740107-A.pdfThis Penult cave. work to be done on private property ONLY.
Any constructiou on the public domain (Curb., sidewalks, drlvewars, FILE
.-Muses, etc.) will re.Wro separate parmisslon.
BUILDING
ZONE n NUMBIER J 40 107-4 I '
DEPARTMENT Applicant Fla �USE�
Inside Heavy Lines
PERMIT APPLICATION GB `/
�o i�
ADDRESS / / .,.
_
NAME ton NAME OF BUSINESS)
��\j Q PERMISSIBLE eo ACTUAL
IAT COVERAGE o3 /) / ].OT COVERAGE
(/✓"
MA311NG ADDRESS C
PERMISSIBLE HF.IOUT / PR SED HF,IG
IrJ 3 ' - z-
0 BLD
�
. AISNA
CITY ON MHB,R ACTll LOT AR A T TAI SL O. AREA
REQU ED YARUB )'PA- P008'DED YARDS
NAME FRONT tlIDE REAR FROM SI E REAR I
[y
G
el
N fP- j:
LEG LOT I I VAKIA Olt CONDITIONAL U87
ADDRESS B O_ PERMIT NUMBER 1
FF
O D PR .I•E;, i i
ai
CITY TELEPHONE NUMBER
t`Ru ✓ EXI�eTT STREET R/4 DEFICIENCY THIS PROPERTY
Ik COMP. PLAN ST. R/VY'4C/�T'.
RHMARICS Driveway slopes not to exceed those
ad
ADDRESS
indicated on Standard Dwg No 103 w
BY
F
Z
CHECKED
CITYI TELEPHONE NUMBER 1
U
MET SIZE ERVl FZE 'ARANCE CHE HY '
STATE LICENSE NUMBER t'� CITY CENSE NUMBER
I I I
223-01 — 81E=l I REMAIRKS
`
VVV
�'u L ' IF ln 7
Legal Desarlptlan of Property (Show Below or Attach Four Copies)ad
VERIFIED
LOT �- u lAt &QeD } TYPE CONNECTION BY
-�•{�
PERS. TEST PE a1 U SH R 1
Q
CREMARKS
�l
5
;
V
'f
FIRE IMPR_17OVED
S
❑NOC
E.
SPECIAL INSPECTOR RE UIRED OCCUPANCY GROUP
{� ❑ CAB ❑ YES �jtl� I a .
(� RESIDENTIAL LINE PLAN CHECK B THIS SITE IS•,LOCATED IN THE CITY
NEW
LOCAL SALES TAX
OF EDMONDSSH
,
NON-RESIDENTIAL siaN ULE) BE .�
ADD ❑ DEMOLISH ❑ RETAININGAA B/l
' ! ..,�'!�'/ p� {�w7y /'•/�/p p
ElALTER EXCAVATE FENCE 119 (� Q N % /�(� C// Q� / 4 (/ OL/ / P
OR FILL (..........z..........Ft.) �- --.
REPAIR ❑ PRE-MOVE SWIM
INSP. POOL
NUMBER OF STORIES NUMBER OF
11I�t DWELLING ,
G UNITS
NATURE Valuation Fee Receipt Nom
EOO,F1WORyK�-TOO�BE tD�ON'E►,�%l�
f4ll w K J,VI.iIV.i>,I Plan Check N...................... �I
Z
BUILDING
[[FSO
PROPOSED USE
PLUMBING 't 1
u
,l aryl\ A O
1-It./1V`� d
v1
a
O
O
PLOT PLAN (Indicate Building eetbaeke, abutting streele) HEAT &GAS LINE . p0
FENCE
SIGN c
RETAINING WALL
N
SWIMMING POOL
I
DEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL
/—
TOTAL AMOUNT DUE
1 hereby acknowledge that I have read this application; that We In- oS i
,.,motion given le correct; and that I sm the owner, or the duly author-
Ired agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL
lating construction; and in doing the work authorised thereby, no person
will be employed In violation of the Labor Coda of the State of Washington THIS PERMIT This application is not a permit until
relating to Workmen's Compensation Insueaaee. AUTHORIZE.
e1gR¢d by the Building Official Or his Dep-
ONLY TILE
NOTE: Permit Li lit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
.hall be completed Inn Sty day■; MOVED-IN BUILDINGS .1.11 be e.m- knowledged In space provided.
6 1 elx months,)
S GNA I (OWNER RA. gEfi DATI SIG ED INSPECTION ISTO 11 B10NATURE
II INSPECTION
LlL
;
CITY OF
EDMOND9 wTE ;_----
NOTE: Applicant S ' to Plan Check Fee pyL/_
eB a-uaI ~/ / i
This Penult cave. work to be done on private property ONLY.
Any constructiou on the public domain (Curb., sidewalks, drlvewars, FILE
.-Muses, etc.) will re.Wro separate parmisslon.
0 DENOTES EXIST. GRADE
X DENOTES FIN. GRADE
—r-- DENOTES SRFCE. SLOPE
74017
AVA
®VA WICK FOMES, INC.
DATE REVISION
I�
LEGAL LOT 4 wooOVAIr- 2,102.11r
DSCRPTN. StWIAOWl COW-fY
.�05-/�- Som' .W• i
ADDRESS e-omcmo6, WFd
P��q P`�� DATE JOS NO.
SCALE— 11 70' 3. 1 .74 ujQ • 4-
— Plan Check No .....................
Valuallon
Fee
formation given is correct; and that I ane the owaer, or the duly author-
BUILDING
_
Ij'I
V I Y S ANO
PLUMBING
BUILDING DEPARTMENT
Applicantn
OE PERMIT
vu
ZNBt
relating to Workmen's Compenaatlon Insurance.
✓'% ,�'
SPECIAL INSPECTOR REQUIREDOCCU C P
ONLY TILE
WORK NOTED
PERMIT APPLICATION
Inside Heavy Lines
O
RETAINING WALL
INSPECTION
4
E
NW
NAME tOR NAMEOF BUSINESS)
CITY OF
DEMOLITION
LINE
PLANBCHECKED BYr
THIS SITE IS LOCATED IN THE CITY
This Permit covers work to bo done on prlvnto property ONLY.
\ n - t U
nMF:`:i 111
NON-RESIDENTIAL
Eltalil DLE
IAT COVERAOFa �) I.OTCCVIVE''L
a Fa a�
i
p-$A�Ijr70
- 8B
PER1,II88I1ILF. HEIGHT Plti 'OBELI REIa
O
,�.,, ,_,.;,. ,F ,
SHOULD BE CODED 31.04.
ADDElII
X
7.
REseARK
I
O
CITY
fir' ON 'lt
ACTT LOT ARF/'A 1' H7C-
�,LI1' incn
i
4)
.:• i. i)'"J .)/�
/i 1 :. r:• .'
.
cl_Lr=v�k=
MUZ-Oir+-
U1 U
h.D YARDS Tft6PGH .0 YAI� tUH
OR FILL
,
(.......... s .......... Ft.)
NAME
E]
FRONT HIDE REAR FRONT, NIU; REAR
j
M
ADDAESB
�: r'_t /, /%
! l
NUMBER OF
L y OT AR3 N 'Olt R DI f10NAL UHE
E11 NO PERM. NUMBER
M
yLAN
!CO
TATE: /
/ ( l"'� "" - �'
IN6
-^
CITY
TELE PHO]NE Trr�IIN(�DER
' Z
EXIBTI(/N6 STREET R/W�/.:vl;,B'r• DEFICIENCY THIS PROPERTYBTREEW •'
(
NAME it
COMP. PLAN ST. It/FT.
w
G
REMARKS
U�)_:i mint :.(7 (.:: (:(1
�Jl"Vk l•1].Y SIax
-
Id
Q
ADDRESS
inrlir f...,; {,•, •'r; h :,) l 11'.•; IJo-
CHKED BY
ECC
z
6
`
• 1
CITY I
TELEPHONE NUMBER
O
U
METER BILE -SERVICE SIZE
CLEARANCE
CHECKI IJ BY
• �;
pl
STATE LICENSE NUMBER
CITY LICENSE NUMBER
1'
tr^^
J ' ^� -• L��1 `tel
�.
REMARKS \
i
Legal Deecriptlon e[ Property (snow Balow
or Attach Feur Copies)
I)l-tMALE
TYPECkNNECTION
I VERIFIED DY
— Plan Check No .....................
Valuallon
Fee
formation given is correct; and that I ane the owaer, or the duly author-
BUILDING
_
Ij'I
V I Y S ANO
PLUMBING
ry ,•� t) {7.
-•l
HEAT A GAS LINE
relating to Workmen's Compenaatlon Insurance.
✓'% ,�'
SPECIAL INSPECTOR REQUIREDOCCU C P
ONLY TILE
WORK NOTED
shall he completed In ninety days; MOVED -IN BUILDINGS shall be com-
RESIDENTIAL
❑
RETAINING WALL
INSPECTION
4
E
NW
r '� j r i 1'
- � • ' �
CITY OF
DEMOLITION
LINE
PLANBCHECKED BYr
THIS SITE IS LOCATED IN THE CITY
This Permit covers work to bo done on prlvnto property ONLY.
EXCAVATION OR FILL
NON-RESIDENTIAL
1:1
i
OF EDMONDS, LOCAL SALES TAX
elaN
,�.,, ,_,.;,. ,F ,
SHOULD BE CODED 31.04.
ADDElII
RETAINING
WALL
REseARK
I
❑FENCE
DEMOLISH
EXCAVATE
4)
.:• i. i)'"J .)/�
/i 1 :. r:• .'
.
ALTER
❑
OR FILL
❑
(.......... s .......... Ft.)
E]
REPAIR
PRE -MOVE
INSP.
SWIM
POOL
- /:� . !_ !
�: r'_t /, /%
1UMBER OF STORIESDWELL
NUMBER OF
IN6
-^
' Z
UNITS
(
— Plan Check No .....................
Valuallon
Fee
formation given is correct; and that I ane the owaer, or the duly author-
BUILDING
_
Ize6 agent of the owner. I agree to comply with city and elate laws resu-
ATTENTION
PLUMBING
ry ,•� t) {7.
-•l
HEAT A GAS LINE
relating to Workmen's Compenaatlon Insurance.
✓'% ,�'
FENCE
ONLY TILE
WORK NOTED
shall he completed In ninety days; MOVED -IN BUILDINGS shall be com-
SIGN
pleted In six months.) I !
RETAINING WALL
INSPECTION
y \; I 1�^ ',.-�: f_.� jl ��
N
ISWIMMING POOL
r '� j r i 1'
- � • ' �
CITY OF
DEMOLITION
EDhiONDB
NOTE: Applicant Subject to Plan Check Fee
PRE -MOVE INSPECTION
This Permit covers work to bo done on prlvnto property ONLY.
EXCAVATION OR FILL
marquees, eta.) will require separate permission.
I
APPLICATION APPROVAL 1
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.
DIRECTOR'S' SIGNATURE
DATE • �- -'_
_J
INSPECTOR
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given is correct; and that I ane the owaer, or the duly author-
Ize6 agent of the owner. I agree to comply with city and elate laws resu-
ATTENTION
,sting construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
TIus PERMIT
relating to Workmen's Compenaatlon Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
shall he completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.) I !
IIGNA URE (OWNER R AGE�T' DAT$ SIGNED
INSPECTION
y \; I 1�^ ',.-�: f_.� jl ��
DEPARTMENT
r '� j r i 1'
- � • ' �
CITY OF
EDhiONDB
NOTE: Applicant Subject to Plan Check Fee
en a-uoi
This Permit covers work to bo done on prlvnto property ONLY.
Any construction on the public domain (curbs, eldewalks, drivewaaa,
marquees, eta.) will require separate permission.
I
APPLICATION APPROVAL 1
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.
DIRECTOR'S' SIGNATURE
DATE • �- -'_
_J
INSPECTOR