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6 <br />D <br />SERVICE SIZE <br />IJ <br />J <br />ICHECKED BY <br />VALUATION FEE — <br />METER <br />D <br />NO. <br />E <br />I <br />y PLOT PLAN INDICATE BUILDING SETBACKS, <br />�% <br />REMAR <br />❑ NEW <br />BUILDING DEPARTMENT Applicant Fill <br />USE <br />ZONE <br />PERMIT <br />NUMBER 750370 <br />❑ ---El <br />❑ ALTER <br />❑ <br />❑ <br />NON-RESIDENTIAL ❑SIGN <br />RETAINING <br />DEMOLISH ❑ WALL <br />ORXCF'LLTE ❑ i ENCS X_FT) <br />PERMIT APPLICATION Inside Heavy Lines <br />/OB <br />AN C <br />® REPAIR <br />❑ <br />INP. O POOL <br />NAME (OR N E OF BUSINESS) <br />ADDRESS O <br />AREA <br />NUMBER OF <br />%, mak�%C), Q1 <br />LEGAL <br />LOT AREA <br />SU BOIV ISIDN NO, <br />RETAINING WALL <br />TJ/O <br />- <br />WMAILING ADDRESS <br />ES E3NO <br />UNITS <br />1" <br />NATURE OF WORK TO BE DONE <br />THIS SITE IS LOCATED IN THE CITY <br />3 N <'� <br />AOO - \ � A�s <br />VARIANCE OR <br />GOND, USE NO. <br />ADB <br />NO, <br />---%� <br />SHOU D BE E <br />G C V <br />ELEPHONE NUMBER <br />Iced agent of the owner. I agree to comply with city and state laws regu. <br />Z <br />U <br />O <br />Hcy-o\oo <br />PROPOSED YARDS <br />wlllbe employed In violation of the Labor code of the State of Washington <br />lasuranca. <br />HEIGHT <br />Z <br />= <br />NAME <br />AUTHORIZES <br />FRONT <br />SIDE REAR <br />NOTE: Permit Limit One Year (Except DEMOLITIONS whichONLY <br />THE <br />WORK NOTED <br />Ilty; and fees are paid, and receipt is ac- <br />ALLOWABLE <br />knowledged in space provided. <br />J <br />a <br />INSPECTION <br />F <br />U <br />SIGN AREA <br />TUR NER OR AGENT) SIGNED <br />1PROPOSED <br />SIGN AREA <br />IR R SIGN AT E <br />F ADDRESS <br />JDATE <br />CITY OF <br />OTHER <br />EDMONOS <br />Z <br />REQUIREMENTS <br />DATE <br />U <br />R CITY <br />TELEPHONE NUMBER <br />-- $� <br />J <br />This Permit covers work to be done on private property ONLY. <br />6 <br />I <br />PLANNING DEPT. APPROVAL DATE <br />ORIGINAL - file YELLOW - lospector <br />marquees, etc.) will require separate permission. <br />AGI <br />PINK - Owner COLD - Ascessrr <br />E <br />STREET R/W <br />r�� <br />C l� <br />EXISTING STREET R/W <br />FT. DEFICIENCY THIS PROPERTY <br />55 <br />• /'—� c:� <br />\ <br />COMP, PLAN ST. R/W <br />FT. FT. <br />C C Tv <br />TELEPHONE NUMBER <br />REMARKS <br />O <br />Z <br />��03-27 3�1 <br />E <br />o <br />U STATE LICENSE NUMBER <br />CITY LICENSE NUMBER <br />CHECKED By <br />w <br />Z <br />'Z23-a2—ec�1 <br />N� <br />Legal Description of Property (Show Below <br />or Attach Four Copies) <br />STREET AND/OR UTILITY ❑ YES <br />w <br />WORK REQ'D <br />❑ NO <br />UNDERGROUND <br />❑ YES <br />Z <br />WIRING REQ'D <br />❑ NO <br />O <br />TYPE CONNECTIONVERIFIED <br />BY <br />1; <br />6 <br />C <br />N <br />E <br />w <br />❑ YES PERMIT <br />NUMBER <br />al <br />SEPTIC SYSTEM <br />3 <br />D <br />APPVD BY CITY ENG, <br />❑ NO <br />w <br />N <br />J <br />REMARKS <br />6 <br />D <br />SERVICE SIZE <br />IJ <br />J <br />ICHECKED BY <br />VALUATION FEE — <br />METER <br />D <br />NO. <br />E <br />I <br />y PLOT PLAN INDICATE BUILDING SETBACKS, <br />�% <br />REMAR <br />❑ NEW <br />El <br />RESIDENTIAL GAS <br />LNE <br />FIRE Z <br />❑ ---El <br />❑ ALTER <br />❑ <br />❑ <br />NON-RESIDENTIAL ❑SIGN <br />RETAINING <br />DEMOLISH ❑ WALL <br />ORXCF'LLTE ❑ i ENCS X_FT) <br />PLUMBING <br />SPECIA <br />REOUII <br />❑ <br />AN C <br />® REPAIR <br />❑ <br />INP. O POOL <br />AF <br />NUMBER OF STORIES <br />AREA <br />NUMBER OF <br />j <br />SIGN <br />DWELLING <br />RETAINING WALL <br />TJ/O <br />SWIMMING POOL <br />UNITS <br />1" <br />NATURE OF WORK TO BE DONE <br />THIS SITE IS LOCATED IN THE CITY <br />w <br />TOTAL AMOUNT DUE <br />OF EDMONDS. LOCAL SALES TAX <br />D <br />rhsltlllgella <br />SERVICE SIZE <br />CLEARANCE <br />ICHECKED BY <br />VALUATION FEE — <br />D <br />NO. <br />E <br />I <br />y PLOT PLAN INDICATE BUILDING SETBACKS, <br />�% <br />w <br />F <br />E ABUTTING STREETS( <br />BUILDING <br />V 7J <br />3 <br />TYPE OF CONSTRUCTION <br />CODE <br />WU <br />PLUMBING <br />( <br />NN <br />OI <br />HEAT er GAS LINE <br />�p I <br />CTOR <br />AREA <br />OCCUPANCY OCCUPANT <br />j <br />SIGN <br />GROUP LOAD <br />RETAINING WALL <br />TJ/O <br />SWIMMING POOL <br />1" <br />BY <br />THIS SITE IS LOCATED IN THE CITY <br />w <br />TOTAL AMOUNT DUE <br />OF EDMONDS. LOCAL SALES TAX <br />D <br />---%� <br />SHOU D BE E <br />O <br />Iced agent of the owner. I agree to comply with city and state laws regu. <br />Z <br />O <br />APPLICATION APPROVAL <br />J_ <br />wlllbe employed In violation of the Labor code of the State of Washington <br />lasuranca. <br />THIS PERMIT <br />7 <br />m <br />relating to Workmen's Compensation <br />AUTHORIZES <br />rhsltlllgella <br />PROPOSED USE <br />Z <br />PLAN CHECK <br />VALUATION FEE — <br />D <br />NO. <br />y PLOT PLAN INDICATE BUILDING SETBACKS, <br />�% <br />' <br />E ABUTTING STREETS( <br />BUILDING <br />WU <br />PLUMBING <br />( <br />NN <br />OI <br />HEAT er GAS LINE <br />�p I <br />FENCE <br />SIGN <br />RETAINING WALL <br />SWIMMING POOL <br />Nhereby <br />acknowledge that I have read this application; that the In. <br />TOTAL AMOUNT DUE <br />formation given In correct; and that I am the owner, or the duly author - <br />Iced agent of the owner. I agree to comply with city and state laws regu. <br />ATTENTION <br />hating conetruetlon; and In doing the work authorised thereby, no person <br />APPLICATION APPROVAL <br />- <br />wlllbe employed In violation of the Labor code of the State of Washington <br />lasuranca. <br />THIS PERMIT <br />This application is not a permit until <br />relating to Workmen's Compensation <br />AUTHORIZES <br />signed by the Building Official or his Dep - <br />NOTE: Permit Limit One Year (Except DEMOLITIONS whichONLY <br />THE <br />WORK NOTED <br />Ilty; and fees are paid, and receipt is ac- <br />shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- <br />knowledged in space provided. <br />pleled In six months.) <br />INSPECTION <br />TUR NER OR AGENT) SIGNED <br />DEPARTMENT <br />IR R SIGN AT E <br />JDATE <br />CITY OF <br />EDMONOS <br />DATE <br />NOT].: Applicant Subject to Plait Check Fee <br />775-2525 <br />-- $� <br />J <br />This Permit covers work to be done on private property ONLY. <br />I <br />Any construction on the public domain (curbs, sidewalks, driveways, <br />ORIGINAL - file YELLOW - lospector <br />marquees, etc.) will require separate permission. <br />PINK - Owner COLD - Ascessrr <br />rhsltlllgella <br />