740065.pdf1
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PERMIT —J�oo(OJ _
NUMBER
BUILDING DEPARTMENT Applicant Ful
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PERMIT APPLICATION I molds Heavy Llneeo3
ADDRESS
1
18925-both
west f
NAME
(OR NAME OF BUSINESS)
PERMISSIBLE %
OT
!
LOT COVERAGE
LOT COOT COVEliAO£
Tars. Rea I t•Y _
Term".
MAILING-, —-BSi
PERMISSIBLE HEIGEIT
PROPOSED HEIGHT
22911 -56th Ave. W.
ACTUAL LOT AREA
TOTAL BLDG. AREA
CITY ON N Eft
Mountlake Terrace
778— 6
REQUIRED YARDS
PROPOSED YAEtDe t
REAR
NAME
FRONT BIDE
REAR FRONT B[UE
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Ny
ADDRESS
LEGAL LOT VARIANCE OR CONDITIONAL USE
Q YEH NO PERMIT NUMBER
S
PLANN NO DEPT. APPROVAL DATE:
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CITY
E PHONE UMBER
STREET R/W
EXISTING STREET R/W ............FT.
DEFICIENCY THIS PROPERTY
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NAME
COMP. PLAN 8T. R/W ............FT.
............FT.
II1ODOp���777
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REMAIUIS
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03
ADDRESS
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Terra Construction Co., Ince
Terra
BY
e
td
CITY
TELEPHONE NUMBER
(CHECKED
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18247 Fremont Ave. N.
542-4188
METER S1ZE SERVICE SIZE
CLEARANCE
CHECKED BY
_TATE LICENSE NUMBER
CITY LICENSE NUMBER
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223-01-15398
REMARKS
Legal Description Of Property (gnaw Below or Attach Four Copies)
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111
N. 99.351 of the s 134.35 of W 1901
TYPE CONNECTION
VERIFIED BY
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hy s 1/2 of n w quarter of n.e.
PERMIT NUMBER
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pEAC. TEST
w411,
rt r of c nUartrar of see --+inn
REMARKS
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18 T. 27NR. $
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FIRE ZONE (TYPE OF CONSTRUCTION STREET IMPROVED�
1
0 YES [] NO
_6PECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
GAS
® RE_ .E.TIAL F-1 LINE
NEW
❑ YES 0 NO
THIS SITE IS LOCATED IN THE CITY
OF EDMON DS. LOCAL SALES TAX
PLAN CHECKED BY
NON-RESIDENTIAL SIGN
❑ ADD® DEMOLISH (NH) WALL KING
REMARKS
SHOULD BE CODED 31.04.
ALTER ❑ EXAVAT E ❑ LENC........... Vt.)
ORFILL
REPAIR ❑ El swim
IN PMOL POOL
NUMBER OF STORIES NUMBER OF
,
DWELLING
I
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee Receipt No.
Plan Check No .....................
Z
BUILDING
,
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a
PROPOSED USE
PLUMBING
V
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT d: GAS LINE
FENCE
BION
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
^ I
V
PRE -MOVE INSPECTION
EXCAVATION OR FILL
eC
O I� 6
p� \\\
TOTAL AMOUNT DUE
I hereby acknowledge that I have road this aDDllcatlon; that the In•
r
formation given Is correct; and that I am the owner, or the duly sutbor-
Ired agent of the owner. I agree to comply with city Md elate law. fern-
ATTENTION
APPLICATION APPROVAL
,
latiog con.tructlon; and in doing the work autbarind thereby, no person
will be employed In violation of the Labor Cade of the State of Washington
TIU_ PERMIT
This application Is not a permit until
relating to workman'. Compensation Imureace.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: 1 'snit One Year (E:sept DEMOLITIONS which
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is Bc-
eh on plated insty day.; MOVED -IN BUILDINGS, .hall be coon•
knoWledged in space provided.
F sled It t month..)
IG N AE (OWN OR AGENT)
DATE BI DD
INSPECTION
DEPARTMENT
D[RE R'S SI NATUR
Q..
CITY OF—
�•�---�-�
EDMONDS
NOTE: Applicant Subject to Plan Check Pee
PR 6-1107
- " r
Title Permit co walk to be done on private Property ONLY.
Any construction as the pnbUe domain (..be, ridewalW, 011111"ItY.,
FILE
nuwquue, et.J will require saparate pefmlydea.
FIRE ZONE I TYPE OF CONSTRUCTION n'axar;♦ anrrscvv --
YES [] NO
SPECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP
C] YES ❑ NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
X RESIDENTIAL
='04
LINE
BUILDING
DEPARTMENT
A
Applicant PYII
Z OSNE NUBER. 740Cu`'
PERMIT APPLICATIONInatde
Heavy LIDea
,OH
ADDRESS ; ^925-90t11 WOSI'
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NAME (OR NAME OF BUSINESS)
Terrace Boalt
ACTUAL JJ
PERMISSIBLE J LOT COVERAGE.
LOT COVERAGE
PERM BRIDLE HEIGHT PHOPORF.D HEIGHT
IA1LI O ADDRESS
22911 -56th Ave. W.
CITY '. ONE NUJdBNft
ElALTER
1
I
ACTUAL LOT AREA TOTAL SLUG. AREA
Mountlake Terrace 778--1161
;
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
NAME
❑
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y
U
aPLOT
;
LEOAI. LOT VARIAtQCE OR CONDITIONAL USE
p YES 0 NO PERMIT NUMBER
ADDRESS
NU
FENCE
f
PANNING DEPT. APPROVALDATE:
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{�
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CITY
TE PNONF NUMBER
:
STREET R/W O
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY a
a?1
COMP. PLAN ST. R/W ............FT. .....
NAME.......FT.
REMARKS
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to
rd
tE07
ADDTerra COnstructlon Co.m Inc.
SWIMMING POOL
CHECKED HY
j
CITYTELEPAONE NUMBER
F
8
13247 Fremont Ave. tL 547.-4189
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METER SI'LE SERVICE 522E CLEARANCE
I I
CHECKED BY
C
STATE LICENSE NUMBER CITY LICENSE NUMBER
22.3-01-15398 I
I
REMARKS
_
Legal Description of Property (Show Below or Attach Four Copley)
N. 99.35' of the s 134.35 Of W 1901
TYPE CONNECTION VERIFIED BY
by s 1/2 of n.M'. quarter Of n.e.
Z
n
PERMIT NUMBER
W
K
nu6rter of 5.e. quarter of section
13 T. 27 N R. d
FIRE ZONE I TYPE OF CONSTRUCTION n'axar;♦ anrrscvv --
YES [] NO
SPECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP
C] YES ❑ NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
X RESIDENTIAL
[:]
LINE
0 NEW
UNITS
NATURE OF WORK TO BE DONE
NON-RESIDENTIAL
yaluallon
SIGN
ADD
Mx
DEMOLISH mmWALL
NINE
ElALTER
❑
OR FILL AVATE
( x .......... Ft.)
REPAIR
❑
INSP. MOVE
❑
swim
POOL
FIRE ZONE I TYPE OF CONSTRUCTION n'axar;♦ anrrscvv --
YES [] NO
SPECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP
C] YES ❑ NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
Thl. Pe—it Seven work W be done on private property ONLY.
Any construction on the public domain (earbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
INSPECTOR
NUMBER OF STORIES NUMBER OF
DWELLING
I
UNITS
NATURE OF WORK TO BE DONE
yaluallon
Fce Receipt No.
Plan Check No .....................
BUILDING
[[[p
PROPOSED USE
PLUMBING
U
aPLOT
PLAN (Indicate. Building setback., asµT t t)
HEAT h GAS LINE
FENCE
li
0
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
p� , 0
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I heteby acknowledge that I have rend this application; that We In -
ATTENTION
THUS PERMIT
-
APPLICATION APPROVAL
This application is not a permit until
formation given to correct; and that I ait the owner, or the duly author-
,zed agent of the owner. I agree to comply with city and .tate lawn regu-
lath. construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
AUTHORIZES
Signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
.hall be completed in mhety days; MOVED -IN BUILDINGS shall he com-
Dieted lqels mcolhs.)
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
PR 6-1107
uty; and fees are paid, and receipt is ac
knowledged in space provided.
S1GNA URE (OWNER OR AGENT) DATE SIGNED
'
Dl OR's GNATU
NOTE: Applicant Subject to Plan Check Fee
DATDAT
Thl. Pe—it Seven work W be done on private property ONLY.
Any construction on the public domain (earbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
INSPECTOR
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