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740105.pdfi I BUILDING DEPARTMENTAPPut F USE PERMIT ZONE NUMBER 740105 L0IVJ /G r, I I / Inside Heavy Lines° PERMIT APPLICATION �1 O S NAME (OR NAME OF BUSINESS) ADDRESS � / t% y ^ Ct/ / a - - JO/ G� E LO l' AI, PPI COVI13LF, I.()S A', - AOE PLOTEIt COVERAGE I' MAILING ADDRESS 1•E llhl l— tltliBLt:-fi F. c1i1'r '1/01'OHEU II EIOIIT � 1 , CITY P ONE MUMBLE, ACI' AL LOT Ait :A rOTA , 1LI10. AIlF.A /. ` 1X:I) YAl1UN -- P tt/PONX I) YARDH NAME t F:A it y//FItON'I— NI Ut: REAR FItUNSII, "I H DREBAD B e , UHE LP.O t. LIYr A t G : UI{ CONIII'(10 AL 1•EIth1IT Nllh1IIY.R .I � 1 l AI. QTM• . I M CITY NONE NUMBER P6" /'�• ' ,, l/ 4114 LE W� — S 3 GQG I It UX:FICIENCY THIS PROPFUTY EOh P. XST. R NAME PLAN/W ,......,,,,,pi,, .'S •�% GY%S O c YGG _ IGJ- REMARKS Cd ADD SS ZZ>zZI CHECK_' k C�ITY^ TELEPHONE MH it METER SIZE SE1tVICE tlIZE CLEARANCE3ECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER � Legal Dcecrlptlon of Prgp9rtY (Bhe� Below ac Attach Four Copies)/5•/ //✓� �� TYP CONNECTION VERIFIED BY O PERC. TEST PERMIT NUMDEF d. a W 0 REMARKS i9 V FIREZONETYPE OF CONSTRUCTION STREET IMPROVED I $YES ❑ NO SPECIAL INSPECTOIOt R QUIRED OCCGROUP j RESIDENTIAL OAS ❑ LINE YES _JUPANCY i ❑ NEw PLAN CHECKED Y THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL WON OF EDMONDS. LOCAL SALES TAX nDD RETAINING DEMOLISH WALL 1 SHOULD BE CODED 3104 EMAl, �' ti�GLJ/Mel{J�IG '4 1 ALTER E] EXCAVATE O FENCE OR FILL l..........x..........ln.) REPAIR PRE•btOVE SWIM INSP. POOL NUMBER OF STORIF.tl N bl It OF DWELLING UNITEL/� y s• C7/I/ NATURE OF WORK TO BE DONE - ,. Valentlon Fee Receipt No. ' Plan Check No ..................... o BUILDING F L PROPOSED UBE � PLUMBING PLOT PLAN (Indicate Building eetbne e, abutting streets) HEAT @ GAS LINE A FENCE { SIGN Jil RETAINING WALL N SWIMMING POOL DEMOLITION .� PRE -MOVE INSPECTION - EXCAVATION OR FILL 1 hereby acknowisdss that I have read this application; that the In- TOTAL AMOUNT DUE ` 0 D / � lormntlon 1111, 11 correct: and that I am the owner, or the duly author- Ised ,lent or the owner. I agree to comply with city and state Inwe relu- ATTENTION APPLICATION APPROVAL leting construction; and In doing the work authorlaed thereby, no person will be employed 11, violation of the Labor Code of the State of Waahington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - shall he completed In ninety day., MOVED -IN BUILDIN°B shall be wm• knowledged in space provided. pleted h( sla tnonqui.) HIOFAT 1tE (j) $It,°R AGENT)DATE SIGNED INSPECTION 1R 810 ATUR DEPARTMENT . CITY OF EDDiONDS DATE NOTE: App!icant Subject to Plan Check Fee Pit 0-1107This 1•ennit a vork to be done on private ONLY. Any construeRea ou the Public domain (Curbs, sidewalks, 1,i—Y1, FILE,waters., rte.) wlli require separate Pclntlellon. '� bft��B«�rN• til.,. 0 � � '. ,TV X75;. USE PERMITI�(v I �--'JNDMRBUILDING DEPARTMENT AppH.-tFW ZONE/9,S-Ir I PERMIT APPLICATION I Inside Heavy Lines 77R NAME gF BUrB EBB) J MAILING AD RE S ,/`/ _ CITY % / TEMP—HONE NUMBER NAME NADDRESS ADDRESS ,� I J / /J — / •-�' L.. / PERMISSIBLE . ACTUAL LOT COVERAGE LOT COVAAGE PERMISSIBLE HEIGHT ^ PROPOSED IIEIOHT ACT�U�_�SL .pT�A A TOTAL BLDG. AREA / REQUIRED YAADe PROPOSED YARDS FRONT sIDE17 REAR �/ FRONT 9IDJE REAR _ ME At, LOT VARIANCE OR CONDITIONAL USE �t' x PERMIT NUMBER �3 r F •fi l i U.S /04 •4. i//= S • P Na D T. fit' v ATIIJ I i Gc33 -CITY TELEPHONE NUMBER M TOTAL AMOUNT DUE W9IISTREET I hereby acknowledge that I have read this application; that the In - ' YES I v / formatlon glven 1. correct; and that I am the owner, or the duly author- R/W ........ ...FT. DEFICIENCY THIS PROPERTY RESIDENTIALE] ARKS ►X/ST�//d'�� APPLICATION APPROVAL COMP. PLAN ST. R/W ..sass..F....r. .....FT. VERIFIED BY ❑ NEW THIS PERMIT I REMARKS AUTHORIZES Signed by the Building Official or his Dep - TE§T: PERMIT NubIaL••R THIS SITE IS LOCATED IN THE CITY AIIIII14 US -i%L L /✓ .C�3.�! �/) �C`--/v i•! Y-./" j ElNON-REBIDENTIAL N 1 Gj 61 1 ." CITY j / T_ELE HON. y/!NEER ' / 1 <� �J�I. C ECXED BY .�J INSPECTION ❑ ADD O �. __ _ ____-__ _-.._-___ _.__ •-___.-.- _._._.-sass. METER BILE SERVICE SIZE CLEARANCE C KED BY 1 M TOTAL AMOUNT DUE ��• 6 r / I hereby acknowledge that I have read this application; that the In - YES I v / formatlon glven 1. correct; and that I am the owner, or the duly author- E] RESIDENTIALE] ARKS ►X/ST�//d'�� APPLICATION APPROVAL ❑ (�O PLAN I CONNECTION VERIFIED BY ❑ NEW THIS PERMIT I relating to Workmen's Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep - TE§T: PERMIT NubIaL••R THIS SITE IS LOCATED IN THE CITY uty; and fees are paid, and receipt is ac- j ElNON-REBIDENTIAL Imowledged in space provided. El SIGN/ , ' "�+•`-h"�� OF EDMONDS. LOCAL SALES TAX INSPECTION ❑ ADD DEPARTMENT ZONfl TypE OF CONST I PROVED 1 ly— I r�60 2- - p NO i TOTAL AMOUNT DUE ��• 6 r / I hereby acknowledge that I have read this application; that the In - YES I v / formatlon glven 1. correct; and that I am the owner, or the duly author- E] RESIDENTIALE] lred agent of.owner. I agree to Comply with city and elate law. regu• GAS LINE APPLICATION APPROVAL ❑ (�O PLAN ❑ NEW THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep - CHECHED'93Y / THIS SITE IS LOCATED IN THE CITY uty; and fees are paid, and receipt is ac- ehall be completed In ninety days; MOVED -IN BUILDINGS shall be cem• ElNON-REBIDENTIAL Imowledged in space provided. El SIGN/ , ' "�+•`-h"�� OF EDMONDS. LOCAL SALES TAX INSPECTION ❑ ADD DEPARTMENT RETAINING SHOULD BE CODED 31.04. 5❑ DEMOLISH WALL ' ". - i _. . NOTE: Applicant Subject to Plan Check Fee ALTER EXCAVATEFENCE PR 8-1101 This Permit eovere work to be done on private property ONLY. Any construction on the Public domain (curb., sidewalks, driveways. marquee., etc.) .111 r".ft. separate permission. INSPECTOR OR FILL ❑ (........_x..........Ft,) ❑REPAIR ❑ INSP. ❑ swim POOL , G� � .(.../- - �.L--(��U/moi •-'� /- J_-/ U "jPRE-MOVE NUMBER OF STORIES NUMBER OF DWELLING <" ✓ i l i UNITS NATURE OF WORK -TO HE DONE / i Valuation Fee Receipt No, � Plan Check Nn ..................... x � HUILDIN6 (O 4 PROPOSED USE PLUMBING 0 PLOT PLAN (Indicate Building setback., abutting streets) HEAT & GAB LINE 5 FENCE SIGN RETAINING WALL I SWIMMING POOL /0 DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE ��• 6 r / I hereby acknowledge that I have read this application; that the In - V formatlon glven 1. correct; and that I am the owner, or the duly author- lred agent of.owner. I agree to Comply with city and elate law. regu• ATTENTION APPLICATION APPROVAL and Iating construction; and In doing the work authorised thereby, no Person will be employed In 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 - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- ehall be completed In ninety days; MOVED -IN BUILDINGS shall be cem• Imowledged in space provided. Plated In six months.) , IIGNATURE (OWNER OR AGENT) DATE 11f/NEU.� INSPECTION : DH CTOK'S DEPARTMENT JIGNATURU CITY OF ' EDMONDS DATE : NOTE: Applicant Subject to Plan Check Fee PR 8-1101 This Permit eovere work to be done on private property ONLY. Any construction on the Public domain (curb., sidewalks, driveways. marquee., etc.) .111 r".ft. separate permission. INSPECTOR ,.... � .. .,,,, M. ;�..�. -d4 .. rF,./ .: 4, .,. '. .f.'-% ru •%2':;tily 't. . A ¢3G?j XFN. r"', pl�� _ __ ic. g t 4�, 1 ( f f I , a! I iI lu i I I w � 1 • 1 _ I -7 L10 ' (I RECORD OF INSPECTIONS t j I I 1 ALAI