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750225.pdfIr~ Plan Check N F U� �D W IP -1 d is ... �� 4W PROPOSED USE J DEPARTMENT USE NUMBIT ZON.may ER 75022§' PLUMBING lz – 26.60 BUILDING APPuat Fill � ) GAS PERMIT APPLICATION Inside Heavy Lines I IUB $/t FENCE ADDRESS / ?. LINE PLAN CHECKED BY NAME IOR NAME OF BUSINESS) G Yel-(, N L�, e, -en _ 10 d �f LOTC VERA � ACTUAL � �l COVERAGE �r �)O LOT COVES?.AOE /O —TJ NEW MAII.INI ADDltEtlS 13DX 3y� �Cih�o�rc�'S ti PEItMISSIBLE IIEIGHT PROPOSED HEIGHT / 23 THIS SITE IS LOCATED IN THE CITY . C CITY TELEPHONE ACTUAL L�T^ RE TOTAL NON-RESIDENTIAL SIGN n 0 0(.j )NUMBER Allr R �' J �[/IH/� REQUIRL YARDS P�P08¢ YAIiUH •p'i --- ADD NAME ^/ FRONT 81D%' REAR FRONT WIDE' REAR FIE CODED 31.04.4. REMARKS p' O o 22 U ,eSyH�OUID Atc, WaKk Pen U&C- 11` C}.- w��1/�/�/)/�,it<.I.1w (�/�J L L LOT RIANCF: OR C DITI) AL USE yi ADDRESS ❑ yF.O 0 O RMIT NUMBS CIT TELEPHONE NUMBER 'O DEPT. AP s IRE -MOVE a SWIM.) POOL QL�7/ //� / 1t��tU/i P 01 0 Ir7�¢ 8 ET n/W V TOTAL AMOUNT DUE NUMBER OF STORIES NUMBER OF DWELLING UNITS /6I EXISTING STREET R/ `T DEFICIENC./Y THIS PROPERTY (O.O.FT. jW NATURE OFWO^IS TO BE I I N m _ COMP. PLAN ST. R 70 Iv REMARKS Driveway slopes not to exceed those ATTENTION APPLICATION APPROVAL M ADDItEStl t 37L( ��C1� m o n !1 indicated on Standard Dwa. No. 103 w x•111 be employed In of the Labor Code of the State of Washington TIDH PERMIT p X relating to Workmen's Compensation Insurance. CHEIIY Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITION'K which CITY 11TELEPHONENUMBER shall be completed In ninety days; MOVED -IN BUILDINGS shell be oom• knowledged in space provided. LI� �p��1/^Cl METER 81'LE SERVICE SIZE CLEARANCE CHECKS BY OR AGENT) DATE SIGNED INSPECTION D EC '8 K NA HE (') / LL(OWNEII Y STATE LICENSE NUMBER CITY LICENSE NUMBER I I I y. EDIIIONDS aa3-01 -- 7A19 NOTE: Applicant Subject to Plan Check Fee REM—A-;G — —� 775-2525 This 11ermlt curers work to be done on private property ONLY. Any construction on Ilio public domain leurbe, eldex•niks, drlrewye' FILE -Legal Description Of Properly (Sho / xee.,Below or Attach Four Coples) . Aer. f%/tb �(•CSpI�( S C OP7c4L JJ ria / r-rr� s.. CONNECTION ERIFIEp BY TYP V A S/he f%�yj -V`�'117rLAK_ PERC. TEST PERMIT NUMBER a W I REMA12K8 O r ' Plan Check N F U� �D W IP -1 d is i .i PROPOSED USE J add FIRE 7�Qpi♦•, I TYPE OF STREET IMPROVED ��)/ N NO PLUMBING lz 26.60 G _ HEAT & GAS LINE y aD V GAS Cl YES ❑ SPECIAL INSPECTOR REQUIRED I OCCUPA Y O OUP Q YES NO i / $/t FENCE RESI➢ENTIAL LINE PLAN CHECKED BY NEW SIGN THIS SITE IS LOCATED IN THE CITY ❑ NON-RESIDENTIAL SIGN OF EDMUNDS. LOCAL SALES TAX RETAINING WALL --- ADD 31_ �O ^/ RETAINING WALL FIE CODED 31.04.4. REMARKS p' O DEEfOLITiON FENC...........Ft ,eSyH�OUID Atc, WaKk Pen U&C- 11` C}.- w��1/�/�/)/�,it<.I.1w (�/�J . ALTER ❑ EXCAVATE ORFILL ❑ PRE -MOVE INSPECTION �(tOM FU�Ud6 EXCAVATION OR FILL REPAIR ❑ IRE -MOVE a SWIM.) POOL QL�7/ //� / 1t��tU/i P 01 0 Ir7�¢ TOTAL AMOUNT DUE NUMBER OF STORIES NUMBER OF DWELLING UNITS /6I aa i NATURE OFWO^IS TO BE I I Valuation _ Receipt Na. r ' Plan Check N F BUILDING `'� PROPOSED USE ,Qa add PLUMBING lz 26.60 G _ HEAT & GAS LINE y aD V PLOT PLAN (Ind C Building setback., abutting streets) $/t FENCE SIGN RETAINING WALL --- 31_ �O ^/ SWIMMING POOL O DEEfOLITiON PRE -MOVE INSPECTION �(tOM FU�Ud6 EXCAVATION OR FILL TOTAL AMOUNT DUE /6I aa I hereby acknowledge that I have read this aPPllcntlan; that the in. formation Elven le correct; and that I One. the owner, or the duly author. Iced agent of the owner. I agree to comply with city and elate law. regu- law ATTENTION APPLICATION APPROVAL and Ialing Conat"Ctloa; and in doing the work authorized thereby, person x•111 be employed In of the Labor Code of the State of Washington TIDH 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 DEMOLITION'K which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shell be oom• knowledged in space provided. pitted In alx ...the.) OR AGENT) DATE SIGNED INSPECTION D EC '8 K NA HE (') / LL(OWNEII Y DEPARTMENT G�1/ Y CITY OF 1 EDIIIONDS Dw E NOTE: Applicant Subject to Plan Check Fee —� 775-2525 This 11ermlt curers work to be done on private property ONLY. Any construction on Ilio public domain leurbe, eldex•niks, drlrewye' FILE marquees, etc.) will require eeI-11 permlasl... .,.' • •+.•.'•.. _: •'�„ flea Ch,elt Nn. BUILDING RESIDENTIAL PLUMBING PERMITUSE ZONE NU ERBU!LDING DEPARTMENT nppucant Fm p' 1yT ' '11 � ❑ YES _0 NO :—; I ' HEAT A GAB LINE PERMIT APPLICATI®Id Inside heavy Lines JOS EBB FENCE SIGN LINE PLAN CHECKED NAME (Olt NAME OF BUSINESS) THIS SITE IS LOCATED IN THE CITY SWIMMING POOL PERMISSI t ACT L LOT COVERAGE I.OT COVEIAGE I NON-RESIDENTIAL PRE-MOVF. INSPECTION slGx EXCAVATION Olt FILL MAI UNG `) ( .' / PEITMIdBIBLE IT PIROPOs£D HEIGHT ) O 0 ADD formation given to correct; and that I am the owner, or the duly author. CITY TELEPHONE NUMRLR AC'I UAL LOT AREA TOTAL, BLDG. ART RETAINING 7� %! i. ,rif.� t.' �- J / (( +�� 1 E, UIR • YARDS PRO.i.POSED YARDS SHOULD BE CODED , relating to Workmen's Compeneatlon Insurance, AUTHORIZES i NAME FRONT BIDE REAR FRONT SIDE REAR ah¢I) be completed In Nnely days; MOVED -IN IIUII.DINOS shall be cern- �.,IO, UBE ANCF: plated In six month..) U N INSPECTION !! I 1 LEGAL LOT qR OR CgtyDITNAL ADDRESSp,YEB O.NO PIDRMIT NUMBER} ( 'i O .I j Pf)AttPI1N6 DEPT.jAPY7{OVAL i.'li� �' ., AT)Z}' - �J"• r FENCE CITY TELEPHONE NUMBER •' / iii-% �, 1 a'j 775.2525 cc STREET /W J I STREET R/� `DEFICIENCY THIS PROPERTY OR FILL 1 .........-x..........Ft., EXISTING r.1�.�,�...F1'. NAME I / j COMP. PLAN ST. R/W .�y7�.F'T. REPAIR PRE -MOVE �. 'I /..1 .'1 tj l �,i .I r,'..�.�•l i' REUARKS I)r;vm,::,'•/ i:ht�sr j el ADDRESS sini)e5 noi. to exceed ttd / J 0 1i il� 1h it !'li'.�'! MI •,n,i-1 /..1 rl.•1 in- -! ! 1 CHECKED BY El POOL CITY TELEPHONE NUMBER Z po (I/BE ✓ !� �- METE R SIZE BERVIC£ SIZE CLEARANCE CHECKS BY NUMBER F i t STAENNUM ER TE LI CITY LICENSE NUMREIt / • + DWELLING I ) Legal Description of Property (Sho !Below or Attach Four Copies)r' ) - �I I (S s ' TYPE CONNECTION VERIFIED BY I NATURE OF WORK TO BE DONE t 'i PER . !!' U.8 R)E n 1p��3sij Fee ilecslpl I -'dj FIRE ZONE TYPE OF CONSTI)UCTION STREET IMPROVED 1 I P RES I .,.' • •+.•.'•.. _: •'�„ flea Ch,elt Nn. BUILDING RESIDENTIAL PLUMBING GA8 ❑ YES _0 NO .+. ,?-, ) HEAT A GAB LINE FI NEW FENCE SIGN LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY SWIMMING POOL DEMOLITION NON-RESIDENTIAL PRE-MOVF. INSPECTION slGx EXCAVATION Olt FILL OF EDMONDS. LOCAL SALES TAX I hereby acknowledge that I have read this oppllCalion; that the In. 0 ADD formation given to correct; and that I am the owner, or the duly author. Ized agent of the owner. I agree to comply with city and elate laws re gtl• RETAINING REMARKS ATTENTION SHOULD BE CODED 3104. relating to Workmen's Compeneatlon Insurance, AUTHORIZES NOTE: Permit Limit One Year (Except IIEMOL.ITIONN which DEMOLISH ah¢I) be completed In Nnely days; MOVED -IN IIUII.DINOS shall be cern- WALL plated In six month..) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION ElALTER EXCAVATE r FENCE NOTE: Applicant Subjeci to Plan Check Per 775.2525 This Permit covers work to be done on private properly ONLY. ❑ OR FILL .........-x..........Ft., REPAIR PRE -MOVE SWIM .'_/.:•;�: n./�''. (,-. .. f.+.r INSP. El POOL NUMBER OF STORIES NUMBER F DWELLING I ) I UNITS / NATURE OF WORK TO BE DONE t I Valunl inn Fee ilecslpl I .,.' • •+.•.'•.. _: •'�„ flea Ch,elt Nn. BUILDING PROPOSED USE t�. PLUMBING U aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAB LINE 21 / l ( `. \ ` ) ` FENCE SIGN RETAINING WALL I'. - "t SWIMMING POOL DEMOLITION PRE-MOVF. INSPECTION EXCAVATION Olt FILL TOTAL. AMOUNT DUE I hereby acknowledge that I have read this oppllCalion; that the In. formation given to correct; and that I am the owner, or the duly author. Ized agent of the owner. I agree to comply with city and elate laws re gtl• ,at,., construction: and In doing the work authorized thereby, no person ATTENTION Will be employed In violation of the Labor Code of the State of Washington TITIN PERMIT relating to Workmen's Compeneatlon Insurance, AUTHORIZES NOTE: Permit Limit One Year (Except IIEMOL.ITIONN which (I1t'DRI1K STTitE 12 NOTED ah¢I) be completed In Nnely days; MOVED -IN IIUII.DINOS shall be cern- plated In six month..) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT CITY Or EDNIONDS NOTE: Applicant Subjeci to Plan Check Per 775.2525 This Permit covers work to be done on private properly ONLY. Any construction on the public domain (curbs, sidewalks, driveways, nuOquees, etc.) will require separnle pclude — ttl, rJ !.J APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. D REC OR's SIGNATURE DATE INSPECTOR i