740088.pdfPERM
BUILDING DEPARTMENT Applicant Fill ZONE 5 —�j NUMBER 740088
PERMIT APPLICATION I Inside Heavy LineaaoB p 4 —
NAME (OR NA
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,E 1OF BUSINESS) ADDRESS%C�
�� • �I�/ I ' LOT CTUA
COVERAOE1e �.ZC ,t, LOT COV�EJItAGOE 2�
11 M11 AILING ADDRESS ,� <j.� V O
11 PERMISSIBLE HEIGHT PROPOSED HEIGHT
1011
C) F\y E
301 51
CITY
�M0�1 p5
TELEPHONE NUMBER
F2 8—'7233
ACTUAL LOT AREA +r,r ^^ D TOTAL BLDG. of Z
NAME
: — , v ..YES [3 NO
REQUIRED YARDS PROPOSEcto
D AFUB
FRONT SIDE REAR FRONT BIDE REAR
dWtiE�
2D S 15 2q1 NA
D
W ADRESS
RESIDENTIAL ❑ OAS
LINE
PLAN CHECKED BY
` I�EOAL LOT VARIANCE OR CONDI ONAL U114t7E
Yf0 YES D NO PERMIT NUMBER
Gl
T<i CITY
TELEPHONE NUMBER
P C DE AP R
'-14
OF EDMONDS. LOCAL SALES TAX
cH0 I D B rnD n at na
I
TREE/Wtl
EXIST G STREET R/W ............FT. FICIENCY THIS PROPERTY
COMP. PLAN ST. R/N ............. ............ FT'. a
NAME OW N ep—F7'
ALTER E FENCi..........Ft.1
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REMARKS
ADDRESS
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TELEPHONE
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NUMBER
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METER SERVICE SIZE I CLEARANCE
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PERC, TEST PERMIT NUMBER
W yosTS ISS ADprnoiJ
O REMARKS
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FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED
: — , v ..YES [3 NO
SPECIAL INSPECTOR
❑ YES N O REQUIRED
(OCCUPANCY GROUP
RESIDENTIAL ❑ OAS
LINE
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
NEW
E NON-RESIDENTIAL ❑ BION
OF EDMONDS. LOCAL SALES TAX
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RETAININGAL
DEMOLISH
REMARKS
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ElREPAIR ❑ INS.PREPMOVE O POOL
NU�{6ER OF STORIES NUMBER OF
i ,� DWELLING
' J 6 UNITS `1 1
NATURE OF WOR`K BE DONE
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Vnluatlon Fee Receipt N1
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Plan Check No .................
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ST I�%`C S I D N GG
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y IPROPOSED USE
BUILDING
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PLUMBING
PLOT PLAN (Indicate Building eetbee1ke, about. g streets)
HEAT A GAS LINE
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7 -
FENCE
p.„5.1.
SIGN
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RETAINING WALL
RES1DE11 - N
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eWIMMIN6 POOL
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DEMOLITION
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TFol
PRE -MOVE INSPECTION
6t / E1LIST QpQh{
EXCAVATION OR FILL
I hereby acknowledge that I h.- read this appllcatlon; that the In-
TOTAL AMOUNT DUE
GU
lS`'�� 767E
formation given Ie correct; and that I a h the owner, or the duly author-
Ir<d agent at the owner. I ngree to comply with city and state lewd rregu—
latingcons Mello and la doing the work authorized thereby, no Person
will be empleyetl In vlolntloa of the Labor Code of the Stale at Washington
relating to Workmen's Compensation Imuran..
THIS PERMIT
This application is not a permit .Hill
NOTE: Permit Limit One Year (Except
AUTHORIZES
ONLY TILE
signed by the Building Official or his Dep.
DEMOLITIONS which
shall he completed In ninety days; MOVED -IN BUILDINGS shall be .m-
{YORK NOTED
Uty; and fees aro paid, and receipt is ac.
plated In elz months.)
IInOWIed e
g d in space provided.
AO DATE SIGNED
INSPECTIONeiNAT
RE
jj��WtO
DEPARTMENTr
CITY OF
EDMONDB
DATE
NOTE: Applicant Subject to Plan Check Fee
_
Permit coven work to be done on private property, ONLY.
PR 0.1107
Anyny constructionon the publicdemsln (.,,,be, eldewNks, drhewaye,
n,nreurre, rlc.) trlil rrnnln'. eepnralr nrrn,leelen.
PILE
N
7
_DG)U—rH U FT
L_�T
.Wl
EXISTING STREET R/W ............FT. t6EFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
N
-NARKS ' Ii
[kis'( — Q6 r lAAo'GE,
IRE $�NE I TRUOTION j, -6r
S IMPROVED
6rYE0NO�
[-.t RESIDENTIAL
[:] LINGABE
PLAN CHECKED BYV
THIS SITE IS LOCATED IN TH
NEW
ENON-RESIDENTIAL SIGN
SIGN
OF EDMONDS. LOCAL SALE
SHOULD BE CODED 31.04.
HADD
o
RETAINING
WALL
REMARKS
1„OR4
([S�
PEY W23(_ -
23
E] ALTER
n aZ� r�'C.
❑(F�
SWIMMING POOL
PRE-MOVEpt
SWIM
aQJ
REPAIR
E]I
POOL
�-'�
SE Nu'MIT r
NUMBER OF NITSLINO
1 1
/
BUILDING DEPARTMENT
AppUcmtFlll
` 6
Y las, In
EXIST.
RES) St ��—�`}j�.�'�;''j� �.�
PERMIT APPLICATION
Inside Heavy Linea
ADDRESS
ized agent of the owner. I agree to comply with city and state lnwe regu-
[s
(1 V •`-�
U J
IJ7
NAME'on N !d® Q� uetx6ne�_
r VVVLOT,
THIS PERMIT
--
q PROPOSED USE
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORH NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS Sault 6e com-
PERMISSIBLE %
LOT COVERAGE 3�
ACTUAL % t,
COVERAGE b D
ppp�tl
N i rte) a I ADDRESB', �� 1` I C.
' ` f-1 `
INSPECTION
DEPARTMENT
PERMISSIBLE HEIGHT 30
PROPOSED HEIGHT
y
iTZ
V
NOTE: Applicant Subject to Pian Check Fee
1/
C
\
�-•�" �� �!
_
ACTUAL LOT AREA D
�OO
TOTAL BLD'g]]g'��//A��''A1EA D
HEAT A GAS LINE
V FENCE
REQUIRED YARDS
PROPO9OoARD3
FRONT SIDE REAR
NAMEFRONT
C..1 W
SIDE REAR
i
A i tlHEGAL
LOT VARIANCE OR GOND TIONAL mUSE
},YES 0 NO PERMIT NUMBER ��" f`�
Pb " ODE `AP
iw
CITY 1
TELEPHONE NUMBER
N
7
_DG)U—rH U FT
L_�T
.Wl
EXISTING STREET R/W ............FT. t6EFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
N
-NARKS ' Ii
[kis'( — Q6 r lAAo'GE,
IRE $�NE I TRUOTION j, -6r
S IMPROVED
6rYE0NO�
[-.t RESIDENTIAL
[:] LINGABE
PLAN CHECKED BYV
THIS SITE IS LOCATED IN TH
NEW
ENON-RESIDENTIAL SIGN
SIGN
OF EDMONDS. LOCAL SALE
SHOULD BE CODED 31.04.
HADD
❑ DEMOLISH
RETAINING
WALL
REMARKS
1„OR4
([S�
PEY W23(_ -
23
E] ALTER
E]EXCAVATEENC
OR FILL
❑(F�
SWIMMING POOL
PRE-MOVEpt
SWIM
aQJ
REPAIR
E]I
POOL
�-'�
NUMBER OF BTOR��IEffH�('� �.
NUMBER OF NITSLINO
1 1
/
1
'
NA URE OF WORK TO BE DONE
y i`D t
` 6
Y las, In
EXIST.
RES) St ��—�`}j�.�'�;''j� �.�
I Hereby neknowiedge that I have read Lula nDDlicatlon; 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 lnwe regu-
[s
(1 V •`-�
U J
IJ7
BUILDING
THIS PERMIT
--
q PROPOSED USE
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORH NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS Sault 6e com-
pleted In six months.)
a
3191YATURE (OWNER O AGE .)--'._." / DATE 8IOED
(p`, �-- )Ni)
INSPECTION
DEPARTMENT
PLUMBING
CITY OF
V
NOTE: Applicant Subject to Pian Check Fee
PR aIIOI
This Permlt covers work to be done on private property ONLY.
aPLOT PLAN (Indicate Building aetbacke, abutting etrcete)
HEAT A GAS LINE
V FENCE
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-
Imowledged In space provided. 1
IDIREOTtOR' Ill N URE 3—fes
DATE \
INSPECTOR
--i
�—
E\tw-
SIGN
DEf_k
E-�1`ISY
RETAINING WALL
_
RESID
F N
I
SWIMMING POOL
DEMOLITION
DECK -- ;
i
�-'�
PRE -MOVE INSPECTION
EXCAVATION OR FILL
1
TOTAL AMOUNT DUE
I Hereby neknowiedge that I have read Lula nDDlicatlon; 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 lnwe regu-
ATTENTION
luting contraction; and m doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORH NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS Sault 6e com-
pleted In six months.)
3191YATURE (OWNER O AGE .)--'._." / DATE 8IOED
(p`, �-- )Ni)
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Pian Check Fee
PR aIIOI
This Permlt covers work to be done on private property ONLY.
Any CnnstrucUoo on the pubtle dmmaln (curbs, eldewaiks, drIvewaya,
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-
Imowledged In space provided. 1
IDIREOTtOR' Ill N URE 3—fes
DATE \
INSPECTOR