The URL can be used to link to this page

740137.pdfDEPARTMENT Plan Check No ..................... i ZONETZS-/Z NUMBER 740137 BUILDING AppllcantFM PERMIT APPLICATION Imide Elegy Lln°°IDH I BUILDING AD DRESS - ^ NA E (OR NAME q PROPOSED U BE 5g / PERMISSIBLEa ACTUAL 99 LOT COVERAGE 3,)— LOT COVERAGE h �% �"' D MAILING ADDRESS a HEIG T, OBED HE HT fERMI881HL i'taesk J:�D3�1 v vi CITY PHONE NUMBER ACTUAL/II.OT/r AREA TOTAL BLDG. AAR- AAr) 01 s0 O '1 REQUIRED ARDS P POSED YARDS NAME PLOT PLAN (Indicate Building setbacks, abutting street.) FAO NT SIDE REAR FRONT 9IDF. REAR 34' k7 J- /o o ; ,� 3/ �j0 LE L LOT VARIANCE OR CONDITIONAL USE 14 ADDRESS EB NO ERMIT NUMBER . ppU P NOI I 0 CITY TELEPHONE NUMBER— UMBEREXIB tRETAINING WALL G STREET R .16, DEFICIENCY THIS PROPERTY =.M. NAME COMP. PLAN BT. R/1$4/1$4iT.-©FT• REMARKS Driveway slopes not to exceed those in AD DR•q FECi DEMOLITION C ED 8Y 01 CITY TELEPHONE NUMBER Oy Z I LW EXCAVATION OR FILL i METF81ZE SERVICE SIZE CLEARANCECH C D BY STLICENSE MBE% CITY LICENSE NUMBER 3 TOTAL AMOUNT DUE i� 6(t 6 LI � I I hereby acknowledge that I have nod Ibis apDlicatlon; that ILS 1r.• `-/� ,moi ! Legal Description or Properly (Show Helow or Attach Four Captee)v REMA//'RKB • 1 f I7 /d — Z formntlon given Is correct; and that I sm the owner, or the duty author• TIDE CONNECTIONVERIFIED BY 15 �I «� APPLICATION APPROVAL PERC. TEST P 1 N AfHER � O will be employed in violation of the Labor Code of the Stats of Washington I This application Is not a permit until REMARKS AUTHORIZES O NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- -- —' shall be completed In runaty days: MOVED -IN BUILDINGS shall be win. Imowledged in space provided. 0 pleled In gl: me the.) _ FIRE � TYPE OF_SQNSTRUC7iION STREET IMPROV. YES I] NO , SPECIAL INSPECTOR -REQUIRED OCCUPA�jNc�CY /GROUP � ❑ GAB ❑ YES I•f0 .z� v r RESIDENTIAL LINE PLAN CHECKE BY NEW THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX SHOHLD BE CODED 31 04 ! ADD E] DEMOLISH [:]RATED. NING REMARKS ALTER ❑ OROPILLTE ❑ FENC...........Pt.) REPAIR ❑ PRE -MOVE SWI INSP. POOL NUMBER OF STORIES NUMBER OF UNITBDWELLING / Plan Check No ..................... '^ BUILDING q PROPOSED U BE a PLUMBING O HEAT A CAS LINE 01 s0 PLOT PLAN (Indicate Building setbacks, abutting street.) tl FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION I PRE -MOVE INSPECTION EXCAVATION OR FILL i / SO 7.7 TOTAL AMOUNT DUE I hereby acknowledge that I have nod Ibis apDlicatlon; that ILS 1r.• ,moi ! / - formntlon given Is correct; and that I sm the owner, or the duty author• tied agent of the owner. I agree to comply with city and state laws ngu• ATTENTION APPLICATION APPROVAL latmg construction; and in doing the work authorized tbenby, no person will be employed in violation of the Labor Code of the Stats of Washington THIS PERMIT This application Is not a permit until relating to Workmen's Compensation Immunities. 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 be completed In runaty days: MOVED -IN BUILDINGS shall be win. Imowledged in space provided. pleled In gl: me the.) _ B10NA U E (OWN R A NT) ATE SGNED 7NPECTION DI 'T R' 810N TURE DEPARTMENT CITY OF EDMONDS AT NOTE; Applicant Subject to Plan Check Fee PH 4-1107 , This Permlt coven work to be done on private property ONLY. Any construction an the public domain (curbs, sidewalks, driveways, FILE mn ,im , etc., .111 reemre eepar0te peutnleel— K r