740170.pdf,✓`
BUILDING DEPARTMENT
Applicant Fill
°NE C NUMBER 740170
PERMISSIBLE HEIGHT PROPOSED HEIGHT
PERMIT APPLICATION
1W(do Heavy Llneg
JOB
NONRESIDENTIAL
—
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TD O H
NAME (OR NAME OF BUSINESS)
ADDRESSfir_ Q{
RETAINING
WALL
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PERMISSIBLE
LOT COVERAGE
ACTUAL r
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I A O ADDRESS
FII.L (A
LOT CO
AOE
X A/ 0 Y t. K W (NtfoAJ e L L-6-17QL-6-17t4 '[ z3^
$�
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—2,38* F T . 'Til s . 66 oY -oo
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w F -r4 :SO --3F ILE ZZ2•os
o To s 6 co a 6,F
lt S
a e 3.21^ F- '19
To
NEW
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PERMISSIBLE HEIGHT PROPOSED HEIGHT
C
I
TYPE CONNECTION
Q
NONRESIDENTIAL
—
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TD O H
ACTUAL OT AREA TOTAL AREA
DEMOLISH
RETAINING
WALL
El
AJ
�T
/
REQUIRED
TYPE OF CONSTRUCTION STREET IMPROVED
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YARDS
REQUIRED YARDS YARDS
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FII.L (A
NAME
A..........Ft.)
FRONT SIDE REAR FRONT SIDE REAR
REPAIR
OCCUPANCY GROUP
--MOVE
0 YES �b 0
y
ADDRESS
LEGAL LOT VARIANCE OR
INHP.
El
II
(UMBER ON STORIES
F
REMARKS
P'A/ urs
Gya�c S/cP,�cs aN�y
CONDITIONAL USE
YES NO 7 11 IIT NUMBER /VQ
❑
RETAINING WALL
DWELLING
t
N
D S
UNITS
SWIMMING POOL
CITY
TELEPHONE NUMBER
INO - P A --
DEMOLITION
4
PRE -MOVE INSPECTION
TRE /tV
EXCAVATION OR FILL
EX79 O STREET R/W ,...........FT. DEF[CSENCY THI9 PROP TY
�'�
-
fnrmntlon given Is ...feet; and that I am the owner, or the duly aulhor.
NAME
Ind agent the owner. I agree to amply with city and stale laws rN•
walla( Coaslrtr m vcllov; end doing the work wthorlxed thereby, n0 DelIOR
ATTENTION
APPLICATION APPROVAL/
will oe employed In vlolatlon of the labor Cod. of the State of Washington
relating to Workmen'. Compensation Insunaae.
THIS PERMIT
COMP. PLAN ST. R/W FT. ............FT.
p7
�
signed by the Building Official or his Dep-
whlnh
eh II
WORK NOTED
uty; and fees are paid, and receipt Is ac -
ADMAIUCB
In Space prOVlded.
T RE) DATE SIGNED
C7
ADDRESS
VDEPARTMENT
I
PITY OF
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
DATE
X
PR g-1101
�•
Any lonslnetl.n en the 1,1111 dnmsln (eurhs, sidewalks, driveways,
(c
CHECKED BY
Flf.i;
F
C TY
TELEr4uNE NUMBER
z
�
V
8T E LICENSE NUMBER
CITY LICENSE NUMBER
METER SIZE
SERVICE SIZE
CLEARANCE
CHECKED BY
I
I
I
al
X A/ 0 Y t. K W (NtfoAJ e L L-6-17QL-6-17t4 '[ z3^
$�
M
—2,38* F T . 'Til s . 66 oY -oo
l6Tf{ , 5l 'FC• T{-1 N 2 3 � s-) ob
w F -r4 :SO --3F ILE ZZ2•os
o To s 6 co a 6,F
lt S
a e 3.21^ F- '19
To
REMARKS
NEW
u RESIDENTIAL
❑
LINE
II
TYPE CONNECTION
NONRESIDENTIAL
—
BION
ADD
DEMOLISH
RETAINING
WALL
El
ALTER
OR
TYPE OF CONSTRUCTION STREET IMPROVED
dI]
'�rNO
❑
FII.L (A
HEAT @ GAS LINE
A..........Ft.)
REPAIR
OCCUPANCY GROUP
--MOVE
0 YES �b 0
SWIM
I �� Z
❑
INHP.
El
POOL
(UMBER ON STORIES
NUMBER OF
REMARKS
P'A/ urs
Gya�c S/cP,�cs aN�y
RETAINING WALL
DWELLING
t
N
UNITS
REMARKS
!
II
TYPE CONNECTION
VERIFIED BY
—
PERC, TEST
PERMIT NUMBER
REMARKS
m j
PLUMBING
FIREZ0�[Tv
TYPE OF CONSTRUCTION STREET IMPROVED
dI]
'�rNO
PLOT PLAN (Indl.¢te Building eltba.ke, ebutling at ... te)
HEAT @ GAS LINE
YES
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
I.
0 YES �b 0
I �� Z
PLAN CHECKE DY
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHO 11 D BE CODED 31 D4
SIGN
REMARKS
P'A/ urs
Gya�c S/cP,�cs aN�y
RETAINING WALL
i
t
N
Man Check No.... .................
O
—
BUILDING
PROPOSED UBE
PLUMBING
PLOT PLAN (Indl.¢te Building eltba.ke, ebutling at ... te)
HEAT @ GAS LINE
5
O
FENCE
SIGN
RETAINING WALL
�C/
t
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DILE
I her<Dy acknowledge that I have read this application; that the fn
-
fnrmntlon given Is ...feet; and that I am the owner, or the duly aulhor.
Ind agent the owner. I agree to amply with city and stale laws rN•
walla( Coaslrtr m vcllov; end doing the work wthorlxed thereby, n0 DelIOR
ATTENTION
APPLICATION APPROVAL/
will oe employed In vlolatlon of the labor Cod. of the State of Washington
relating to Workmen'. Compensation Insunaae.
THIS PERMIT
This application 19 not 8 permit until
One Year (Except DEMOLITION8
TEt P&Aj.�NT
ONLY THE
signed by the Building Official or his Dep-
whlnh
eh II
WORK NOTED
uty; and fees are paid, and receipt Is ac -
a y days, MOVED -IN BUILDINGS shall be com•knOWl¢dged
M e n alxO
In Space prOVlded.
T RE) DATE SIGNED
INSPECTION
DIRECT 's etON U
VDEPARTMENT
91
PITY OF
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
DATE
This Permit coven work to be done private property ONLY.
PR g-1101
1
Any lonslnetl.n en the 1,1111 dnmsln (eurhs, sidewalks, driveways,
(c
,rnurr.�, rte.) �,lll s.pvatr Perml•sl on.
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