740143.pdft.. BUILDING DEPARTMENT I Applicant FWZBE
ONE
/fiJ—� NDS PERMITE"
PERMIT APPLICATION Imide Heavy Lines JOB
ADDRESS
NA (OR NAME OF BUBINESB)
/ PEI'M1118'BLE ACTUAL
T COVERAGE LOT COVE`
LO
MAILING ADD 88 Y 00// / �/O
PERNI883HLE IIEIGIIT s P'ROP08LD HEiOHT
ULE
,y I V. -
AL LOT TA -R-1 ftME Olt CONDITIONAL USE
al ADDRESS
1 P RQ.(I N HER w �A n
>�
OCCUPANCY GROUP
P i 6 DE 1' APPA AT
y
CITY
—ITELEPILONE NUMBER
"�
C] YES Ix
THIS
8 REST \V geg- EFICIENCY THIS PROPERTY
EXI9TIN STREET A/\W....
NAME
COMP. PLAN BT. R/ • . f?T• •^• -FT•
Al 6:
❑ NON-RESIDENTIAL
REMARKS Driveway slopes not to exceed Those
M ADDRESS
OF EDMONDS. LOCAL SALES TAX
indicated on Standard Dwg. No. �0
C`eL•j'
KED SY
07 CITY
TELEPHONE NUMBER
t
I
El ADD
RETAINING
MET E SERVIC„IZE C ARA CE CR D DY
U STATE LICENSE NUMBER
CITY LICENSE NUMBER
I / I I
El DEMOLISH WALL
REMA 8
Legal De crlPtlon of Property (Show Below or AttachFour Copies)
�Jr� CGiJsr,�t/err�.✓ P 'fir UpG i97'
EXCAVATE
ALTER ❑ OR FILL FL.)
/yip Go�J
TYPK CONNECTION VERIFIED BY
PRE- VE O swim POOL .........
REPAIR ❑
I
[i
Yy
PERC. TEST PER NU\(HER
GO
DWELLING
REMARKS
47
O
UNITS
W
P'!ftE ZONE I TYPE OF CONSTRUCTION I STREPVT IMPR(
,y I V. -
I IO YES ❑ NO
8 IAL INSPECTOR $EQU'_•_-�l/E
D/
OCCUPANCY GROUP
® RESIDENTIAL
GAB
❑ LINE
C] YES Ix
THIS
SITE IS LOCATED IN THE CITY
PACHEC ED BY
LN
NEW
❑ NON-RESIDENTIAL
� eiGN
�
OF EDMONDS. LOCAL SALES TAX
n y.
El ADD
RETAINING
R ARK
El DEMOLISH WALL
-(/,L3�% /y7
EXCAVATE
ALTER ❑ OR FILL FL.)
/yip Go�J
PRE- VE O swim POOL .........
REPAIR ❑
SGf/J'V<�' Ci LI��
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Receipt Ne.
Plan Check No .....................
Z
BUILDING
PROPOSED USEPLUMBINGPLOT
AVI,,tlnFee
PLAN (Indicate Building setbacks, abutting .treats)HEAT
do CAe LINE7FENCE—�—
SIGN
jJJ
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
I
EXCAVATION OR FILL
I
1
TOTAL AMOUNT DUE
SD .�
I hereby acknowledge that I have read this apDllcatlon; that the In-
formation given Is correct; and that I am the owner, or the duly author-
forma
ized agent of the owner. I agree to comply with city and elate law. mgo-
ATTENTION
APPLICATION APPROVAL
Iallog eone1r 11o.; and ht doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State of Waahloglon
TIDE PERMIT
This application is not a permit until
relating to Workmen'. Canape ... Unit In almon..
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Eieept DEMOLITIONS which
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is Be
ohall be completed In ninety days; MOVED -IN BUILDINGS 11.11 be corn-
knowledged in apace provided.
plated In ala month..)
,
IONATUAE (OWNER OR AGENT)
DATE SIGNED
INSPECTION
1R TOR'S 6NATURE
DEPARTMENT
L-9
CITY OF
DATA -.—E'—
NOTE: Applicant Subject to Pian Check Fee
Pn a-udi
Tine Pecmlt 10v he work to be done on private property ONLY.
Any eenetruetlo. ea the pubU. domaln (,.be, eldeweike, drlvewye,
FILE
mareueca, etc.) will reged" aeparate par aledon.
USE PERMIT
`-- BUILDING DEPARTMENT Appueant FZONE NUMBERFin I/
PERMIT APPLICATION Inside Heavy Lines JOB x, r / / y
ADDRPWB f�(J ✓;"C G I�V •1 •`
f G
NAME (OR NAME OF BUSINESS) PER...... ` AC fUAI J {
COVERAGF� O I.OT COVAAGE
ZF �`ttIAT a/ ,5 n� S --/"-c &-�J
MAILING ADDRESS PROPOSED IIEIG IT .
PERMI881DLE HEiO1IT , / //�
G •� >/ ! �%" � ��� � L T Al, IILDO. AR1.0
TE ON UMBER CITY
ACTUAL LOT AREA
.J , _ } /L
,! • `• j REQUIRED YARDS PROP IYAItDe
FRONT BIDE REAR FRONT BSID—DE REAR j
NAME
LEGAL LOT VARIAN OR CO 1TIONAL US)."
ADDRESS ,I'I.YE ❑ NO �PF�RAH'JI'NUMDER " r •,.,, i ,� I I
CITY
ELEPHONE NUMBER / �' f.I '7 C•�/l .. .Lt- !
p
STREET n
�tV
�EXISTIN4'STAEETR/�Q�.,ir`191'• y'EFICIENCY THIS PROPERTY � f
NAME COMP PLAN ST R/VV5,�kFT.
REMARKa 1i
14 ADDRE86 - --- Drivel':�Vl �lOnes ILO LO IXC@eC 7flose o �,
.+�...1 c,..l •(I (7. t!n - W
•'-ir �.- r; ii - � - CHEC1KED B\1Y
CITY I TELEPHONE NUMBER
LINV �ygy�,y y-,�,`yI I' J y
Z ylVLti CLL E BI I �7 RANGE
$ MET 8 ERV1C SFT C ARA CE ICHECKE DY
STATE LICENSE NUIS
MBER I CITY
REMARKS
Legal Description at Property (Show Below Or Attach Four Copies) _
C,� ,/ may. /'; :' /.!) �!; .•(., .9 l.J:.--/'r 4;-�•.
TYPE CONNECTION VERIFIED 13Yf
O Il
PERC. TEST bl
y4 Wm
REM
4
V
p7
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
.i ... r.. I may._' — 7 / �]•YE9 ❑ NO
SPECIAL INSPECTON,REWWHED OCCUPANCY GROUP
GAS ❑ YES I
RESIDENTIAL LINE PLAN CHEC ED4BY THIS SITE IS LOCATED IN THE CITY
NEW OF EDMONDS. LOCAL SALES TAX
NON-RESIDENTIAL exox 1, `{) '/•- 1 i SHOULD IIE CODED 31.04.
ADD ❑ RETAINING RE— Ot. A�ICB� ~"
WALE. / _
❑ EXCAVDEMOLATE
FENCE �:iI7.^� I'C.: / .1/L r/ !(.1
ALTER ❑ EXCAVATE
OR FILL (.......... x.......... Ft.) /•
REPAIR ❑ PRE-MOVE O SWIM
POOL//• {/_�'' 7/ r'J// .-'% : ,'-� �'Y •S!"C•C.//rJl�f
INSP.
NUMBER OF STORIES I NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE Valuation Fee RecelPt No.
Pian Check No.....................
.RGi t BUILDING
PROPOSED USE PLUMBING
PLOT PLAN (Indtcato Building aetb¢Cke, abutting streets) HEAT & GAS LINE
C FENCE X
SIGN
tRETAINING WALL
N —
SWIMMING Pool-
DEMOLITION
OOLDEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL -
1
TOTAL AMOUNT DUE .•, �r .� ,7 Y /-y
,7 -1-
I hereby acknowledge that I have read this application; that We In• <
formation given Is correct: and that I elm the owner, or the duly author-
Ired agent at the owner. I agree to comply with city and slate laws Mgu- ATTENTION APPLICATION APPROVAL
Jelling construction; and In doing the work authorized thereby, .o Deno.
will be employed In violatlo¢ of We Labor Code of the State of Washington Tins PERMIT This application is not a permit until
mutual; to Workmen's Compensation Innurenon. AUTHORIZES Signed by the Building Official or his Dep.
ONLY THE p and fees are paid, and receipt is Re-
NOTE: Permit Limit One Year (Except DEMOLITIONS which R'ORII NOTED uty'
shall be completed In ninety days; MOVED-IN BUILDINGS shall be win- knowledged In space provided.
plated In .1. mouth,.)
i IGNATU1tE (OWNER OR AGENT) I DATE SIGNED INSPECTION DIRECTOR'S S 6NATUItE ,
DEPARTMENT 1 {�
�
..r CITY OF 1.C, DATE
EDMONDS
NOTE: Applicant Subject to Plan Check Fee PR 0-1107
This Permit coven work to be done an privateproperty ONLY.
Any construction on the public domain tcurbs, sidewalks, driveways, INSPECTOR
marquees, etc.) will ?main separate permission.
1
:I
•-i.
"
/ 'PARCEL B
<
- ----" ALL THAT PORTION OF LOT 4, BLOCK
3, LAKE BALLINGER LAND CO.15 PLAT,\SUB-
DIVISION No. 1, ACCORDING TO THE PLAT
THEREOF RECORDED IN VOLUME 9 OF PLATS, ON
_ PAGES 57 AND 58, RECORDS OF SNOHOMISH
COUNTY, WASHINGTON, TOGETHER WITH THAT POR-
TION OF GOVERNMEAT LOT 5 IN SECTION 32,
T27N, R4E, W.i•1., ALL MORE PARTICULARLY
DESCRIBED AS FOLLOWS: COMMENCING AT THE
NORTHWEST CORNER OF SAID LOTH; THENCE
S 89°45130°E, ALONG THE NORTH LINE OF
SAID LOT 41 138.20 FEET TO THE TRUE POINT
OF BEGINNING OF THE TRACT OF LAND HEREIN
DESCRIBED; THENCE CONTINUING S 89°45'
30"E, 66.78 FEET TO THE NORTHEAST CORNER
OF SAID LOT 4; THENCE CONTINUING
451301IE, 18.02 Fr ET TO AN INTERSECTIO-4
WITH THE WEST 14ARGIN OF THE RIGHT-OF-WAY
CONVEYED TO THE PACIFA C NORTHWEST TRACTION
COMPANY HY INSTRUMENT FILED FOR RECORD
• UNDER AUDITOR'S VILC No. i�3U')b7, REconns
OF I,NOHJMISH COUNTY, WASHINGTON; THENCE S
2°5I
00°W, ALONG SAID WEST MARGIN, 100.10 FEET;
THENCE N 89°4513011W, 23,25 FEET TO AN
' INTERSECTION WITH THE EAST LINE OF SAID
LOT 4; THENCE CONTINUIN.i N 99°4513011W,
' 57.20 FELT; THENCE N 0°14130"E, 100.00
FEET TO.THE TRUE POINT Of BEGINNING.
-
7.
ell, _
w
�s
7�Diy3
RECORD OF INSPECTIONS
Date Passed
3' �g
Foundation
Plumbing (Partial) �7 /
(Rough)7 �F-
S
Fra me
Furnace &Fuel Lines--S�--��-7
Final�L�
1