750357.pdfBUILDING DEPARTMENT
USE PERMIT
Zo NUMBER 750357
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PERMIT APPLICATION I Inside Heavy Lines
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NAME (OIL NAME OF BUSINESS)
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CITY TELEPHONE NUMIIER
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L AL LOT VAKIANCE Olt CONDITIONAL USE
YES O NO PERMIT NUMBER
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TELEPHONE NUMBER
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EXISTING STREET R/W ....0....FT. DEFICIENCY THIS PROPERTY
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NAME
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COMP. PLAN ST. R/W
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REMARxB Driveway slopes not to exceed those ass:
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indicated on Standard Dwg. No. 103
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CITY TELEPHONE NUMBER
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STATE LICENSE NUMBER CITY 1111111 NUMBER
MET! 8;E SERVICE SIZE CLEARANCE °HECXED BY
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Legal Dcecrlpllpn o[ Prop'orty (Show Below or All¢Ch Four Copies)
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TYPE CONNECTTIIIONT VERIFIED BY '
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FIRE ZONETYPE OF CONST UCTION BTRE T IMPROVED I
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SPECIAL INSPECTOR AEgUIRED OCCUPANCY GROUP
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RESIDENTIAL GAS
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PLAN CHECK D B THIS SITE IS LOCATED IN TH CITY
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SHOULD BE CODED 3104
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ElDEMOLISH El WALL
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REPAIR ❑ N PI.PRE-NU O POOL
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NUMBER OF STORIES NUMBER OF
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UNITS 1
NATURE OF {YORK TO BE DONE
Valuation Fee Receipt No.
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Plan Check No 77
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BUILDING 7d
PLUMBING t
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PROPOSED UBE
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PLppO��T PLAN Building` etbacke, ¢baiting streets)
BEAT A 6A8 LINE
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FENCE
SIGN
tRETAINING
WALL
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SWIMMING POOL
DEMOLITION -
PRE -MOVE INSPECTION '.-
EXCAVATION OR FILL
I hereby acknowledge that I have read this eppllcntlon; that the 1n•
formation
TOTAL AMOUNT DUE
given Is correct; and that I am the owner, or the duty author.
,zedagent of the owner. I agree to comply with city and slate laws rage.ATTENTION
lating Cons ructlou; and In doing the work authorized thereby, no
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APPLICATION APPROVAL
person
will be employed In violation of the Labor Code of the State at Washington
relating to
TIDB PERMIT This application Is not nermit until -
Workmen's Compensation Insurance.
AUTIIOBIZEB
NOTE: Permit Limit One Year DEMOLITIONS
Signed by the Building Official his Dep.
ONLY THE p
(Except which
he
NOTED uty; and fees are paid, and receipt is ac-
shall completed In ninety days; MOVED -IN BUILDINGS shall bs coCoca.WORK
knowledged in space provided,
Pleled In elz monl•
ix months.)
INSPECTION IRE R' IGNATURE
DEPARTMENT
BIGNAT 41A OR ACENT) DATE 810 ED
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CITY OF y.
EDBIONDS DATE
NOTE: Applicant Subject to Plan Check Fee
775-2525 -
Tide Permll c cork to be done on private Properly O
Any construction on the public domain (carne, sidewalks. drlyewayy
marquree, rte.) will regtlre ecparm. p—eh.lon.
FILE -
REPAIR ..❑ INSP. POOL
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B U I L D I N G DEPARTMENT Applicant Fill
UBE j PERMIT --.
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PERMIT APPLICATION IIIei°° IIAvy
PERMIT
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ADDRESS
Valuation Fee Receipt No.
NAME (OR NAME OF BUSINESS)
PERM IHS DLE %s ACT AL )
COVEILAOE r7
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Plan CM1eck Ne .....................
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(AT COVERAGE •-" LOT
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IIUILDING
MA LI O ADDR Be
PERMISSIBLE HEfOIiT r PROPOSED HEIGHT I
PROPOSED USE
PLUMBING
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HONE NUMBER
ACl'UAy LOT AREA TOTA DLDO AREA �{
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PLOT P AN' Ind Cate Bulldln6 act ac e, nbuttln6 streets)
HEAT & GAS LINE
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YARDS 1 ROPOSED YA tUH
SIDM REAR
NAME ,
F1tONT 81DE REAR FRONT
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FENCE
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LEGAL LOT VARIANCE oil CONDITIONAL BF
NO PERMIT NUMBERDA
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TELEPHONE NUMBER
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CITY
STREET R/w cc..
EXISTING BTREET R/W .d./, Q...FT• DEFICIENCY THIS PROPERTY
SWIMMING POOL
ST. R/W 1. T. .a..FT.
DEMOLITION
NAME _��{�. ). ;�.F'}�
COMP. PLAN -6.0
Ltio'C'
PRE•MOVE INSPECTION
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REMARKS Driveway slopes"tO f?xCL�`lod
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AD It 88�
indicated on 5tandurd 0wo. NO. 103
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_HECDBY
I hereby acknowlcdgo that I have read this application; that Iho in-
C TY TELEP1iONE NUMDER
"77
APPLICATION APPROVAL
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htETitt 87'LE SElLV1CH BIEE CLEARANCE
CHECKED BY
This appllcatton 1s not a perm([ until
NUMBEHl
STA 'I� LICENSE NUMB
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Signed by the Building Official or his Dep -
iCITYLIC�NBE
uty; anal fees are paid, and receipt is ac -
NOTE: Permit Limit one Year (Except DEMOLITIONS which
Legal Description of Properly l8how Below or Allbch Four Copleal
knowledged in space provided.
shall be completed In ninety days; MOVED -IN BUILDINGS shall be cam-
TYP ON TION VERIFIED BYi
pleted In six months.) ,,I
➢ATE SIGNED
INSPECTION
W.q z .F
S10NATU1jE/(O NE[t OR AGENT) , f`,
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.ITEST' I' J/f P IT R
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aREMARKS
CITY OF
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Up) D n Pep 640 U91) (A1191AO' k�f
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NOTE: Applicant Subject to Plan Check Fee
FIRE ZONE TYPE OF CONST UCTION STREET IMPROVED
This Permit raven work to be done an private property ONLY.
pyd8 o NO
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SPECIAL INSPECTOR REQUIRED I OCCUPANCY 13 Our
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INSPECTOR
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I`❑.,. NEW
GAS
1. RESIDENTIAL LINE
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PLAN CHECKED B THIS SITE 15 LOCATED IN THE CITY
---? OF EDMONDS. LOCAL SALES 'TAX
NON-RESIDENTIAL ❑ SIGN
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j( f/ " 'LJ SHOULD BE CODED 3104.
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ADD ❑ RETAINING
ElDEMOLISH WALL
REMARK36
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FENCE
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ALTER � EXCAVATE ❑
OR FILL (.......... x .......... Ft.)
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PRE•DIOVE SWIM
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REPAIR ..❑ INSP. POOL
NUMBER OF STORIES NUMBER OF
DWELLING
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UNITS
NATURE OF WORK TO BE DONE
Valuation Fee Receipt No.
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Plan CM1eck Ne .....................
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IIUILDING
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PROPOSED USE
PLUMBING
PLOT P AN' Ind Cate Bulldln6 act ac e, nbuttln6 streets)
HEAT & GAS LINE
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�.�� •.� ....L 4G-\--�, t~..I~'S ..
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE•MOVE INSPECTION
_
EXCAVATION OR FILL
TOTAL AMOUNT DUE
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I hereby acknowlcdgo that I have read this application; that Iho in-
formation given 1s correct; and that I athe owner, or the duly nulhor-
with city and state laws regu•
APPLICATION APPROVAL
"Ized agent of the owner. I agree to comply
laUng conrtructlon; and In doing the work authorized tfiereby, no person
the Labor Code of the Stale of Washington
ATTENTION
THIS PERMIT
This appllcatton 1s not a perm([ until
will be employed In violation of
relatmg to Workmen's Compensation Insurance,
AUTHORIZES
Signed by the Building Official or his Dep -
°NLt TILE
uty; anal fees are paid, and receipt is ac -
NOTE: Permit Limit one Year (Except DEMOLITIONS which
WORKNOTED
knowledged in space provided.
shall be completed In ninety days; MOVED -IN BUILDINGS shall be cam-
pleted In six months.) ,,I
➢ATE SIGNED
INSPECTION
DIRECTOR'S elONATURE /
S10NATU1jE/(O NE[t OR AGENT) , f`,
DEPARTMENT
CITY OF
,
- ..,>�.:.�..
-
EDMONDS
DATE
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NOTE: Applicant Subject to Plan Check Fee
775-2525
This Permit raven work to be done an private property ONLY.
Any construction an the public domain (curbs, sidewalks, drhroways,
INSPECTOR
marquees, els,) x111 require separate permission.
•75o3"
RECORD OF INSPECTIONS
Date Passed
�i7ivCS 7-31 •)S
Foundation_
Plumbing (Partial).L-.3�—,Z
(Rough) ZQ- L3 -IS
Frame /D -L 3-
Furnace & Fuel Lines /0 - L; 7S
Final%
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