740152.pdf1 � )
•`.--..
USE/ /�PERMIT rl� jam.,
._ 1 0 152
ZONE NUMBER
BUILDING DEPARTMENT ApplieantFBI
.J Y
PERMIT APPLICATION I Inside Heavy I IReg
IDB
ADDRESS _ Y./
_77
NAME (OR NAME OF BUSINESS)
&L&
/ a p( W(,aG. / ' (l/fi(,4'
'
I
A MCConnachie
PEItMI881BLE o i 1^0 T COV AA OE
LOTcovElteae 3S /
1
_
MAILING Dnase
PERhSlddiBLE HEIGHT YliIIEIOHT
Yom—
c
I
O
539 Main Street
c �/1 1i-i1�i tl
�
ACTUAL LOT AREA TOTAL
LPIS
CITY
% N NUMBER
ZZ?
•.
BEZf
YARDS- REQUIRED AItUB
NAME
FRONT SIDE REAR FRONT HIDE REAR
aS� �`� '��C.?""A
p
V
y
Fb
R. Hamilton Johnson
ADDRESS
LEGA LOT VAItIA jC Olt 110— ...
i 0 NO PER IT NUMBER
'
2231 I - 95th Place W
L ING DEP AP Ito A DATE:
CITY
ONE NUMBER
'"
778-684
J.,/'�
EXI�Br 6 STREET R/0 T.—,.C...NCY THIS PROPERTY
!
NAME
COMP. PLAN ST. R/�V;��.-...FT. ...... T•
A. McConnachie
R�I� Driveway slopes not to exceed those
0
m
ga•
ADC
...
a Standard nvo No 103
w
CHFC Y
`6
CITY
PHONE NUMBER,
N
I
8
MET H1ZE SERVICE 812E
y
CLEARANCE
CH D
STATE LICENSE NUMBER
CITY CENSE NUMBER
I /(I
I
w
I
F�
R
Logal Deacilptlan 0I Property, (Show Below or Attach Hour Copies)
/ ����71 �j�•—Q / �/ /
Lot #4 - Higgins Add. Div. #1
TYPE CONNECTION
TE1R[1F ` Y
I
PERO. TEST
P ERMQNUNIBER
y.
q
REMARKS
m
I'
I !
I
Wco
o
FIRE ZONE TYPE OF CONSTRUCTION 8T1(E •T IMPROVED
n
ES EJ Na
BP CIAL INSPECTOR RE UIRED
OCCUPANCY GROUP
❑ YES
•�
I
OA8
EkRESIDENTIALLINE
New
E]
�Jj
PLAN CH EC D THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
NON-RESIDENTIAL Sloth
SH
ADD RETAINING
DEMOLISH WALL
/ e. 19FId
G--rs J A -Z
ALTER ❑ ORFILL
EXCAVATE FEN ..........Ft.)PRE-
/ /,_�
v
REPAIR ❑ NSPMswi
OVE ❑ POOL
,p n
' /J (/T /✓
NUMBER OF STORIES NUMBER OF
DWELLING
2 UNITS i
NATURE OF WORK TO HE DONE
Valuation
Fee Rec.1pt No.
New Residence
Plan Check No .....................
BUILDING
S �( %
.(V�/
70,
`U WI
!i
PROPOSED USE
PLUMBING
V
HEAT A OAS LINE
P
Y
I I
l3
a
PLOT PLAN (Indicate Building setback., abutting streets)
O
FENCE
{ 1
BION
tRETAINING
WALL
IN
SWIMMING POOL
DEMOLITION
-
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
frQU �.7
I Hereby acknowledge that I have rand U11. application; that the In-
U �r •!
formation m given Is correct; and that I athe owner, or the duly author-
Ized agent of the owner. I agree to comply with ally and elate law' ng.•
ATTENTION
APPLICATION APPROVAL
I.ting eltructlon; and m doing the work authorized thereby, no Dana.
will ba employed In violation or the Labor Code of the Stale of Washington
THIS PERMIT
This application is not a permit until
mure
relating to Work.-'. compensation Inos.
AUTRORIZSigned
by the Building Official or his Dep -
NOTE: Permit Limit One Year (E ... Pt DEMOLITIONS which
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is ac-
she.11 be completed in nl.aty day.; MOVED -IN BUILDINGS shall be com.
knowledged In space provided.
Pleted In six month..)
SIGNATURE (OWNER O GENT) DATE JOINED
INSPECTION
DEPARTMENT
2 G 'S BI NATU tE
3 -aa -7
CITY OF
EDMONDS
DAT"
----..
NOTE: Applicant Subject to Plan Check Tee
PR .•1107
_
This Permit co work to be done on private property ONLY.
Any conslroetLou on the public domain leorbe,sidewalks, driveways,
FILE
nmryucce, ate.) willrepalm separate permission.
��� cy3�J ti o°� wlroQ
Li
rb "6-10
'01 �Yoo DRQ
PA
� Irn
' m i
I
nom ✓ Z Z ® I
�
I
Z.1
CMZ
Iq
CA
o
o
I C)
a
a
N
f
o
v
co
-4
z
�1
z
230, 3J
•
�
l
ai
Ul
m
i
v
@* �,
o
7 nl�ti�
m
c
I
Z.1
Iq
CA
o
rn
�
a
01
USE f PERMIT
ZONE NUMBER
BUILD(
G DEPARTMENT Appll°antFill
PERM(
APPLICATION Im7de xeavy LIB°°
JOB
ADDRESS '
NAME
(OR
AHE OF BUSINESS)
pERMidtlIBLE v ACTUA�y"
LOT COVERAOF 'O� IAT C0.;VLGE
- PROP 8ED HEIGHT
MAILING
DRESS
YERDIIdd16LE IIEIGIIT
O
)t;
3 i n iii-('i�� TA PBONE UMBER
ACTUAL O AREA TOTALBLDG. A A
r�5
CITY)
- i11f1
i �':;iShl n^.'IC)rl%1�-n
llr�•
�—I.�
x EOV (FED YARDS PROPOdF.D YARUB
REAR FRONT SIDE REAR
NAME
_'
FRONT SIDE
,.y
fI�{rii
I't on Johnson
LEOAL.LOT VARIANCE OR CONDITIONAL UBH
ADDRESS
g yEa NO /� PERI)lIT�NUMBER
.F�
U
ii J I I
- (15Th r I dCt: ail
LA ING DEP . AP RO AL r�' UATE: 7/ -
1 ! !
-
CITY
T PHONE NUMBER
-7-7
'r
1TREET 111 if- / v j
EXIBTIPr6 R/,�WJ ..:�.��• J. �EFtCIIsNCY THIS PROPERTY
(i(IllJtl
(�$ i'ik3 `_:h I fIC''t'C)n
�3,-C 34 I
STREET
NAME-
COMP. PLAN ST. R!n 1':1.�FT. L.�......FT. M
0. A
;AcConnochle
REMARKS Ftr+_vewaV (: L('r; i(::.. 110-t 'i"O -:ir/C CCi ti Ic'sC x
ADDRE88
W
;nr r0-tt•r:1l• m tarda d,D;ur• 'Gn.'10'. I
r�
'
CHFy1CIy(EI) Y
CITY
TELEPHONE NUMBER
I
I 1
z
I
METER SIZE SERVICE SIZE
CLEARANCE
CHEC14ED
o
V
STATE LICENSE
NUMBER
I CITY LICENSE NUMBER1
5111.11
l.i
I
I 1 iii•^_ ,l i '
REMARKS
l /
Legal De.eflDtlon
of Property (Show Below OF—Attach Four CODIee)�/�
L/
L C,�,S i�.,'/� 1,/✓� ,!/p,, .//Gl f��..`_' �!/,./,+. �J,C.
LOT
!'4 - Hlogins Add. Oiv- fl
TYPE CONNECTION
I/FTD.8
rl
z
it
1,�
p
F
S
PER B
ER
0.'-
CS
'!
,
W
j 1
n
W
A
RE
A
m
1
�
I,
FIRE ZONE TYPE
OF CONSTRUCTION STREET ID3PROVEU
SPECIAL INSPECTOR
REQUIRED
GROUP
(OCCUPANCY
I
/`RESIDENTIAL ❑ LINE
❑PLANS CHECK n nYo THIS
SITE 15 LOCATED IN THE CITY
❑. NEW
OF EDMONDS. LOCAL SALES TAX
,
NON-RESIDENTIAL SIGN
- �_ 'i; H ULD BE CODED 31.04.
❑ ADD
RETAINING
WALL
El
R ARX9) /
DEMOLISH
FENCE
f .,./
/ /1/1-,
/• / . , '!• -1 / / •'1- '
❑ A
ER ❑EXCAVATE
OR FILL G........3..........Ft.)
RkjPAIR
ElI
PRE-MOVE
ElINSP. O POOL
NUMBER
OF STORIES NUMBER OF
j
DWELLING
I
UNITS
NATURE
OS WORK TO BE DONE
Valuation
Fac Receipt No.
'.
,:. . ...
Plnn Check No.. ...................
ZO.
BUILDING V
PROPOS
D USE
PLUMBING
- '!
PLOT P>{AN
(Intllcnte Building Setbacks, abutting Streets)
HEAT A GAS LINE
O
J
FENCE
i
SIGN
RETAINING WALL
N
-
SWIMMING POOL
DEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL
I hereby
TOTAL AMOUNT DUE
acknowledge that I have read this application; that the In-
1
form.tlonl
given Is correct; and that I am the owner, or the duly author- •'
f the owner. I agree to comply with city and state laws rsgu- ATTENTION APPLICATION APPROVAL
TE
Ised agesyy
I.U.Ir catlstraction;
and In doing the work authorised thereby, no person
In violation of the Labor Code of the State of Washmglon THIS PERMIT This application is not a permit until
will be*
relating t
ployed
Workmen's Compensation Insurance.
AUTHORIZES Signed by the Building Official Or his
NOTE:
t is ac-
, and receipt TIUtJ/; and tees are paid,
Permit Limit One Year (Except DEMOLITIONS which 110NLY NOTED p
.hall beclompleted
fn .."y days; MOVED-IN BUILDINGS shall be coon- knowledged in space provided.
pleted In
d1GNATU,
Pix months.)
.OF, AGENT) -,
E (OWN, ER
DATE SIGNED
INSPECTION DI C OR'S d10NATU�E
/ DEPARTMENT 1
-
CITY OF D>
EDMONDS AT
OTE: Applicant Subject to Plan Check Fee
41
PR 6.1107oa
ThI.Jpe
H coven work to be done on Drlvate property ONLY.
the damaln (curbs, sidewalks, drlvewaye,
INSPECTOR
Any rnnetructloa
on pabU.
marpuus, Ste.) wILL reyWre eeDanta perWsslm.
I�IIR✓�®la
w _ _ _ _ _ Ial�® �let�laal�a�
K
1
M x
.
'es . '.R44R t "M♦ '
I
h
-'
,
,
t
,
t
V
_
`
`7yo i5z
RECORD OF INSPECTIONS
Y
Date Passed
__
�{-2 - ��i �✓
Foundation
Plumbing (Partial)
(Rough)
>Frame ��� Si—
�r•
'Furnace & Fuel Lines-
inesFinal
Final
K
1
I
I .
,
,
t
V
_
`
`7yo i5z
RECORD OF INSPECTIONS
Date Passed
__
�{-2 - ��i �✓
Foundation
Plumbing (Partial)
(Rough)
>Frame ��� Si—
�r•
'Furnace & Fuel Lines-
inesFinal
Final
K
1