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L, U. <br />Idam--,--- <br />[' A <br />PERC. TEST <br />PERMIT NUD(HER � <br />;may <br />i <br />fAa <br />REMARKS <br />ZONE NU iBETR 75002:3 <br />k <br />a <br />BUILDING DEPARTMENT Applicant FILL <br />IzXI✓r/✓✓ 4 <br />C7 <br />PERMIT APPLICATION Inside IleaYy Lines <br />I <br />JOB <br />A <br />FIRE ZONE TYPE OF <br />CONSTRUCTION STREET IMPROVED <br />ADDRESS G/ J/ <br />�d I 16 U � <br />I E9 Q NO <br />SPECIAL INSPECTOR REQUIRED <br />NAME (OR NAME OF BUS1NE88) <br />T <br />J 4 N k/ L N 6 � <br />w <br />P:IIAfIHB�IBLE - AOTUAL <br />IAT COVERAOEa LOT COVERAGE <br />GJI <br />MAILING ADDRE88 . /1 1/ <br />HEIGHT PROPOSED HEIGHT <br />CI <br />M16 <br />❑PLAN <br />O <br />Z C7 1 <br />CITY <br />TELEPHONE USI.— <br />ACTUAL LOT AREA TOTAL BLDG. AREA <br />CHECKED <br />THIS SITE IS LOCATED IN THE CITY <br />IfMSN �s. U A,- 4 <br />NON-RESIDENTIAL <br />REQUIRED YARDS PROPOSED YARDS <br />OF EDMONDS. LOCAL SALES TAX <br />NAME <br />r� <br />FRONT BIDE REAR FRONT SIDE REAR <br />BECODED31.04. <br />Inn ❑ RETAINING <br />❑ WALL <br />t (ARMs <br />DEMOLISH <br />FENCE <br />,/ p <br />�� �^'� /T/J�� <br />�/ "HOULD <br />C(f/ev /Ltr <br />ALTER ❑ ORFILL EXCAVATE G.......... .......... Fl.) <br />o. <br />LEGAI. LOT VARIANCE Olt CONDITIONAL U8E <br />REPAIR ❑ PIR$ DfOVE SWI ❑ POOLS <br />70�%i /ir/ <br />F <br />ADO1tE8S �—P <br />YEB NO PERMIT NUMBER <br />NG J <br />O/y <br />to <br />DEPT. APPR VA _ DATE: <br />L <br />J ✓�.J ��3 <br />/ G�Ci ✓ /%K/ <br />NATURE OF WORK TO BE DONE <br />CITY <br />TELEPHONE NUMBER <br />I /'V <br />l <br />( LL <br />EXIBTING STREET R/W ............Fr. DEFICIENCY THIS PROPERTY <br />BUILDING <br />NAME / . ( <br />COMP. PLAN ST. R/W ............1. <br />tti <br />W PROPOSED USE <br />. <br />REMARKS <br />cc <br />ADDRESSA DRESS <br />PLUMBING <br />W <br />PLOT PLAN (In dlcafi <br />in6 eatbaeke, abutting elrceta) <br />-3//L <br />//L NE <br />21 <br />c" <br />07 <br />T <br />CITY <br />TELEPHONE NUMBER <br />xL, <br />gIGN <br />,-.AKms) WI» -L <br />"1 -� I LZ <br />G!< l <br />METER tllLE SERVICE 822E <br />CLEARANCE <br />'CIfD BY <br />N <br />Y <br />STATE LICENSE D1HEit <br />CITY LICENSE NUMBER <br />I <br />I <br />ICH <br />DEMOLITION <br />��11 �+ 7 <br />lLZ% -D I - 1 7 .-i QJ <br />REMARKS <br />PRE -MOVE INSPECTION <br />(V/n�'�-_'_ <br />[kC <br />L, U. <br />Idam--,--- <br />[' A <br />PERC. TEST <br />PERMIT NUD(HER � <br />i <br />fAa <br />REMARKS <br />k <br />a <br />IzXI✓r/✓✓ 4 <br />C7 <br />A <br />FIRE ZONE TYPE OF <br />CONSTRUCTION STREET IMPROVED <br />I �,V <br />I E9 Q NO <br />SPECIAL INSPECTOR REQUIRED <br />OCCUPANCY GROUP <br />❑ LINE <br />M16 <br />❑PLAN <br />.� <br />❑RESIDENTIAL <br />NEW <br />CHECKED <br />THIS SITE IS LOCATED IN THE CITY <br />NON-RESIDENTIAL <br />F-1 <br />OF EDMONDS. LOCAL SALES TAX <br />"ON <br />BECODED31.04. <br />Inn ❑ RETAINING <br />❑ WALL <br />t (ARMs <br />DEMOLISH <br />FENCE <br />,/ p <br />�� �^'� /T/J�� <br />�/ "HOULD <br />C(f/ev /Ltr <br />ALTER ❑ ORFILL EXCAVATE G.......... .......... Fl.) <br />REPAIR ❑ PIR$ DfOVE SWI ❑ POOLS <br />70�%i /ir/ <br />NUDIBEii OF STORIES NUMBER OF <br />NG J <br />O/y <br />UNITS <br />N1T8 <br />J ✓�.J ��3 <br />/ G�Ci ✓ /%K/ <br />NATURE OF WORK TO BE DONE <br />Valuation Fee Re d 1 <br />(ZR <br />"4-2t'T'tiE <br />T� <br />Plnn Cheek Na ..................... <br />BUILDING <br />q <br />�y QoG °G <br />( as <br />tti <br />W PROPOSED USE <br />Ihf'x <br />tlm <br />PLUMBING <br />PLOT PLAN (In dlcafi <br />in6 eatbaeke, abutting elrceta) <br />HEAT A GAS LINE <br />21 <br />FENCE <br />gIGN <br />tRETAINING <br />WALL <br />N <br />i— <br />SWIMMING POOL <br />DEMOLITION <br />PRE -MOVE INSPECTION <br />— <br />EXCAVATION OR FILL <br />- <br />TOTAL AMOUNT DUE <br />(!� iLE� <br />2 hereby acknowledge that I have read this eDDllcnllon; that the In. <br />formation given Is correct; and that I Dthe owner, or the duly author- <br />Sun <br />Ized agent of the owner. I agree to comply with city and state town ragu- <br />ATTENTION <br />APPLICATION APPROVAL <br />Rating wnetructlon; and In doing the work authorized thereby, no pennon <br />and <br />will be employed In of the Labor Code of the Slate of Washington <br />THUS PERMIT <br />This application is not a permit until <br />relating to Workmen's Compensation Insurance. <br />AUTHORIZES <br />signed by the Building Official or his Dep - <br />NOTE: Permit Limit One Year (Egcept DEMOLITIONS which <br />ONLY THIS <br />WORK NOTED <br />uty; and fees are paid, and receipt Is ac - <br />Shall be completed In ninety days: MOVED -IN BUILDINGS shall be cons.wledged <br />in space provided. <br />pleted In elz months.) <br />NAT�i R J�' AGEptT) DATE 1GNED <br />A, Jr-ridJf <br />INSPECTION <br />DEPARTMENT <br />OR'8 NAT E <br />// <br />, Z3 <br />I <br />OATE <br />CITY OF <br />EDbKONDS <br />NOTE: Applimit Subject to Plan Cberk Fee <br />—7 <br />775-2525 <br />Permit r work he done property ONLY. <br />atesidewalks, <br />Coxpublic ( bs,pri <br />Any struc o drlvewyn, <br />Any connruc <br />pwille domain (curbn,permission. <br />FILM <br />marquees, etc.) will reytdre s<parele Dermleslon. <br />que <br />i <br />