710315.pdft
BUILD 1 N G DEPARTMENT
PERMITAPPLICATION
Applicant Fill
IBglae Heavy I.ineB
POSTED ON KROLL YAP NO.t
PERMIT
NUMBER
710315
JOB ADDRESS
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NAME (OR NAME OF BU 98)
JAc/< 4. �Rj3i�urs
BIDE YARD SETBACKI
STREET 114TBACK I
REAR YARD BETHAC
MAILING ADDRESS
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LOT AREA
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VACANT SITE
I ❑ YES ❑ NO
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TELEPHONE NUMBER
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HEIGHT,`QQI
SUILDIN6 AREA
I VARIANCE NUMBER
ADDRESS
STREET B/W
sl CITY I TELEPHONE NUMBER EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
!! COMP. PLAN ST. R/W ............FT. ............FT.
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ADDRESS
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Pi
Y TELEPIWNE NUMI
3 .mo ..��.. oL+ Nit'
\ Legal Description of Property (Show Below or Attach Four Copies)
��•r /,� JOY TYPE CONNECTION I VERIFIED BY
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Ei PERM TEST I PERMIT NUMBER
WREMARKS
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FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
❑ YES ❑ NO
❑ GAS ❑ YES ❑ NO
❑ NEW RESIDENTIAL LINE PLAN CHECKED BY MIS SITE IS LOCATED IN THE
❑ NON-RESIDENTIAL ❑ SIGN CITY OF EDMONDS. LOCAL
❑ ADD ❑ ❑ RETAINING'
NING' REMARKS SHOULD BE CODED 31.04. DEMOLISH ` ` }+- �-+
❑N
ALTER EXCAVATE FENCE i�o — 5^T'r1.�C.'TcJ"L r i L..L. . 'ire
OR FILL ❑ (........ ..x_........ Ft.) (IJ wAc-t�^,.D,A�IJCCrl�)�.11'tn"1''�� ,C��I (.'��I
❑ REPAIR SWIM
IN P. POOL }� ! ,-rl � 'l�Ct7'IU� 1V.C`1"'l e N 1 S .
NUMBER OF STORIES DWELLING
OF w NoT PL yC jM L�k, V N� �+ .5+I
UNITE 1S Plud� p r'•�"'s `�'T
NATURE OF WORK TO BE DONE Valuation Fee Receipt No.
Plan Check No ..................
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O BUILDING
PROPOSED USE —
PLUMBIN6
O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT k GAS LINE
to
O FENCE
' �� ( -. SIGN
RETAINING WALL
� 'fill � 5d
SWIMMING POOL
i DEMOLITION
(/feu SE
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE A O r
I hereby acknowledge that I have read this application; that the In- V
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 laws 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 Stale of Washington THIS PERMIT This application is not a permit until
relatiag to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY WORK Np gD uty; and fees are paid, and receipt is ac-
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided.
Pl ted In six months.)
8 ATU LE WNER OR G NT) DATE 81ONED INSPECTION DIRE OR'B N URE
/1 /' / ` 3( ^ / DEPARTMENT
C ` C/Y CITY OF
EDMOND3 DATE
NOTE: Applicant Subject to Plan Check Fee 7/
PR g-1107
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways, FILE
marquees, etc.) will require separate permission.
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APPLICATION c' BUILDING PEENIT
CITY OF EDMONDS Building Department
E APCATION is hereby made for a permit to construct the following work, in accordance with the accom•
M.I
Panying plans and specifications. Two sets are submitted herewith for approval.
.� alter Off -St.
4y fl (Y. r new
"Work addn repair ............................•.--..............-......_..................:...........Parking_ .. ...
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............
Occupancy ............. ......... Co st. type.......... ...............-. Use zone...:..'....... Fire zone ... .
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Address....:.............................................`. Lot....... _... 0...._ Blk ........................ AddnA
f� `ct c'�/.....
� , • � Lot frontage ........................................ Area ....................... ................ Septic tank. ......... ...
P ...........
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1 may'
Bldg. setbacks — front .......... ................. r. side............ ...... 1. side.... -..... rear....
Site
Owner........... ...,-.=-'-u�fi Address....
Builder...........: -+ .� 1_-._................... Address.................................-...............--. Tel. No.........
Plans by .. .................................
......... Address ................................. Tel. No.........
7 Remarks.....................................................................................................
.
The above is a correct statement, and I agree to comply with all applicable Caries and State laws regulating this
Y ' `
work:
�%�ress....................................: D to l.P ._! .' •S
Signed Owner/Agent.. ,�� K..f1 ...
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap•
proved plans and specificati and Building Department notations thereon.
Valuation ! 1s...1.1.5L..-.(. E. .. Permit fee...v.,l.- Recd. by.....���. ........- ...
Building Department, By....................�G.�.F �i "............................... Date..(.V.1 . S..J.. ............
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK ............. _.....................................
Final,
This Permit does not cover Plumbing, Sewer or Electrical installations.
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APPLICATION 'iMILOINQ PERMIT Appl. No.
CITY OF EDMONDS Building Department Permit limit, one year
I APPLICATION is hereby made for a permit to construct the following work, in accordance with the aceom•
Ij panying plans and specifications. Two sets are submitted herewith for approval.
! new alter — Off'St
Workaddns repair.........../Yc............................................................................. Parking ......................
Occupancy .............................. . Const. type ............................... Use zone.. � —1 .... Fire zone.
P
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Addresslaz.....9... Lot ... cq........... Blk........................ Addn IY LT.l.44 .........
Lotfrontage ....................................... Area ........................................... Septic tank........................... .....:...................
Bldg. setbacks — front .......%.................. r. side .............................. 1. side .............................. rear. ........ ...........
Owner. .......... Address//5A1....7..`T
Builder.........5<4r!?...............................:......... Address................................................... Tel. No .............................
Plansby.................................................................. Address.................................................... Tel. No........ ..................
....-
f. 'Remarks ... �.....��.7//..4��.r-_.......�e'.�YG�...Tv......................... .S..E...:......72 ... :.........
......
a,
.......1-fir. f�....:�ul a��ri .....�. �.r,�r .............. :.
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
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Signed Owner/Agent :........�.................................... Address ................. ...:.:.. ........ Date.0- AO.
PERMIT for the above work is hereby approved, subject to the above conditions d to comp ' with the ap'
proved plans and specifications, and Building Department notations thereon.
i� �J .�.... .. .
Valuation .........��� :�................ Permit fee .............�........ Reed. /.. `/.
�J%� ✓ Date ...... Z-�F.: A5- 9.�LI/ ....... ..........
Building Department, By......�e,..�` •••�"'" .. _..................
This Permit does not cover Plumbing, Sewer or Electrical installations.
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