The URL can be used to link to this page

7630 230TH ST SW11111111111111 16098 7630 230TH ST SW ?`3D- *2�� STSw TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DA EASEMENT(S) RECORDED PERMITS (OTHER): / Z 1— PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: 6 — J SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK - SIDE SEWER AS BUILT DATED:/ - SIDE SEWER PERMIT(S) #: SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER: LATEMP\DSTs\FrnmslSbrd File Cheddist doe ,iplTY '_` •'''� CITY of EDMONDS BESS LICENSE APPLICATION Daft LICENSE NO. <�t Civic Center • Edmonds, Washington 9 City Clerk Phone 775-2525 ANNUAL FEES PENALTY AFTER FEB. 15 leK HOME OCCUPATION INSTRUCTIONS: CUSS YEAR LIC. EFFEC. DATE JREASG. LIC. NO. SPEC. $10.00 (A) ADDITIONAL $5.00 ❑ • All items must be completed _ ❑ SMALL BUSINESS or application will not be aC- RECEIPT NO.A DATE PAID pRINI 'X' $15.00 (B) ADDITIONAL $7.50 ❑ cepted. p IN SPEC. sox FOR ISSUE OF ❑ Business with 10 or • n anurn application Sign- d return g pP FEE PAID PENALTY PAID CORRECTED more employees ADDITIONAL $25.00 ❑ with fee. Renewals received I zi 42:> 7 I LICENSE. WITH LC' ACTION. $50.00 (C) after February 15 must pay )0 NEW APPLICATION (LA) penalty in addition to fee. ❑ RENEWAL (LB) NEW BUSINESSES AFTER ❑ CHANGE (LC) JULY 31, 1/2 FEE. (PLEASE. MAKE ANY NECESSARY CHANGES) ❑ DELETE (LD)' NAME OF FIRM BUSINESS PHONE NO. OF EMPLOYEES MVP Enterprises 7.78 9786 'Q % MAILING ADDRESS _ NATURE OF BUSINESS 7630 230th SIN �°�� i Edmonds, Wa. 980; T FILE esz ©n-Sery e-e Contractor BUSINESS {ORES INDIVIDUAL PARTNERSHIP CORPORATION. 0 230th S,�V Edmonds, ,Na. 98020 © (S) (P) (C) OWN M-ichae3—V. Prebezac i�'1 l� x a < L HOME ADDRESS 7630 230th S�"1 Edmonds, Via. 98020 HOM Ott 78-y786 DA E OF TH 9/1 PLACE OF BIRTH SOCIALS CURITY NUMBER 6 0 1Y1 Seattle kVa.. - - 6 2 EMERGENCY NOTIFICATION: (1) NAME & TELEPHONE . (PLEASE LIST TWO) (2) NAME & TELEPHONE D4-. WASHINGTON STATE TAX NO. C 600 320 261 APPLICANT'S SIGNATURE�-- 4. DO NOT WRITE BELOW THIS LINE STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. PLANNING DEPARTMENT LKAPPROVE ❑ DISAPPROVE DATE CO— %� LAND USE CODE ZONING CODE SIGNATURE / I G L_ -. - COMMENTS t46m e OCC.upog-t,,C/V 1 CONDITIONAL USE PERMIT BUXDING DEPARTMENT DATE APPROVE ❑ DISAPPROVE Building ❑ Permit Hotel/Motel L ( ) SIGNATURE ❑ Apt. Bldg. (A) ®❑ Office Bldg. (0) COMMENTS: Occupancy El Restaurant (R) Group O Hosp/Nurs Home (H) CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS) ❑ School (S) FIRE DEPARTMENT DATE 9- 7 U.F.I.R. NrAPPROVE ❑ DISAPPROVE SIGNATURE COMMENTS: POPCE DEPARTMENT ' APPROVE ❑ DISAPPROVE DATE �lC- % S SIGNATURE COMMENTS: PUBIC WORKS DEPARTMENT APPROVE ❑ DISAPPROVE DATE SIGNATURE COMMENTS: OI C- A Cr- Pr:rl IM,l Tr) r'ITV -1 f-OV