710273.pdfY08'1'ED ON ICROLL MAP NO.: IPI R]NII
- BUILDING DEPARTMENT Applicant Fill I 710273
PERMIT APPLICATION Inside Heavy Lilies IOB ADDRESS n �j _ Q
NAME ( 2 D -/ — /Ci `u ' Ll
SIDE YARD SETBACK STREET SETBACK I REAR YARD SETBACK
MAILSNG ADDRESS
USE ZONE LOT AREA VACANT SITE Z,d v o Lcl A- y .t/. z
CITY TELEPHONE NUMBN.R le, r k I ❑ YE8 PfNO
S T 7-L_ � 'Ll 2—I HEIGHTI BUILDING AREA I VARIANCE NUMBER
NAME
,Al /t PLOT PLAN APPROVED
(A% it I% /t'G A?K �f.L/J h ry s S D �
yUj ADDRESS _
F
STREET R/W
/ 7 - S n IC S 77 EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
C CITY I TELEPHONE NUMBER
COMP. PLAN 8T. R/W ............FT. ............FT. p
IT A C a u A- REMARKBryl
NAME AA
1=1 5 14 ER Pool S41 ADDRESS O.K. t x
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CiT d TELEPHONE NUMBER Line than 2u
F z—Af 3 '3 3 yI�
0
U s� �TT� 4'jQ t} g�/ METER SIZE I SERVICE SIZE I CLEARANCE I CHECK BY
STATE LICENSE NUMBER �- I CITY LICENSE NUMBER �^' P±
f� ty q 5 REMARKS e, 5r I [C 5 �Rr
Legal Description of Property (Show Below or Attach Four Copies) f l�F (i 1 v1 1VI 1Cri.
J� TYPE CONNECTION (VERIFIED BY
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F 0J1_4_ �r� OT /,Z�PERC. TEST PERMIT NUMBER
REMARKS
RAQ 6 �� /J
a
47 FIRE Z TYPE OF CONSTRUCTION I STREET IMPROVED
I
•i J/j�lp'tlL ❑ YES )CNO
8P CIAL INSPECTOR REQUIRED OCCUPANCY GROUP
❑ GAS (3 YES WNO I I fbL
NEW ❑E
RESIDENTIAL LINPLAN CHECKED BY S7�E
❑ qTED
El NON-RESIDENTIALI El SIGNl CITY OF EDMONDS. LOCAL SALES
❑ \ OftbADD RETAINING REMARKS T\ BE CODED 31.04.-
El DEMOLISH WALL A5[S �lih�� TU19Q-TAU
ALTER ❑ EXCAVATE FENCE <v+
OR FILL � (.......... 7c.......... Ft.) S /�
El INSP.-MOVE swim
POOL
REPAIR
NUMBER OF STORIES I NUTIBER OF ` . I�
DWELLING �:.:{M/ �f
UNITS V
NATURE OF WORK TO BE DONE Valuation Fee Receipt No.
Plan Check No .....................
Hs• wr M M I A,7 - P d O L BUILDING _
W PROPOSED USE
PLUMBING
U
aPLOT PLAN (Indicate Building setbacks, abutting streets) BEAT A GAS LINE
FENCE
SIGN
tRETAINING WALL
1
SWIMMING POOL
,
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given Is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state lawn regu- ATTENTION APPLICATION APPROVAL
lating construction; and in doing the work authorized thereby, no person
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 Compensation Insurance. AUTHORIZER ONLY THE signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
shall be completed In ninety days; AiOVED-IN BUILDINGS shall be com- knowledged in space provided.
pleled In six months.)
INSPECTION
NATURE (OWNER OR 6 '�) I DA'rL•' SIGNED DEPARTMENT DIRECT B 816N
�J CITY OF
EDMONDS DAT
NOTE: - pplicant Subject to Plat Check I'ce PR 0-1107
This Permit coven work to be done on private properly ONLY.
Any construction on the public domain (curbs, sidewalks, driveways, Film
marquees, etc.) will require separate permission.
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Frame
Furnace & Fuel Lines �
Final
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c RECORD "OF`INSPECTIONSfl, ar''
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APPUGATI1
CITY OF EDMONDS
IINR PERMIT
Building Department
1 Appl. No....'1.Z:.'
,....
Permit
limit,
one
year
:ATION is hereby made for a permit to construct the following work, in accordance with the accom-
plans and specifications. Two sets are submitted herewith for approval.
iew alter Off -St.
.ddn re air ..................... ' e c' ' c.. c.. c_�_c—
p_................................................... Parkin g ......... _...........
.. Const. type ................................ Use zone...K,�..—.._4.,.t.... Fire zone ...........................
. . �.:............... ................ Lot........../.. ...... Blk ....................... Addn.7..Z.`. e_ eL..! c �,
tage ........... ................... � Arm ............. .x. l_.Q.. v.... Septic tank ......... ... .....-.A.::a ....
lcks — front........... : q........ r. side............ '.'1�. -:....... 1. side ............................. rear ........ -5. 7...............
041
1 � �.... Address.... �% .......................... ,Tel. No ..............
Builder. .................. .. ........... ................... Addr, v,.,Ad ..... _.....'Tel. No .............................
'labs by.................................................................. Address.................................................... Tel. No .............................
temarks......................................................................................................................................................................•--.........
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owner/
Address ............................................ Date. / e..
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance.with the ap-
proved plans and specifications, and Building Department notations thereon.
Valuation ......�.'/.... .................... Permit fee..... Z8 .................. Recd. by..�.� ................
Building Department, By ................. .................._ ................... Date..... -
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OK........................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
f
Y kt U APPLICATION BUILDING PERMIT
' CITY OF EDMONDS Building Department
�. Appl. No. D_� - .( 1.
Permit limit, one year
r'
sAPKICA11ON is hereby made for a permit to construct the following work, in accordance with the aceom.
panymg plans and specifications. Two sets are submitted herewith for approval.
- new alter Off -St.
,addn repair
Z1 ............ Const. type ................................ Use zone.....' l ..�...��...r.. Fire zone ...........................
tc"—.t`—.._—.....:..�..y
Lot .......... `.?.... Blk.... ..... ............. Addn..`?L��.�
i
............................... Area...........................---.............. Septic tank ......................................................
y, front....... Z P...t r. side............,,! ............. 1• side................: ?....: rear......... ...............
-
`Fl.tf "
-....O
........./.........../.../......./
..` ��Iel.Address.. .
"
..................... Add
.................................................. Tel. No...........:.................
bq.................................................................. Address.................................................... Tel. No .............................
arks..............................................................................................................................................................................•...
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work. I
Signed Owner/Agent... ./.lid t.lt.a".Jl t/U �(/....... Address ............................................ Date... ........... . V.
PERMlr for the above work is hereby approved, subject to the above conditions, and to compliance with the ap-
proved plans and specifications, and Building Department notations thereon. ��
Valuation ............. L..6.4�--r-��..................... Permit fee ......
:4.................. Recd. by.. ` .X �i. 41Cc a .1�. ... -� `)
Building Department, By..............................................��S.F_i �........ Date....���?.....6�...................................
NOTE —`this permit does not cover plumbing, sewer, or electrical installations, nor does it permit any work to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and alleys, and plans for future sidewalk development.
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