The URL can be used to link to this page

740139.pdfEXISTING STREET R/W ............FT. DEFICIENCY THI8 PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS CHECKED BY ,r �� I 5 NUMBER 740139 BUILDING DEPARTMENT ApplicantFlll GAa ❑ LINE REMARKS o PERMIT APPLICATIONLines aoB FIRE ZONE ZONE TYPE OF CONS UCTION STREE IaIPROV ED +I -7 NON-RESIDENTIAL SIGN ADDRESS / ❑ ADD RETAINING WALL R/ ARKS NAME (OR NAME OF BUSINESS)/ 7 /Y/J / r / iiJ� f/rESV ��G ` ALT ❑ OR FILL (.......... z .......... Ft.)PRE- ,1 S TlkLOT PERaiIBBIBLE COVERAGE ACTUAL J LOT COVERAGE 0 $ t>)��OIJ G: V"�' �� U/l/ m MAILING ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT ' �z O C1TY ER ACTUAL LOT AREA TOTAL BLDG. AREA �. ,r Vn1u4tlon Fee Receipt No. a -±f I•Inn Check No ..................... YARUS PROP00ED YARDSNAMEFRONTAIDE � 0 BUILDING REAR FRONT BIDEREAR S'"UV I VARIANCE OR CONDITIONAL USE Vv NADDREBE 0 YES (3 NO PERMIT NUMBER PLUMBING PLANNING DEPT. APPROVALCITY C7 tjW qq ER STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THI8 PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS CHECKED BY ,r �� I I,/, �•- / Ivry- TYPE CONNECTION VERIFIED BY I ' PERC. TEST PERMIT N IHERcc OCCUTAA�NCY GROUP 5 {j m GAa ❑ LINE REMARKS o NEW FIRE ZONE ZONE TYPE OF CONS UCTION STREE IaIPROV ED +I -7 EJ NO SPECIAL INSPECTORRRREQUIRED OCCUTAA�NCY GROUP YES RESIDENTIAL GAa ❑ LINE ❑ PLAN DY i NEW CHECKE THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN �� OF EDMONDS. LOCAL SALES TAX ❑ ADD RETAINING WALL R/ ARKS FENCE EXCAVAER E f�// V/�✓�/� �G�/G� ! / iiJ� f/rESV ��G ` ALT ❑ OR FILL (.......... z .......... Ft.)PRE- REPAIR ❑ INSP3fOVE El POOL t>)��OIJ G: V"�' �� U/l/ NUa[HER OF STORIES NUMBER OF ' DWELLING UNITS NATURE OF WORK TO DE DONE Vn1u4tlon Fee Receipt No. a -±f I•Inn Check No ..................... � 0 BUILDING S�il S'"UV I 5 PROPOSED USE Vv PLUMBING tjW qq ., PLOT PLAN (Indlen[e Hulitling setbacks, abutting streets) HEAT do GAS LINE 0 0 FENCE 9ICN RETAINING WALL -- N I SWIMMING POOL _ DEMOLITION I PRE -MOVE INSPECTION I EXCAVATION OR FILL ��a••7ll TOTAL AMODNT DUE I hereby acknowledge that I have rend this application; that the In- formation given toCorrect; and that I am the owner, or the duly author, Iced agent of the owner. I agree to comply with city Sad state laws regu• ATTENTION APPLICATION APPROVAL le.tlne construction; and In doing the work authorlxed thereby, no person will be employed in Wolntien 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. --"� — shall bo completed In ninety days; MOVED -IN BUILDINGS shall be com• knowledged in apace provided. pleted In six months.) SIGNATURE tOWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT 1 C R'B 6N URE CITY OF t EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee PR 6-1107 6'C TWe Permit Covers week to be done on prlvate property ONLY. 11- an the public domain (curb.• sidewalks, drWewaya, Any e—l11 FILE ,rlxrrn, rl c.l ulll rruulrx sel'urnle permlenlxn e�ed�eelJ�