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DEPARTMENT
POSTED ON HlbOLL MAP NO.: RMIT
PE
,:.B,q1.L.DI.NG
��:,,,-PERMIT
ApplleantFill
APPLICATION Inside Heavy Lines
UUMBER
I
660555
JOII ADDRESS
--as)
&IDE YARD
bTREE`f SETBACK
IJB;TB.VC
..S
—ty-SE ZONE
LOT A11.15A
VACANT SITE
TFLXPRONE NUMBER
13 NO
117;2
FEIGHT
SUIL13ING A.RMA
VARIANCE NUMDMR__
.4
01
3 V
2
0 / 2-3 0 /. I
on -1 re-p-rty (show Below of
7j "In 11,
U-97ING STREmr R/W -------- F-r. T'=C=CY TMS PROPERTY
COMP. MAN ST. R/W ............ FT. z
Y'r
M_AMVX������
CIMC—RED UY
CHE BY
'PE NNE 10
VE SY
___ NO
P�ECIAI
C A �I
I NSPE CT 0 a cup
0 YES
SC
M
I
A7 "JC_1�
PLAN CI1k;CRFj_)BY
0-RESIDENTIAL
G A
GAS,
El
N.N-RERIMNTI�j
SIGN
N
ADD
DEMOLISH
RETAINIING
T
_ 17
WALL
ALTER
EXCAVAT
Olt FILL
PENCE
REPAIR
PRE-MOVEE
INSP.
SWI,
POOL
NUM5EX OFTFOMIrS —�N U M�B e R- 0 1,
'UNITS
DWELLING
_-z'
z Valuation Fee
PROPOSED USE Plan Check NO...
L2
BUILDING
— T; ��, ___T0
Q T PLAN (Indi�t;'-Build—'DX-Wt-b�—kr-W�u�tnC —Etret,) I, -
LUMBJxG
HEAT & GAS 14NE
-Z e_0z o—
r N E
N
RETAININ, WALL
SWINnfING POOL
Dr-MOLITION
PRE-,VOVr IN"ECTIO,�
OR FILL
TOTAL AMOUNT DUE
hereby acknowledge that I have read this application; that the In.
forroall" 91- Is COrreCt; aml t!:at I - the Owner, Or the duly auther.
1-d agent of th owner. I Mlifec to comply with city ard state law 'g.-
,Aucu, t
rue? on; and In JOing the work authorized thereby. no person ATTFNTION APPLICATION APPROVAL
wul "' employed In "Olfttl- Of the Labor Code Of th* State of Washingto. TIUS PERINUT
relating to Workmate. CO.Nng.tlo. I"uranos. AUTHORIZES This application !,3 not a perrillt until
NOT�-. Permit Limit One Year (Except DEMOLITYONS %,hich ONLY THE signed bY the Building Off.1cial e- ..s Dep-
,Z�b* 0ornpl*01A.In n1naty days; 31OVED-IN RUILDI�WGS 3hill be WORK NOTED utY; arld fees are paid, and receipt is ac.
knowledged in space provided,
El'
sa Olt AGENT) 11 _L)ATF SrGNEV_ INSPECTION DIRECTOR'S SIGNj,TU!tE
�/ , DrPART`MENT
CITY OF
NOTE: A,6plicant Subject to Plan Cbrck Fee EDMONDS vA.;R
Thl. Perwilt covers work to be done On prlt� prow. NLV. PR 0-1107
Any construction - the Priblie (c.rbl, eldr-t1k."y lo'
' 1w
mmquees, ctc.) will Mnlre -rParntc, permliglon. MLE
I
rl
In
The City of Edmonds
APPLICATION
for
SME SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS F]
OWNER
ADDRESS .... .......... 4� . . .... ..............
<--*- V
'e, �D
S4
EASEMENTNO . ...................................
CONTRACTOR ...... ----------- .............. PEYWT No.
LEGAL DESCRIPTION: LOT No. .......................................
.............. BLOCK No.
NAME OF ADDITION ...... ........... lFfo
T,44— -------- - .................................
A
4-- �r'!
Approved:
........ By ---- -- ................... I ............ ........... ........
DATE ... . ..........................
ff)ffET
'6 1 . F 10.0
CITY of EM11.
Civic Center Ednionds, Washington 98020 - Telephone (206). 775-2.525
April- 18, 1977
Mr. Dale C. Rosebrook
13015 Beverly Park 1�oad
Lynnwood,Washi-ngton 98036
CHANGE OF ADDRESS I'OR BUILD1'NG PE9141T #770124
Please be advised that the address for the above mentioned
permit has been changed to that of 573 Llm Way from the
address of 563-Elm Way.
We will notify our utility bill ' ing division and it.will be
your * resp . onsibilit'y to have.the correct address on the new
re�_idence-before sale and see that all other interested
parties are notified.
al
E. Joseph Walli rector
Community Development Dept.
HMW/ae
cc: utility billing
Bldg. Off.- Dt.
tj
C I T Y
0 F
E D M 0 & S
- PUBLIC
WORKS
DEPARTMFNF -
c) -� (c
., r- 0
Routing of Building_Pemit, Plat, or Subdivision AT)Dlications
S-13
Proposed Property Address: -1--l-2-& �--th—A-venue—Sout:h
DEPARTMENT CO1\?,1ENTS
,,j� . 45- - 7 7
INITTW
& DATE
IVA T E R
g-77
S E W E R
-7 7
S T R E E T
�-Irlyf
B U I L D I N G
0 R
P L A N N I N �) G
ADDITIONAL INFOWATION:
0 P3 c- rx fl 5
FR- 0 (-(- He) 4 7"
F.
10/11/76
BUILDING DEPARfMFM
USE PERMIT
ZONE NUMBER RECEIM)
Applicant Fill
Inside Heavy Lines
PERMIT APPLICATIOT
JOB 7tit
197
NAME (OR NAME OF BUSINESS)
ADDRES�4/,R 8
4,
VARIANCE OR COND. USE NO. NO. HEIPHT
P:thfj,7 Wr) K S epl.
RESS
jADB
z
PROPOSED YARDS LOT CO V RAGE
;t. 17
0 pA' LEPHONE NUMBER
FRONT S1, DE RE
?13
SIGN AREA ENVIRONMENTAL REVIEW
ALLOWED PROPOSED'
ME
0 COMPLETE C1 EXEMPT
A-
REMARKS
U
W
ADDRESS
PLANNING DEPT. APPROVAL DATE
ClIfy TELEPHONE NUM13ER
LEGAL LOT LOT AREA SUBDIVISION NO.
N
YES NO'
/*
STREET R/W
ir
/
EXISTING STR FT.-DEFICIENC,Y THIS PROPERTY
EET R/W
0
I-
ADDRESS
COMP. PLAN ST. R/W FT, FT.
U
M CITY TELEPHONE NUMBER
REMARKS
I-
z
0
STATE LICENSE NUMBER CITY LICENSE NUMBER
CHECKED By
PV- Z: -x)�?
ion 2Vroperty (Shq
Legal esc ti w Below or Attach Four Copies)
STREET AND/OR UTILITY WORK R/W PERM I T.REQUIRED
: 'J,
R E Q'D. El YES ONO 0. YES ONO
L
UNDERGROUND
z
0
W1 RING REO'D. _1,Y
E S 0 NO
E
TYPE CONNECTION VERIFIED BY
.11 YES
IL
m
SANITARY SEWER NO
in
SEPTIC SYSTEM ERMIT NUMBER
W
0 YES
APPVD BY CITY ENG. 1P
El NO
REMARKS
W
METE�SIZE SIZE CLEARANCE CHECKED BY
ISERVICE
REM -ARKS
G AS
NEW RESIDENTIAL L N E
10
FIRE ZONE TYPE OF CONSTRUCTION
NON-RESIDENTIAL SIGN
ICODE
I
ElADD
RETAINING
EJ DEMOLISH
S ECIAL INSPECTOR OCCUPANCY 7--TCCDUPANT
RPEQUIRED GROUP A
.E:] WALL
ALTER EXCAVATE FENCE
E] OR F ILL El (_ X FT)
JAREA
0 YES El NO'
I
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
PRE -MOVE swim
M
OF EDMONDS. LOCAL SALES TAX
REPAIR
INSP. 0, POOL
SHOULD BE CODEO 31,04,
RE MAR KS
NUMBER OF STORIES NUMBER OF
I
DWELLING
UNITS
NATURE OF WORK TO BE DONE
A A. 1 41) "t
PROPOSED USE VALUATION FEE
z PLAN CHECK
0 � j -.o �_ ,, �,l � " J ") / / , ,, , / — �".. . .
T PLAN (IND I CATE BUILDING SETBACKS,
ABUTTING STRE
i / 0 F. T S) BUILDING
U
in PLUMBING
W
12 0
HEAT & GAS LINE
0 \
FENCE
SIGN
RETAINING WALL
SWIMMING POOL