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740055.pdfIlli 1 I BUILDING DEPARTMENT PERMIT APPLICATION Applicant FW Inside Heavy Idnee °-�s-/Z PERMIT � 'I 7400555 I j o ADDREBe / AUTHORIZER NAME (OR NAME OF BUS,INN/ESS))•_/ }, Q i� I OI • �1/ ' r--• .// L�' I LOT CO ERA ACTUAL IAT COVERAGE LOT COVERAGE NOTE: Permit Limit One Year (Except DEMOLITIONS which id O z •I (� M SLING ADDRESS M 2 y ' 3'f�Ve - PEMIItl BLE HEI } T Pli Y00 D EIGHT CITY TE d' %LI dyi its P O E NUMB 'A y 5 A A OT AREATA D AR A — REQUIRED YAADB P POSED YARDS FRONT BIDE REAR FRONT BIDE REAR , t"yJ•' NAME ADDRESS LEGAj. LOT VARIANCE OR CON 1TIONAL UBE — r71 y'CB NO PERMIT NUMBER ---^ / mU RO NLA DEP PPV CITY TELEPHONE NUMBER STREET / EXISTIN STREET R/W ............ FT. DF. ICIENCY THIS PROPERTY NO E: Applicant Suhiect to Plan Check Fee EDMONDS eR e•uo'r DATE ! _- -- p NAME /J L Q (J` GV % G COMP. PLAN ST. R/W ............FT. ............FT.01 W REMARKS 67 x j W I ADDIiEtlB CHECKED BY CITY TELEPHONE NUMBER V I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY I I I Ilan � r I STATE LICENSE NUMBER CITY LICENSE NUMBER lTEMAFtI(e ✓( S' Legal 1011111011 of Property (Sham Below or AtleCh Four Coplae) T Aa elk[/ TYPE CONNECTION( VERIFIED BY W I x m o ScQI t~ PERU. TEST PERMIT NUMBER REMARKS O FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED �' t v I [] YES I] NO SPE AL INBPECTOft REQUIRED [] YES NO OCCUPANCY GROUP 1—Ili 6A8 LSIDENTIAL E]GAS NEN N-RESIDENTIALSIGN' ADD ❑ DEMOLISH WALL NINC ElALTER ❑ EXCAVAOR FILLTE ❑ FENCE PLAN CHECK D BY THIS SITE IS LOCATED IN THE CITY OHOHDMO DS. D SE CODED 3A104.SALES TAX REMARKS hh n -rte �J j Q /� FJ L L- Ili f/ l2�� ✓ L e L^ ��/:JL / ( 7 ) ❑PRE -MOVE BwIMZ..........Ft.) REPAIR ❑ INSP. ❑ POOL ' ITin,�AC.- U 'C �l,-l! N VhiBCR OF STORIES NUMBER OF �Y.J l�� --�� DWELLING / UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. •Oy, .................. Plan Check No... BUILDING 4 PROPOSED USE PLUMBING �— � U a .�. /P��j{L�OT PLAN (Indicate Building Setbacks, abutting streets) " ' iWC 4f7J HEAT do GAS LINE FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL •/L')1 �V / C -r1 TOTAL AMOUNT DUE I hereby acknowledge that I have reed this application) that the In- !OJ V lormatlon given Is correct ! rrectl and that I am the owner, or the duly author. 1.1d agent of the owner. I agree to comply with city and state isms mile. ATTENTION APPLICATION APPROVAL luting construction; end In doing the work authorized thereby, no Pana. will be employed In violation of the Labor Code of the elate of Washington THIS PERMIT This application i9 not a permit until relating to Workman's Compensation Insurance. AUTHORIZER signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WOM NOTED uty; and fees are paid, and receipt i0 ac- ehall be completed In ninety days: MOVED•IN BUILDINGS .hall be com• knowledged in space provided. pleled in els months.) SIGNATURE (OWNER OR AGENT) DATEelONED n % / INSPECTION DEPARTMENT DIRECTOR'S 8)ONATURP CITY OF NO E: Applicant Suhiect to Plan Check Fee EDMONDS eR e•uo'r DATE ! _- -- Thls PeNnit coven work to be done on private property ONLY. Any construction o. the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate pauds.1on. 1 USE PERMIT B ull' DING DEPARTMENY (— '� i Applicant Fin zoNE2•� NUMBER 1 4{jOb5 ADDRESS 4•••�•: --i-off— PERMIT APPLICATION I amide Heavy Lines �D (OR NAME OF BUHDjEeE) PERMI88IHLE ^Je ACTUAL IIATCOVERAGE LOT COVERAGE NG ADDREBB PERMISSIBLE HF:TPR POSED REIORT O "a.i•!2-t.c`c I.EPHONE NUMBER ACTUAL LOT AREA�,� O AteL I A`rr ' � '� REQUIRED YA RD9 P P08EU YARDS , -.� - FRONT BIDE REAR FRONT B� IDE —REAR�o4 i z a ,YES ONO PERe1)T�1UM1 G 1 `BEET ft Y (ISTIN(1• STREET R/W ............PT. COMP. PLAN ST. R/W ............FT. ]MARKS Al :TER SIZE I SERVICE SIZE CLE :MARKS C xi s r. ECTlON I IMARII9 i 5 'ZONAL USE IENCY THIS PROPERTY ............FT. .i FIRE �ZONE- I TYPE OF�CO/�J STRUC'[ION BEET IMPROVED I �J� •�rVv// ❑ YES 0 NO SPECIAL INSPECTOR REQUIREDOCCUPANCY 6RDUP Q 'RESIDENTIAL ❑ LGAS INE ❑YES ] NO _� ❑ NEW PLAN7ECK1ED HY THIS SITE IS LOCATED IN THE CITY ❑ NON-RESIDENTIAL ❑ BION l�1�1.% OF EDMONDS. LOCAL SALES TAX ❑ ADD RETAINING REMARKS SHOULD BE CODED 31.004 -7/ ❑DEMOLISH ❑ WALL ,i. —, G j 0 i�-I�- Z EJ ALTER ❑ EXCAVATE ❑ FENC z..........Ft.) PRE -REPAIR INSP. .VE SWIM �` 1 ( A / / 1 / / �•7 J�( /" ❑ ❑ INSP. � ❑ POOL -j61? �'JA ), l._. V L L NUMBER OF STORIES NUMBER OF <.i�C_ ) �—(f (� /`'.US 8..i_, / DWELLING UNITS NATURE OF WORK TO HE DONE Vnlual(on Fce R.Celpl No, -//�Jf,'I�UG%' Oh -/=•!C (="�' Plan Check No ..................... [[[www BUILDING PROPOSED USE PLUMBING a PLOTPLAN (Indicate Building setbacks, abutting street.) HEAT A GAS LINE �4I7 /•y c,i1% _. __ _-...�_��• FENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION C FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In. formation given Is correct; and that I sin the owner, or the duly author• Ized agent o[ Wa owner. I agree to comply with city and slate Is" ragu• ATTENTION latmg construction; and W doing the work authorized thereby, no parson will be employed in violation of the Labor Code of the State of Washington THIS PERMIT relating to Workmen's Compensation Ins.—ce. AUTHORIZES NOTE: Permit limit One Year (Ezcept DEMOLITIONS which ONLY THE WORK NOTED Shall be eompleted In slnaly days; MOVED -IN ]BUILDINGS shall he win• pleted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Check pee PR d-1101 This Permit coven work to be done on prlvate property ONLY. Any Construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt Is ac- knowledged in space provided. DIRECTOIL'B SIGNATURE DATE INSPECTOR TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In. formation given Is correct; and that I sin the owner, or the duly author• Ized agent o[ Wa owner. I agree to comply with city and slate Is" ragu• ATTENTION latmg construction; and W doing the work authorized thereby, no parson will be employed in violation of the Labor Code of the State of Washington THIS PERMIT relating to Workmen's Compensation Ins.—ce. AUTHORIZES NOTE: Permit limit One Year (Ezcept DEMOLITIONS which ONLY THE WORK NOTED Shall be eompleted In slnaly days; MOVED -IN ]BUILDINGS shall he win• pleted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Check pee PR d-1101 This Permit coven work to be done on prlvate property ONLY. Any Construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt Is ac- knowledged in space provided. DIRECTOIL'B SIGNATURE DATE INSPECTOR APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt Is ac- knowledged in space provided. DIRECTOIL'B SIGNATURE DATE INSPECTOR }.Y it M1':-f'.+i'r•4fY. :4: v. ,H^,%llnar:nw.'..w.A^•'.IM • a s ....._ _ ...._._.__.. ..... ... _ _.. .. .ti a ,:`a" .1,:¢) r d;'r ,,:.. "iR7 i't' 4 . u.f tr.ts•.,>� a + +d r rt l i sry 4' P� r I L it I ......... ; s I ..c