'INSPFIOVE PLOT PLAN (Indicate Building Setbacks, abutting streets) ❑ ❑ POOL NUMBER OF STORIES NUMBER OF FENCE kk�� DWELL[NG SIGN tRETAINING WALL NATURE OF WORK TO BE DONE .^ flan Check No ..................... SPECIAL INSPECTOR/REQUIRED YES O.NO OCCUPANCY GROUP -.L / J--/ PLAN CHECKEDpY !� % ;Ii/..,^. ,•�✓ THIS SITE IS LOCATED IN THE CITY OF EDMON DS. LOCAL SALES TAX SHOULD BE CODED 31.04. REafARK9 & I)Aj .SiiTr /W_554_� BUILDING 'r ��✓�+Vy O4 .V �i :G 4 PROPOSED USE Valuation Fee Receipt No. .. PLUMBING .^ flan Check No ..................... x � is o l l� BUILDING 'r ��✓�+Vy O4 .V �i :G 4 PROPOSED USE .. PLUMBING U PLOT PLAN (Indicate Building Setbacks, abutting streets) HEAT & GAS LINE � ' ��'IOcC FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 7 L`..� Ihereby acknowledge that I hnvo rend this application; that Ota In- c formation given le correct; and that I am the owner, or the duly author. ized agent of the owner. I agree to comply with city and state law, regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no yerean will be employed In violation or the Labor Cade of the Biala 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 THE utyi and fees are paid, and receipt is ac - shall be completed in ninety days; MOVED -IN BUILDINGS shall be com. WORK NOTED knowledged In space provided. plated In six month,.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT XHAECTORIS SIGNATURE II'i i`i:•!(,�i *� % CITY OF Fes' //I/�../ EDMONDS NOTE: Applicant Subject to Plan Check Fee 775-2525 r This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, Sidewalks, driveways, INSPECTOR marquees, etc.) will require separate permission. 777� 1 W W it '` ' • -" Z �^ z � - w z LD 1 z } h O W 1- F• 2 � t - H ~ 0 4j • < w cc O j a z co j ..,. I N — 1 o 71 Q 1-I_ � I ' t Z i v . C) • W t j1 w a) 3 W m Wv f . - c7 11 i - W - L7 12 Ln in / J ' W 00 ✓; f%1.f Ccl �r G x Cts y�r _.�� `n o W W W O C p —o O - 'W �i N Co I, �a im O U In < y D �p RECORD OF INSPECTIOIQ a° h to Date Passed