740174.pdf1
BUILDING DEPARTMENT I AppntF7ll
SSE PE BIT 740174
Wm
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
Fdnwwnnd Ra¢tict Chllr-h
MAILING ADDRESS
o mans — 76th weg+ .n laslG..R,.uee.e
Legal Description or Property trona —ow or Atmen b'our UOpinl
F. 280.0 ft of the s 217.0 ft of the s
O
� I/4, roe I/4 of section 19 township 27,
h
w range 4 east except a 30 ft for road
O
e and the east 200.0 ft of tract 1 $ 2
0
G
ADDRESS 20406 - 76th Avenue West
PERMISSIBLE AUTUAL
LOT COVERAGE. LOT COVERAGE
PERMISSIBLE HEIGHT PROPOSED HEIGHT
ACTUAL LOT AREA TOTAL BLDG, AREA
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
LEGALLOT VARIANCE OR CONDITIONAL USE
.a n NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET RIW
EXISTING STREET R/W ............FT.
COMP. PLAN ST. ^ 1W ............FT.
REMARKS
Li RESIDENTIAL
CHECKED BY
NEW
I SERVICE SIZE I CLEARANCE
CHECKED BY
REMARKS
LINE
TYPE CONNECTION
SeDtiC
I VERIFIED BY
PERC. TEST
NON-RESIDENTIAL
❑
SIGN
ADD
®
DEMOLISH
❑
RETAINING
ALTER
E
E]
P'ENCx
❑
ORFILL
.......... Ft.)
REPAIR
❑
INSP.-MOVE
POOL
IUaIHER OF STORIES
NUMBER OF
DWELLING
UNITS
G
ADDRESS 20406 - 76th Avenue West
PERMISSIBLE AUTUAL
LOT COVERAGE. LOT COVERAGE
PERMISSIBLE HEIGHT PROPOSED HEIGHT
ACTUAL LOT AREA TOTAL BLDG, AREA
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
LEGALLOT VARIANCE OR CONDITIONAL USE
.a n NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET RIW
EXISTING STREET R/W ............FT.
COMP. PLAN ST. ^ 1W ............FT.
REMARKS
DEFICIENCY THIS PROPERTY
............FT.
CHECKED BY
METER SIZE
I SERVICE SIZE I CLEARANCE
CHECKED BY
REMARKS
TYPE CONNECTION
SeDtiC
I VERIFIED BY
PERC. TEST
PERMIT NUMBER
REMARKS
r� xrr, vr' wNai'nuL-a'avar
SPECIAL INSPECTOR REQUIRED IOCC
n YES n NO
STREET IMPROVED
El YES E3 NO
3
Valuation I Fce - I Receipt Na.
_ .e„v, ,.�„ ��..�. ..—. ......-'• Plan Check No .....................
x
[0 BUILDING
4 PROPOSED USE
PLUMBING
U
aPLOT PLAN (Indicate BUIICin6 setback., abutting streets) HEAT A GAS LINE
h
0
FENCE
SIGN
RETAINING WALL !
N
1 SWIMMING POOL
DEMOLITION 2.00
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE a ^ V 177s --
,I
7 s
I hereby acknowledge that I have read title application; that the 1n. Wt� /
formation m given le correct; and that I athe owner, or the duty author.
Iced agent of the owner. I agree to comply with city and state law. ngu. ATTENTION APPLICATION APPROVAL
laths construction; and to doles the work authorized tbereby, no person
Will be employed In ululation of the Labor Coda of the elate of Wmhmgton THIS PERMIT This application Is not a permit until
relating to Workmen's Compansatlon 1o■urance. AUTHORIZER
ONLY TILE signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (E.capt DEMOLITIONS Which WORK NOTED uty; and fees are paid, and receipt Is ac -
shall be completed In alnety days MOVED -IN BUILDINGS ■hall be cont- knowledged In space provided.
plated In six months.)
Sl AT E (OWNER OR ENT) DA E SIGNED INSPECTION DIRE R'a BION URE
A
DEPARTMENT '
t I ..7 e
CITY OF
ED 40NDS DATE
NOTE: Applicant Subject to Plan Check Fee `—
PR a-3307
This Permit coven work to be done on private property ONLY.
A" cemstructlon on the pobtlo domala (curbs, sidewalks. drlveway.,
morauees, etc.) Will Monro separate weninlm.
II
TYPE CON
IFIED BY
I hereby acknowledge that I have read this application; that the In•
O
I/'', ne 1/,l of ;action 14 tormshlp ?7,
Sapti U
-PERC.
formation given le correct; and that I am We owner, or the duly author,
PLUMBING
TES
VLILrr
I y.
ron•';(J ,asr except e 30 ft for road
ATTENTION
M
W
REMARKS
m
4
and the ae)st 2oo.0 ft cf traci I S 2
THUS PERMIT
�-
BUILDING DEPARTMENT
Appllcant PYII
°NE PERMIT 401 t
/i
I
ONLY THE
WORK NOTED
�
shall be completed In ninety days; MOVED -IN BUILDINGS shell be cum•
0 YES ❑ NO
PEIIIWIY APPLICATION
I Inside Heavy Lines
]OB
GAS
RESIDENTIAL ❑ LINE
❑PLANYES
,
NEW
CHECKEIO YO
THIS SITE t5 LOCATED IN THE CITY
NON-RESIDENTIAL eiax
NAME (OR NAME OF BUSINESS)
OF EDMONDS. CAL SALES TAX
31.04,
ADDRESS
2l!'1oiJ 1(�t ll %�VantJU �ii(3.`.vt
REMARKS
SHOULD OE CODEDLO
DEMOLISH WALL
Ej
FENCE
ALTER EXCAVATE ❑
DATE
•- I
C:eultist Churr.h
FILL ...........Ft.)
❑ OR FILL
PF,RAl1tl81BLE ^ ACTUAL
LOT COVERAGES LOT COVAAGE
This Permit coven work to be done on private property ONLY.
SVnM
REPAIR ❑ PRE-INSP. O POOL
.�
�
NUMBER OF STORIES NUMBER OF
INSPECTOR
mar0utes, etc.) wW teem,. separate perminlon.
cdca(:ood
MAILI O ADDRESS
PERMISSIBLE FIEI611T PROPOSED HEIGHT
UNITS
C
+
!
O
20.100 - 75th Wost
CITY
P O NUMBER
Plan Check No
ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS YIIOPOSED YARDS
NAME
FRONT HIDE REAR FRONT SIDE
REAR
y
LEGAL LOT VARIANCE OR CONDITIONAL USP.
M ADDRESS YEs [3 NO PERMIT NUMBER
�mPLANNING DEPT. APPROVAL DATE:
CITY TE P ONE NUMBER
STREET R/{V
-' F.XISTIN6 STREET R/W ............FT. DEFICIENCY TI718 PROPERTY
NAME
. .. COMP. PLAN 8T. R/W ............F7'. ............FT.
REMARKB
r�
C
E. ) ft Of 11 -lie. 217.0 ft of i -he se
TYPE CON
IFIED BY
I hereby acknowledge that I have read this application; that the In•
O
I/'', ne 1/,l of ;action 14 tormshlp ?7,
Sapti U
-PERC.
formation given le correct; and that I am We owner, or the duly author,
PLUMBING
TES
VLILrr
I y.
ron•';(J ,asr except e 30 ft for road
ATTENTION
M
W
REMARKS
m
4
and the ae)st 2oo.0 ft cf traci I S 2
THUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insur,ace.
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
111ra,r' Iia 1,ardgrs Div_ 1.
/i
I
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt IS ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shell be cum•
0 YES ❑ NO
knowledged In space provided.
SPECIAL INSPECTOR REQUIRED
GROUP
GAS
RESIDENTIAL ❑ LINE
❑PLANYES
IOCCUPANCY
NEW
CHECKEIO YO
THIS SITE t5 LOCATED IN THE CITY
NON-RESIDENTIAL eiax
DEPARTMENT
OF EDMONDS. CAL SALES TAX
31.04,
DADD RETAINING
REMARKS
SHOULD OE CODEDLO
DEMOLISH WALL
Ej
FENCE
ALTER EXCAVATE ❑
DATE
NOTE: Applicant Subject to Plan Check Fee
FILL ...........Ft.)
❑ OR FILL
�11 I (
This Permit coven work to be done on private property ONLY.
SVnM
REPAIR ❑ PRE-INSP. O POOL
Any construction an the public domain (curbs, sidewalks, driveways,
NUMBER OF STORIES NUMBER OF
INSPECTOR
mar0utes, etc.) wW teem,. separate perminlon.
DWELLING
I
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee Receipt No.
tomo 1 i sh, non-hab i tab I e ri'J I I I nc; -
Plan Check No
Z
1
TOTAL AMOUNT DUE
BUILDING
I hereby acknowledge that I have read this application; that the In•
4 PROPOSED USE f}
O
formation given le correct; and that I am We owner, or the duly author,
PLUMBING
-�
I.. agent of the owner. I agree to comply with city and state lawn regu-
ATTENTION
Q PLOT PLAN (Indicate Building eetbaeks, abutting streets)
b
N
HEAT A GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
be employed In Violation of the Labor Code of the Stale of Washington
THUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insur,ace.
AUTHORIZER
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 be completed In ninety days; MOVED -IN BUILDINGS shell be cum•
knowledged In space provided.
pitted In six month..)
1
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In•
V
formation given le correct; and that I am We owner, or the duly author,
-�
I.. agent of the owner. I agree to comply with city and state lawn regu-
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no personwill
be employed In Violation of the Labor Code of the Stale of Washington
THUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insur,ace.
AUTHORIZER
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 be completed In ninety days; MOVED -IN BUILDINGS shell be cum•
knowledged In space provided.
pitted In six month..)
SIGNATUREOR AGENT) ,.
DATE 810NED
INSPECTION
➢IRECTOR'S tl10NATURE
,:(OWNER
DEPARTMENT
CITY OF
EDMONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
FR 0.1107
�11 I (
This Permit coven work to be done on private property ONLY.
Any construction an the public domain (curbs, sidewalks, driveways,
INSPECTOR
mar0utes, etc.) wW teem,. separate perminlon.
1
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RECORD OFINSPECIONS
Date'Passed
Foundation
Plumbing (Partial)
(Rough)
Frame r
,;Furnace & Fuel Lines
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Final(
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