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750440.pdfus.PERMIT 1 `�, �� BUILDING DEPARTIWENT Applicant Ful ZONE �S _ g NUMBER - C "� BUILDING PERMIT APPLICATION Inside Heavy Lines JOe ADDRESS 22< /,n(, NAME {OR NAME OF BUSINESS) 1,304- - `- ei I C �' 1 I LEGA LOT Y LOT AREA 8/[VD SUBDIVISION NO. ES ❑ NO 9( WAI Z IN DD E95 n vJ'1 tNAdf VARIANCE OR ADD NO. I 3 �/� , COND. USE NO. D C TY ELEPHONE NUMBER HEI HT Z %yM R -2r PROPOSED YARryp N Z / / FRONT"�L,. SIDE*) REA I C NAMEJ ALLOWABLE AREA PROPOSED SIGN AREA a I -SIGN U W AO F = DR ESS OTHER->M/C.! REQUIREMENTS C CITY TELNUMBER PLANNING EPT. APVAL ' DA E / NAME G/W STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY E O AD—.1 U S COMP. PLAN ST. R/W FT. FT. V Q K CITY TELEPHONE NUMBER REMARKS Z I.2 O CHECKED BY W U STATE LICENSE NUMBER CITY LICENSE NUMBER Z V Legggal Description of Property Shaw Below or Attach Four Copies) STREET AND/OR UTILITY ❑ YES Z W �Dpl Q of Pr 1�j WORK REO'D KNO I Q / UNDERGROUND ❑ YES ' WIRING �NO - O a_� eki O l..[- 60? F"; TYPE CONNECTION VERIFIED BY 6 U //// �D `h� ❑ YES PERMIT MBER pj W SEPTIC SYSTEM ❑ NO APPVD BY CITY ENG. 3 W .1 REMARKS W .I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY _ W � REMARKS F 3 RESIDENTIAL GAS E] FIRE ZONE TYPE OF CONS[RUpCT��N COD/E� ElNEW LINE -/V G% `j C_ U IrCC ❑ NO N•R ESIOENTIAL SIGN /J e IXI ADO 1� ❑ DEMOLISH ❑ RETAINING SPECIAL INSPECTOR REQUIRED AREA OCCUPANCY GROUP OCCUPANT LOAD WALL ❑ NO y ALTER ❑ EXCAVATE ❑ FENCE OR FILL 1_ X—FT) YES PLAN CHECK D v THIS SITE IS LOCATED IN THE CITY o OF EDMONDS. LOCAL SALES TAX ❑ REPAIR ❑ PRE -MOVE swim 'v^ASH BE SHOULD u Z I INSP. POOL R ARKS J NUMBER OF STORIES NUMBER OF DWELLING l / /.! V-7 d, A/ C� j UNITS N �r-/ FV �y� �/p / K TO� �ON� !f/� VALUATION FEE PROPOSED USE PLAN CHECK Z G R, _ 1 / NO. y PLOT PLAN I ABUTTING 6TRof EETS)ET BAC S. y -y BUILDING � 0 N.-...__-�_.._._...�_.�_...____.-__._.__ ...._.. PLUMBING D V r NEAT B GAS LINE /`o FENCE SIGN RETAINING WALL SWIMMING POOL AL AMOUNT DUE C^� V TOTv I hereby acknowledge that I have rend Lhle application; that the In' formation given le correct; and that I am the owner, or the duly author. Ired agent of the owner. I agree to comD1Y with City and state lnaperaon no ATTENTION APPLICATION APPROVAL Iatln6 tonetMetion; and In doing the work authorised thereby, 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 ComDeneatlon Iorurmu. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Escept DEMOLITIONS which ONLY THE uty; and fees are paid, and receipt IS ac- ehnll Le completed In ninety deye; DIOVED-IN HUILDINOS shalt he cone.knowledged y ORK NOTED in space provided. plcUd m WX ...the') INSPECTION SIGNATURE (OWNER OR GENT) DSA-tTE SIGNED DEPARTMENT IREC O S S GN TVRE CITY OF EDMONDS DATE NOTE., Ipplicant Sobjf?Cr to Plan Check roe 775-2525 This Permit covers work to be done On private property ONLY. driveways, ORIGINAL - Fdc YELLOW - Ingxrc ler Any construction on the public domain (curbs, sidewalks, marquees, etc.) will require separate permission. PINK -0--1 COLD - Ac nc rr �Z Sir l O& d WWI SX if, m 1 A CI i Z� ii � ". , I J6 �I � I, _ _. i• BUILDING -DEPARTMENT Applicant Fill USE ZONE !\ -�� PERMIT NUMBER 7,5 0 //V6 PERMIT APP ICATIOPD Inside Heavy Linos IDB ADDR Esse „� ) (`.� s •' 1 NAME JOR NAME O BUSINESS) �/� (�; L;(� --..- I LEGAL LOT VI LOT A EA SUBDIVISION NO. � t 'Q YES ❑ NO -1 lf-L(�'H WAI IN O Ess VARIANCE OR ADB NO, 0 C , TELEPHONE NUMBER CONO. USE NO. 0 2 I F- J�rf- _ J/- •rJ PROPOSED -AT � / HEIGHT i': Z ! SIDE r7' REAFi��,, i C NAMEFRONT ALLOWABLE PROPOSED J a F SIGN AREA SIGN AREA U W ADDRES i F Z OTHER REQUIREMENTS 4 ' E CITY TELEPHONE NUMBER , a PLANNING 3>EPT. APPROV AL DATE i NAME l _ {JI '-- T N `, E D F T I N YTY WT O ADDRES O Is VVV PL I F U a R AR U iE CITY TELEPHONE NUMBER Z H Z = / E W O U STATE LICENSE NUM ER CITY LICENSE NUMBER CHECKED BY W Z ,1 I _ STREET AND/OR UTILITY ❑ YES •' W t Legal Description of 11010rty�Show Below or Attach Four Copies) WORK REQ'D ❑NO i.l iJ UNDERGROUND Cj YES Z WIRING REQ' 13 ❑,NO i Ol.. (� A 1/ /1 L /� I"" 'v `.'R(-•<; VERIFIED BY ! -.--- f+f- / TYPE CONNECTION ' CSD `_�!l - W 1 [� YES PERMIT NUMBER-"_-'-"` N W SEPTIC SYSTEM W O APPVD BY CITY ENG. ❑ NO -I ',t I .- 7 ,_r _ �1•� REMARKS N I / 'SERVICE METER 512E SI2E CLEARANCE CHECKED BY E W 3 REMARKS GAS .I'•' l �- >i ❑{f,'rY;I' NEW J'^t' RESIDENTIAL NON-RESIDENTIAL LINE ❑SIGN FIRE ZONE I �:.,L--- TYPE OF CONSTRUCTION CODE je'! ' �l l%•., �j I !- n ADO RETAINING m DEMOLISH OWA SPECIAL INSPECTOR REQUIRED AREA OCCUPANCY OCCUPANT GROUP LOAD LL ����t1 l](l ALTER EXCAVATE FENCE ,.��!! OR FILL ❑ I_ X_FTI ❑ YES © NO PLAN CHECKED B,Y THIS SITE �.._- IS LOCATED IN THE CITY a - W El []PRE- -V. I/ OF EDMONDS. LOCAL SALES TAX G REPAIR POOL O % _INSP NUMBER OF ST O RIE NUMBER OF RE ARKS I _ 0 - DWELLING > J L_-� UNITS m NATURE OF WO K O B DONF� j •� _, A i 7 r• If rf P 7th./i VALUATION FEE / 2 PROPOSED USE PLAN CHECK _ _ _ I/ -r^ - y / ., PLOT PLAN 1 DILA -.BV LOIN ETBAC S, 'TI; EETSi ! BUILDING •-•�•�% --» ` l��i R ABUT AllSTIR ` � Fl L W .I PLUMBING _ t 0 ' `�-.,»„�_,.._.__•• .` 1 HEAT & GAS LINE �. FENCE _ I ! SIGN l 2I'1'!/j' `� I RETAINING WALL •r- ' SWIMMING POOL TOTAL AMOUNT DUE I hereby aeknowiedge that I have read this application; that the In- formation given Is c0 re551; and that I am the Owner, or the duly author - 1.1d agent of the owner. I agree to comply with city and state Iawa regu• the thereby, no ATTENTION APPLICATION APPROVAL lating conatructlon; and m doing work authorised person will be employed In vtOIR IOU of the Labor Coda of the State of W"bington =psmatloa THIS PERMIT This application Is not a permit until is ra.U.If to Workmen's Ineuranee. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Liit One Year (Except DEMOLITIONS which ONLY THE uty; and fees are paid, and receipt Is ac - shall be completed In atgety day.; MOVED -IN BUILDINGS shall be com- WORK NOTED in space provided. plated In elg months.) INSPECTION INSPECTION SIGNATURE (OWNER R GATE SIGNED DEPARTMENT DIRECTOR'S SIGNATURE l )GE(/NTI �, _� '4,a�7 -, >• CITY OF r' t . .. ,I v,I:•l > - .. EDMONDS ' DATE NOTE: App icant Subject to Plan C7ieck Fee , _ — --------- 775-2525 i This Permit covers ork to be done on private property ONLY. Any construction on t a public domain (curbs, sidewalks, driveways, ORIGINAL -File YELLOW - Inspector 1 j marquees, a .I will require separate permission. PINK • Olenc•r GOLD •Assessor i ' : `1 t140, v >R M i e i : `1