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750185.pdf0 NO NEW RESIDENTIAL NON-RESIDENTIAL ❑ GAS LINE BICN ❑ YES [ij.f 6 BUILDING DEPARTMENT TONNE _p NUMBIER l- Applleant Fill 0 750185 PLAN CH E DY / THIS SITE IS L OF EDMONDS. SHOULD BE CC ~'s PERMIT APPLICATION Inside Heavy Lines ,OB 0 I ADDRESS j FDEMOLISH EXCAVATE NAME (OR NAME OF BUSINESS) (/(//,I-(�/ RETAINING FECzOn /`/ Pk:IiMISSIBLE ACTUAL J //O•/ei�� A L//D���Y LOT COVERAOFo �C LOT COVERAGE O .' j I oG MAI- ADDRESS �S •/p PEIiMItldIBLE HEI Qj1T ^� P)tOPOSED HEIf�}T� fo /J .......... Ft.) CITY TELEPHONE NUMRER ACTUAL LOT AR•`s4•_,,,,y TOTAL BLDG. AI1`�/ F O,fJpJ9 5"�3 REQUIRED YARDS YROPOdEU 'fADtT H PRE -MOVE ' swim POOL AME FRONT SIDE REAR FRONT SIDE REAR ;UMBER OF STORIES NUMRER OF A VARIANCE OR CONDITIONAL USF. � O N LE ...—. ADDRESS fi) YES 0 NO PERMIT NUMBER UPLANNIN D P PPVA PE: DW EL"" [C CITY TELEPHONE NUMBER N STREET n/W I EXISTING STREET R/lV............FT. DEFICIENCY Tills PROPERTY SWIMMING POOL NAME COMP. PLAN BT. R/W ............FT. ........... FT. W F ' REMARKS C ADDREtld i l ' O J�CI CHEC D BY TY I TELEPHONE NUMBER I �� O METER SIZE SERVICE SIZE CLEARANCE CHECKED BY O STATE LICENSE NUMBER CITY LICENSE NUMBER I I J 'ormntlon given iscorrect; and that I sum the owner, or the duly author. (md axed agent of the owner. t agree to comply with Illy and elate Iowa raga- ATTENTION APPLICATION APPROVAL lating eun.tmetton; and In doing the work authorized thereby, no person REMARKS ! .'ill be employed in violation or the Labor Code of the State or Washington THIS PERMIT Legal DCacrlPllon of Property (Show Below or Attach Four Coplee) relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY TH WORK NOTED uty; and fees are paid, and receipt is ac - Lor iy T�.rR,,< 04e94 �/pSA ial� TYPE CONNECTION VERIFIED BY� o� plated In six months.). W I �cm-fw e;j 'ek /6 'F'l`t/ P Atc H� PERC. TEST S16N­ED INSPECTION PERMIT NUMBERC I I / Ke'GOR.ts r J/i/DHo�aar.t%� in J.✓% m ii DATE iiv REMARKS 775-2325 7 i ° .Di FIRE ZONE TYPE OF CONSTRUCT�N BTRE'PT IMPROVED 0 NO NEW RESIDENTIAL NON-RESIDENTIAL ❑ GAS LINE BICN ❑ YES [ij.f 6 1•lon Check No ..................... PLAN CH E DY / THIS SITE IS L OF EDMONDS. SHOULD BE CC ADD ALTER FDEMOLISH EXCAVATE ❑ E] RETAINING FECzOn [MAR PLUMBING (OLS oG ❑ FILL .......... Ft.) PLOT PLAN (Indicate Building eetb=kB, abutting streets) HEAT @GAS LINE F REPAIR ElINSP. PRE -MOVE swim POOL ;UMBER OF STORIES NUMRER OF SIGN tRETAINING DW EL"" N UNITS SWIMMING POOL Valuation Fee Receipt No. f�ewee'* is '9DCp �T 1•lon Check No ..................... 1,061, BUILDING [:44 4 PROPOd D TISE PLUMBING (OLS oG �— PLOT PLAN (Indicate Building eetb=kB, abutting streets) HEAT @GAS LINE PENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 7� }C I 6747 I hereby ,knowledge that I have rend this application; that the In. J 'ormntlon given iscorrect; and that I sum the owner, or the duly author. axed agent of the owner. t agree to comply with Illy and elate Iowa raga- ATTENTION APPLICATION APPROVAL lating eun.tmetton; and In doing the work authorized thereby, no person .'ill be employed in violation or the Labor Code of the State or 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 TH WORK NOTED uty; and fees are paid, and receipt is ac - .hail be completed In nlmdy day.; MOVED -IN BUILDINGS shall be cam. knowledged In space provided. plated In six months.). SIGNATURE (OWNER ORA NT)DATE S16N­ED INSPECTION \ D1R O 'B dl NAT RE DEPARTMENT I / CITY OF EDMONDS DATE iiv NOTE: Applicant Subject to Plan Cbeck Fee 775-2325 7 This Permit r work to ba done an prlvate property ONLY. Any a ustructlmt on the public domain (curbs, sidewalk., driveways. marquees, eIc.) .111 reeulre eeParale permission. FILE I. Valuation Fee Receipt No • � t - ori �� % -e,�,r � ./ 4 PROPOSED SE � BUILDING DEPARTMENT Applicant Fill USEPERMIT /�^7 (� ZONE riY S - NUMB ?ii_) I i'5 - RESIDENTIAL ❑ PERMIT APPLICATION Inside Heavy Lines ADDRESS ]OH � � ❑ NEW �� NAME (OR NAME OF BUSINESS) 1 O PLAN CHEC EDfIIY THIS SITE IS LOCATED IN THE CITY TAX ❑NON-RESIDENTIAL r ❑ LOT C tlBIBLE ACTUAL LOT COVERAGE LOT COVE, AGE �y/ OF EDMONDS. LOCAL SALES SHOULD BE CODED 31.04. ppa��7 I � �\ M LINO ADDRESS DEMOLISH PER:III&BIBLE HE1QIiT . / PROPOSED II EI9 Tj its l p z R, MAR DEMOLITION - 'ldr.� '�>ii gt!/c C✓e ' �� ❑ FENCE '. �L1TY TELEPHONE NUMBER ACTUAL LOT AREA 1 TOTAL IILDO. ARS �j/00 k 1 hereby acknowledge that I have rend this application; that the In. G.........z.......... Ft.) ' 7;7 S5 7 REQUIRED YARDS VS ❑ 1 ❑ AME c1 C' -rL�i_ J- /71- FRONT SIDE REAR FRONT SIDE REAR UMBER OF STORIES 11 911OR OF 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 F ADDRESS $hall be completed In ninety day.; MOVED -IN BUILDINGS shall be cam- VARICE OR CONDITIONAL USE LEGA LOT AN lj YES [3 NO PERMIT NUMBER knowledged In space provided. pleted In .1. month..) UNITS SIGNATURE (OWNER OR AGENT)DATE B16NEll v\ PLANNIN DEPT. PI'ROVA DA Et DIRE TO '8 81 NATO E ' t CITY TELEPHONE NUMBER SN' NOTE: Applicant Siibject to Plan Check Fee EDIVIOND3 ATE 5 ' ' �ffj L. - 7 - STREET R/t This Permit curare work W be done on private properly ONLY. Any censlructlen on the public domain (curbs, sidewalks, drlreway., marquee., etc.) will require separate permlWan. EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY INSPECTOR S NAME COMP. PLAN ST. R/W ............FT. ............FT. W �.'I , REMARKS pt ADDRESS !! ff// C [o•� '•? ri!/�- CHECKED BY W F CtTY TELEPHONE NUMBER .` O METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY I y~4 I. Valuation Fee Receipt No O � 7 �� 1.���• ..................... BUILDING / %//ri � �'j vU 4 PROPOSED SE � SPECIAL INSPECTOR REQUIRED GROUP lT (0 (l _2¢_ RESIDENTIAL ❑ �VRC* @11 IOCCUPANCY ❑ NEW �� 1 O PLAN CHEC EDfIIY THIS SITE IS LOCATED IN THE CITY TAX ❑NON-RESIDENTIAL .W7 ❑ FIRE ZONE � TYPE flan Check No Valuation Fee Receipt No �J' I _V —N 12rYEe ❑ NO 7 �� 1.���• ..................... BUILDING / %//ri � �'j vU 4 PROPOSED SE � SPECIAL INSPECTOR REQUIRED GROUP lT (0 (l _2¢_ RESIDENTIAL ❑ GAS LINE ❑ YES M-10/ IOCCUPANCY ❑ NEW �� 1 O PLAN CHEC EDfIIY THIS SITE IS LOCATED IN THE CITY TAX ❑NON-RESIDENTIAL ❑ SIGN �y/ OF EDMONDS. LOCAL SALES SHOULD BE CODED 31.04. x ADD ❑ DEMOLISH ❑ RETAINING WALL R, MAR DEMOLITION - ❑ ALTER EXCAVATE ❑ FENCE (, !/l/� /-//,!� 5/Z'I� // %"/U��` �L R'l /'�ie� & ❑ OR FILL 1 hereby acknowledge that I have rend this application; that the In. G.........z.......... Ft.) J6.71 formation given Is correct; and that I am the owner, or the duly author. El REPAIR ❑ PRE -MOVE INSP. ❑ SWIM POOL c1 C' -rL�i_ J- /71- I 4,/ S/ 1?5' UMBER OF STORIES 11 911OR OF 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 DWELLING Sty; and fees are paid, and receipt is ae- $hall be completed In ninety day.; MOVED -IN BUILDINGS shall be cam- knowledged In space provided. pleted In .1. month..) UNITS SIGNATURE (OWNER OR AGENT)DATE B16NEll v\ INSPECTION DEPARTMENT DIRE TO '8 81 NATO E ^ l /b flan Check No Valuation Fee Receipt No 7 �� 1.���• ..................... BUILDING / %//ri � �'j vU 4 PROPOSED SE � PLUMBING lT (0 (l _2¢_ aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAB LINE h 1 O FENCE 9IGN RETAINING WALL BWIMMIN6 POOL - - DEMOLITION - PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 1 hereby acknowledge that I have rend this application; that the In. J6.71 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 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 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 Sty; and fees are paid, and receipt is ae- $hall be completed In ninety day.; MOVED -IN BUILDINGS shall be cam- knowledged In space provided. pleted In .1. month..) -. \ SIGNATURE (OWNER OR AGENT)DATE B16NEll v\ INSPECTION DEPARTMENT DIRE TO '8 81 NATO E ^ l /b -? Yrr/y • / •://�r.<.� / l CITY OF NOTE: Applicant Siibject to Plan Check Fee EDIVIOND3 ATE 5 ' ' �ffj L. - 7 - 775-2525 This Permit curare work W be done on private properly ONLY. Any censlructlen on the public domain (curbs, sidewalks, drlreway., marquee., etc.) will require separate permlWan. INSPECTOR {ng (Part{ai) �: 7J (Rough) � l Frame Furnace & Fuel LinesCXv�B� Final N J 1, ._ r. 71 { r .r i : 7 7 r. r � qv `2501`65 I i I RECORD OF INSPECTIONS Date Passed , Foundation�r-9-1,i-� ..-.L-- Plumb; I {ng (Part{ai) �: 7J (Rough) � l Frame Furnace & Fuel LinesCXv�B� Final N J