The URL can be used to link to this page

740158.pdfnA'rU1tM Ue' WUItK '!V .. Dun.I ValuaUon Fee Receipt No. (L�.,(j � Pion Check No ..................... / 0 BUILDING DEPARTMENT Appllalant Fill USE PERMIT ZOO � fJ _ NUMIIEit 7 40 1 58 , I D ADDRESS / �L?� GGl1U✓L imldo heavy Linen PERMIT APPLICATION NAME (OH NAME OF HUSINESW , r^� �= t,.� T'F:ItM Itltl ACT AL / e SAI' COVERAGE. LOT COVERAGE q� I 1 )� n ll f.� S �'7J �/� `` m MAILING ADDR pl ' 0 i z jEE -ll IISSIBLE HF.IUIIT Plisy� ED HEfOH / PE 301 O CITY i ACCl1AL Lor AREA T 'lIA Da. AREf t7 n EU YARDS NAME FRONT NIl)F: HEAR FRONT HID}; REAR FENCE W ADDRESS I. OA .tyf VAit ANCE OR CONDITIONAL U8 NO 'Ithi NUMDF-R RETAINING WALL - . — tlT y:T t O W 'v( EXISTIN .FET MOT ............ 'FICIENCY THIS PROPERTY a W < CITY —BER r" it ,. �, �—/'r •1 NAME 2-} l ' I' S J COMP. PLAN ST. R/W ............FT. ............FT. MMM bi . REMARKS Driveway slopes not to exceed those — C ADDIIIS indicated on Standard-Dwg. No.03 w F PRE -MOVE INSPECTION KE N T 2't+ -'(\'p CHECD Y CITY ON EXCAVATION OR FILL MET ' �. SIZE SERVICE SIZE CLEARANC C1TECjkPD B STATE LICENSE .1111 11 SIRTrLICENSE NUMBER �1 Legal Description of Propsrty (Show 091Wor Attach 1aUr Coplee) CONNNNECTION VERIFIER1 BY I haherebyacknowledge that I have read this application; that the In- /(i, :1:•✓iC /' .r"1'I: �f� � 'e'�� - T (7 formation given !s correct; and that I am the owner, or the duly author- . PERC. TEST PE hii U.iB •R a ATTENTION APPLICATION APPROVAL tering cosalruetlop; cod m doing the work authorised thereby, no parson a1 REMARKS O This application is not a permit until i I I AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Your (Except DEMOLITIONS which FIRE ZONE TYPE OF CONSTRUCTION STREET IMP.RO/VED uty; and fees are paid, and receipt is Be shall be completed In ninety days; MOVED -IN BUILDINGS shall be corn- � YES (LYNO TTT pleled In .is ...the.) l e.; .y( T tl1O�URE(OWN�RO R AGENT) SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP TUItE DI C OA'B SIONA4/1 ❑YES v ---O -• I DEPARTMENT OAS 7C RESIDENTIAL` LINE NEW NON•nEeIDENTIAL SIGN PLAN CHECKE D THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX -QDED 31,04, LD BE ADD WALL NINE ElDEMOLISH R A 8 EXCAVATE FENCE / NOTE: Applicant Subject to Plan Check Fee ert a-uoq ALTER OR FILL (.....................Ft.) This Permit coven work to be done "Privateproperty ONLY. RF.1'Alit ❑ PRE.INSPswim h[OVE O POOL !�f a 7-- r 7�� ,,) ,/� ,�y� J//.00 �C-r rV dlz, S•1 �'r //IO%r��Y�_ , marquee., etc.) will require sepsrste permission. NUMBER OF STORIES N ER OF , UNITS DWELLING / nA'rU1tM Ue' WUItK '!V .. Dun.I ValuaUon Fee Receipt No. (L�.,(j � Pion Check No ..................... BUILDING 66Y„ PH—/TPONEO -as E PLUMHIN6 •, PLOT PLAN Indicate BUllding setbacks, abutting streets) HEAT A GAS LINE ! 0 n � FENCE 9I0N RETAINING WALL N SWIMMING POOL — DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL �1 TOTAL AMOUNT DUE �3 I haherebyacknowledge that I have read this application; that the In- - T W formation given !s correct; and that I am the owner, or the duly author- - Iced agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL tering cosalruetlop; cod m doing the work authorised thereby, no parson will be employed In violation of the Labor Code of the State of Washington TINS PERMIT This application is not a permit until ralattag to Workmen's Compe... It- Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Your (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is Be shall be completed In ninety days; MOVED -IN BUILDINGS shall be corn- knowledged In Space provided. pleled In .is ...the.) T tl1O�URE(OWN�RO R AGENT) DATE 820NED INSPECTION TUItE DI C OA'B SIONA4/1 \ DEPARTMENT OITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee ert a-uoq ——� •I This Permit coven work to be done "Privateproperty ONLY. Any constructian on the DOW. domain (earbs, sidewalks, dAvewa,s, FILE marquee., etc.) will require sepsrste permission. , 0 A R etl irdicatecl nrl Starldat'd C;'ry. Pio, 103 t JIT U7,1 iE K 97 CITY I T PKONE NUMBER Se/-y,G{ �rri�_* _ j.2/ iJ.G. Y-17i."f'rI` U/ i r $ METER SIZE BERVYCD, SIZE CLEARANCE CHECKED BY tl �{'E LICENSE NUD1BEIl CfTY LICENSE NUMSDA •i i I / I % "i' -• % � j - ',io # tu.. ,Gy N.<i .u)I �'` REMARKS _ ) Legal Description of Property (Show Bel' Qr Attach Foul'/Copies) p� �' '�/�'-/i TYPE CONNECTIONVE IIFI� Y {�+ PERC. TEST PERMI 5q UMBER. T � / / I hereby acknowledge that I have reed this application; that the In- NATURE OF WORK TO HE DONE --r . . , � e REMna BUILDING DEPARTMENT Applicant Fill USE �C=S PERMIT ;tom UVUI �j PERMIT APPLICATION I Inside Heavy Lines ion �e ADDRESS SIT ret r1•� �LrrC �< 1 [Or NAME 1011 NAME OF BUSINESS) 1, t" ! � FIRE ZONE TYPE OF CONBTRUC7:ION I PERMISSIBLE % -'i ACTUAL / r' IMPROVED NOTE: Permit Limit One Year (Except DEMOLITIONS which PLUMBING i -I f. LOT COVERAGE LOT COVERAGE 60 SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ',t MAILING ADPRESS PERMISSIBLE HEIGHT ? PRO ED BE[ORT." SIGNATURE (OWNER Oft.AGENT) DATE SIGNED /❑-RESIDENTIAL, OAS c ❑ LINE - DEPARTMENT! ❑ ,NEW •-- .. CITY OF O CITY E ONE UMBER ACTUAL I.OT AREA j TOTAL 8LD0. ARPA i �j / tj CT•/J �;J .7 ,�- 1, y', ^- Of EDMONDS. LOCAL SALES TAX �'" CODED 31.04. ❑.1.DD+ j = ) �'� /JL4 K', •-7 ' REQUIRED YARDS PROPOSED YARDS ❑ WALL ElDEMOLISH1 ;{ir •' _ ' [, 7 /ter/ % (. •j.--�:.. ❑ ALTER EXCAVATE FENCE NAME' , FRONT BIDFy . REAR FRONT_-' SID' R AR � './.L/v'!--,_- / /I. ;/ r'. ././ !_: /'�'J,lJ,I. •_y�'/i%: PRE -MOVE INSPECTION _V RI OR CONDITIONAL LEGAL LOT -; A Be r // /r �_^ �.7 F' _' � ..-••� �,Y£8 / ❑ NO /,'PERM UMHEA L / <PT. APPROY pp � .'.D��• ,.yt / Y - ON N SER �� •- �� f'.. t�. f C'•^ 7� EXIeTINWBTREET R/W ............FT. IDFiFICIENCY THIS PROPERTY NAME /1 l .`.> /' .i -= i COMP. PLAN ST. R/W ............FT. ............FT. F7' (!1'1 levlay ;lOp@_ f10t t0 BXC.PEd those _ 0 A R etl irdicatecl nrl Starldat'd C;'ry. Pio, 103 t JIT U7,1 iE K 97 CITY I T PKONE NUMBER Se/-y,G{ �rri�_* _ j.2/ iJ.G. Y-17i."f'rI` U/ i r $ METER SIZE BERVYCD, SIZE CLEARANCE CHECKED BY tl �{'E LICENSE NUD1BEIl CfTY LICENSE NUMSDA •i i I / I % "i' -• % � j - ',io # tu.. ,Gy N.<i .u)I �'` REMARKS _ ) Legal Description of Property (Show Bel' Qr Attach Foul'/Copies) p� �' '�/�'-/i TYPE CONNECTIONVE IIFI� Y {�+ PERC. TEST PERMI 5q UMBER. T � NUMBER OF STORIES NUMBER OF DWELLING UNITS / / I hereby acknowledge that I have reed this application; that the In- NATURE OF WORK TO HE DONE --r . . , � e REMna s � UU UVUI �j �j APPLICATION APPROVAL [Or RUILDINO c � .i FIRE ZONE TYPE OF CONBTRUC7:ION I BTREET IMPROVED NOTE: Permit Limit One Year (Except DEMOLITIONS which PLUMBING I [3 YES eNO ) r / � � ) •. /.• ,,;.,/'!� SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ',t YES I SIGNATURE (OWNER Oft.AGENT) DATE SIGNED /❑-RESIDENTIAL, OAS c ❑ LINE PLAN. CHECKED DY,' DEPARTMENT! ❑ ,NEW •-- .. CITY OF rr THIS SITE IS LOCATED IN THE CITY t -. `❑--NON-RESIDENTIAL SIGN ❑'•'f'i'•''' ,�- 1, y', ^- Of EDMONDS. LOCAL SALES TAX �'" CODED 31.04. ❑.1.DD+ RETAINING .' SHOULD BE REMARKS ❑ WALL ElDEMOLISH1 ;{ir •' _ ' [, 7 /ter/ % (. •j.--�:.. ❑ ALTER EXCAVATE FENCE ,, :'%'j! I-'"; ��••' /u,.. ;, �: J `. '�1. ❑ OR FILL ❑ (......... .x .......... Ft.) ❑ REPAIR F_1INSPMOVE ❑ swim POOL './.L/v'!--,_- / /I. ;/ r'. ././ !_: /'�'J,lJ,I. •_y�'/i%: NUMBER OF STORIES NUMBER OF DWELLING UNITS / / I hereby acknowledge that I have reed this application; that the In- NATURE OF WORK TO HE DONE --r . . , Pian Check Nn ..................... Valuation Fee Receipt No. ,zedagent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL [Or RUILDINO T� This application is not a permit until relating to Workmen's Compensation Insurance. Y PROPOSED USE •yXJ signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which PLUMBING uty; and fees are paid, and receipt Is ac - .hall be completed la ninety days; MOVED -IN BUILDINGS shall be corn" knowledged in apace provided. a PLOT PLAN (Indicate Building Setbacks, abutting streets) 5 � N HEAT k GAS LINE SIGNATURE (OWNER Oft.AGENT) DATE SIGNED INSPECTION DIRE OR's SIGNATURE ' T— FENCE DEPARTMENT! .. ,, ., ..: _ .:: •.. • CITY OF SIGN DATE EDMONDS NOTE: Applicant Subject to Plan Check Fee Pit 6.1107 RETAINING WALL This Permit coven work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, SWIMMING POOL nmrti.m., etc.) wW require .,pante parniWon. DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have reed this application; that the In- formation given Is correct; and that I am the owner, or the duly author. ,zedagent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL Intln I construction; and In doing the work authorized thereby, no person will be employed 1. vlolntloa of the Labor Code of the State of Washington TRIS 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 - .hall be completed la ninety days; MOVED -IN BUILDINGS shall be corn" knowledged in apace provided. pleted In stx menthe.) SIGNATURE (OWNER Oft.AGENT) DATE SIGNED INSPECTION DIRE OR's SIGNATURE ' T— - ''', .: ' DEPARTMENT! .. ,, ., ..: _ .:: •.. • CITY OF DATE EDMONDS NOTE: Applicant Subject to Plan Check Fee Pit 6.1107 1 %/ ! This Permit coven work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, INSPECTOR nmrti.m., etc.) wW require .,pante parniWon. 7.. ....... ov— s Y _.pi �L THATPORTION OF LOT 4, BLOCK 3, LAKEBALLINGER LAND CO.'S PLAT, SUB—..r O THE PLAT THEREOF RECORDED IN VOLUME 9 OF PLATS, ON DIVISION N0. 1, ACCORDING T PAGES 57 AND 58, RECORDS OF SNOHOMISH COUNTY, WASHINGTON, ALOLGETRERPAlTH THA POR TION OF GOVERNMENT LOT 5 IN SECTION 32, T27N, R4E, DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID LOT 4j THENCE X S B9 °45`30" E, ALONG THE NORTH LINE OF SAID LOT 4, 138.20 FEET TO THE TRUE POINT OF BEGINNING OF THE TRACT OF LAND HEREIN DESCRIBED; THENCE CONTINUING $ 89°45' 30"E, 66,7$ FEET TO THE NORTHEAST CORNER OF SAID LOT 4, THENCE CONTINUING $ $9° 45130°E, 18.22 FEET TO AN INTERSECTION WITH THE WEST MARGIN OF THE RIGHT—OF—WAY y By INSTRUMENT FILED RECORD CONVEYEUDITOR'S FALEFNO N23O959STRECORDSTRACTION OFCSNOHOMISH COUNTY, WASHINGTTON;RTHENCE $ 2°51'�.,v;;;>. UNDER A 23.25 FEET TO AN OO"W, ALONG SAID WEST MARGIN, 100.10 FEET; THENCE N $9°45'30"W, INTERSECTION WITH THE EAST LINE OF SAID LOT 4, THENCE CONTINUING N $9°45'30"W, 00 FEET TojTHE TRUE POINT OF BEGINNING. 57.20 FEET; THENCE N 0e 14t 30n E, 00• --7yais8 RECORD OF INSPECTIONS Date Passed Foundation-� Plumbing (Partial) (Rough) S Frame Furnace &Fuel Lines i Final tl E