The URL can be used to link to this page

710559.pdfBUILDING DEPARTMINT PERMIT APPLICATION Applicant Fill Inside Heavy Lines MAILING ADDRESS - / 47r) 9 .? 6 " IU J CITY TELEPHONE NUMBER ' NAM-E� 5�p Zi JN 0 0 F X_ 1 J U L----y F ADDRESS CITY TELEPHONE NUMBER .21 NAME aQt ADDRE88 6` j¢ 70� G,2f3" it1 07 • CITY TELEPHONE NUMBER o O STATE LICENSE NUMBER CITY LICENSE NUMBER _Z2 3 -0 / - 7o `? S( - Legal Description of Property (Show Below or Attach Four Copies) V mil— . O W O C (�� GAS RESIDENTIAL LINE © NEW NON-RESIDENTIAL ❑ SIGN ADD ElDEMOLISH WALL RETAIKING ElALTER EJ OREXFENCE z..........Ft.) REPAIR PRE -swim ❑ INSP. POOL NUMBER OF STORIES NUMBER OF DWELLING UNITS .3 t LL MAP NO..' PERMIT I NUMBER '' �.'•�:.", 9 Cum GcJ 'BACK I STREET SETBACK I REAR YARD SETBACK ( 5 0 / LOT A VACANT SITE YES NO 7. BUILDING AREA VARIANCE NUMBER p, PLOT PLAN APPROVED 1, 1 STREET R/W tj EXISTING STREET R/W :227 ...FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W6;..<?.... FT. ....!�Z•FT• REMARKS Driveway slopes not to exceed those ndicated by Standard Drawing 4'103_ CHECKE II ;T ISIZE I SERVICE SIZE I CLEARANCE I CH C BY I ►t 15l_QG- Sv PPL\ FM y PC 1970 'PE CONNECTION VERIFIED :RC. TEST I PERMIT PUD113ER :MARKS .i N YES NO SPECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP YES NO PLAN-ZHECKE BY - REMeRxs—' THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL Stit.r:'. TAX SHOULD BE CODED 31.0;. Fee No. Plan Check No ..................... Fp BUILDING W PROPOSED USE PLUMBING aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAB LINEp —_ � I FENCE SIGN RETAINING WALL ! � i iSWIMMING POOL ! � - i I DEMOLITION PRE -MOVE INSPECTION ! i EXCAVATION OR FILL i I 1 TOTAL AMOUNT DUE O I ' I hereby acknowledge that I have read this application; that the In- I formation given Is correct; and that I am the owner, or the duly author - (zed agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL 1 Iating construction; and 1n doing the work authorized thereby, no person '77I 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. AUTHORIZES signed by the Building Official or his Dep- ONLY THE NOTE: Permit Limit One Year (Except DEMOLITIONS which wens NOTED 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. pleted In six months.) 81G RE (OWNER •OR AGENT) DATE SIGNED INSPECTION DIRECT R' BIGNATU I DEPARTMENT CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee , -- - PR 6-1107 This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, FILE I marquees, etc.) will require separate permission. r =t ''Y 4 r�aa3Ai �,e{i� �j'f-.!S'� +1�}.�ti}ts 4 � �� si""�'E"�?`d3�yaa {r .:4r�� 7 .. ..... 44( f .. '� .. � .T, �, � �j`� � s ..... �; � .; . .