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740182.pdfK4 � UrLe — 1%.1 1Ly) Plan Check No.. AI N yADDRES PERMISSIBLE HEIGHT. i,i3OPOBED HEIGHT o`TO r CITY ONE U Hg:R ACTUAL LOT AREA 1RED TADB R'Q It TOTAL DLDO. AREA 7-ZYA PPOtlEU YAR . RO X M V BUILDING DEPARTMENT APpllcant MU PERMIT APPLICATION InBide Heavy Linea °� �S — NUMBER 740182 O j CITY I.EPHONE NUMBER ADDRESS A /� BEET /W EXIST O STREET R/W ............FT. NAME loft NAME 08 BUSINESS) F,9 \AI�iY/1 `1 I rl�� 7 l'I/l V Via �t� PERMISSIBLE •� LOT COV ERAGE AGTUAL LOT COVESYAOE (�ry K4 � UrLe — 1%.1 1Ly) Plan Check No.. AI N yADDRES PERMISSIBLE HEIGHT. i,i3OPOBED HEIGHT o`TO PROPOSED USE CITY ONE U Hg:R ACTUAL LOT AREA 1RED TADB R'Q It TOTAL DLDO. AREA 7-ZYA PPOtlEU YAR . RO X M V t, r I 1 NAME FRONT SIDW REAR FRONT RIDE REAR • y %1'� ADDRESS LE LOT VARIANCE OR CONDITIONAL U8 E8 NO PERMIT NUMBER PLA 6 DEPT.• P DATE: CITY I.EPHONE NUMBER BEET /W EXIST O STREET R/W ............FT. E7ENCY THIS PROPERTY tRETAINING WALL NAME t N COMP. PLAN ST. R/W ............FT. ............F7'. W � DEMOLITION REMARKS (� R ADDRESS I "Ly EXCAVATION OR FILL CHECKED BY C W CITY TELEPHONE NUMBER E I a — / % l4 METER BILE SERVICE SIZE CLEARANCE BY 8 7 Q� STATE LICENSE NUMBER 4�yyCITY CEN E NUMBER o�REMARKS Legal Deecrlptlon Of Property (Show Halow or Atlaeh Sour Copies) ICt I I 07 I�Ia C �+ �O„_� formation given Is correct: and that I sum the owner, or the dull author• TYPE CONNECTION VERIFIED DY APPLICATION APPROVAL ,111 be employed In violation Of the Labor Cade of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen'a Compensation Insurance. AUTHORIZES ONLY THE NOTE: Permit Limit One Year (Except DEMOIdTIONB whlch WORK NOTED aigned by the Building Official or his Dep - Uty; and fees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN HDILDINGS .hall be corn- knowledged in space provided, pitted 1n six months.) {�+ IR C O BION TUR PERO, TEST PERMIT NU 'R C 5 i � ED NDS NOTE: APPllcant Subject to Plan Cbrck Fre— PR d-1107 Tms Permit coven work to be done on private property ONLY. Any rnnslruellop as the public domain (.,.be, aldewalks, driveways, marquees, etc.) wW require separate permisslon. FILE m - (:7 REMARKS O W .7 FIRE ZONE TYPE OF CONST'RU/CTIONeTRE T 7➢IPFtOVED EB NO GAS RESIDENTIAL E]LINEPLAN xew El NON-RESIDENTIAL BION ElDEMOLIBH WAL VINO ElALTER EXCAVATE FENCE SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ❑ YES �O CHECK THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SH L.ADD Co 31,04, R nARKS /,% �G%(/•S/ /e/(/ I// — USS e, /9, .. OR FILL (....................Ft.) REPAIR PRE-❑ NSP ❑ POOL n 'BWI C� ,V �� i mar NUMBER OF STORIES NUMBER OF DWELL NO UNITS No. NATURE OF WORK TO HE DONE Valuation Fcc Recelpl K4 � UrLe — 1%.1 1Ly) Plan Check No.. ; J BUILDING rI ro V o`TO PROPOSED USE Ao PLUMBING V PLOT PLAN (Indicate Building setbacks, abutting Areete) HEAT A GAS LINE 5 FENCE BICN tRETAINING WALL N 1 SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 7 Q� (� I hereby acknowledge that I have read this application; that the In. 7/7 d formation given Is correct: and that I sum the owner, or the dull author• lied agent of the owntr. I agree to comply with city and state laws re", ATTENTION lating construction; sad m doing the work authorised thereby, no person APPLICATION APPROVAL ,111 be employed In violation Of the Labor Cade of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen'a Compensation Insurance. AUTHORIZES ONLY THE NOTE: Permit Limit One Year (Except DEMOIdTIONB whlch WORK NOTED aigned by the Building Official or his Dep - Uty; and fees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN HDILDINGS .hall be corn- knowledged in space provided, pitted 1n six months.) SIGNATURE (OWNER OA AGENT)DATE B16NED INSPECTION IR C O BION TUR DEPARTMENT ' CITY OF DATE ED NDS NOTE: APPllcant Subject to Plan Cbrck Fre— PR d-1107 Tms Permit coven work to be done on private property ONLY. Any rnnslruellop as the public domain (.,.be, aldewalks, driveways, marquees, etc.) wW require separate permisslon. FILE SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP , RESIDENTIAL GAB F]LINE ❑ YES F,NO THIS I SITE IS LOC IN THE CITY PLAN CHECKED BYATED ❑ NEW ❑ NON-RESIDENTIAL BUILDING DEPARTMENT Applicant Fill z %/� (NII 74 i `5 -) j SIGN ADD RETAINING ❑ WALL r',' REMARKS SHOULD BE CODED 31.04. PERMIT APPLICATION I inside Heavy Lines 70 ❑ ALTER EXCAVATE FENCE./ '� 4 4)!� ❑ OR FILL (.....................Ft.) NAME (OR NAME OF 8UH1NE88) ❑ REPAIR ❑ PRE -MOVE ❑ Em POOL PER % / ACTUAL ! LOT COV AGE , NUMBER OF STORIES NUMBER OF {_ 11A I..�j,.Ll\A .11.IC4/ .1 t :1 LOT COVERAGE �, U DWELLING I �'AiLTFISAsnE6B ° ,S/ PERMISSIBLE HEIGHT / PROPOBtD HF•IOHT / / C i 1 NATURE OF WORK TO BE DONE j Valuation '/�I i '!".r/.BVI., �,I/: ,I•,1 'r AREA TOTAL dLUO. Pinn Check Nn ..................... C d1T P ONE NUMSB;R ACTUAL LOT AREA 7 /rn , BUILDING q PROPOSED USE RE 11 n YA... — _ — 1 ROFOSEU YAlit{S ' a PLUMBING FRONT SIDE REAR FRONT HIDE REAR !!i t "ME HEAT A GAS LINE I LE A LOT VA.LEW. L OIC C NDITIONAE 8F' j I kl ADDRESS PYE8 NO PERMIT NUMBER , 1 RETAINING WALL PLANJ'ljNG DEPT.'A PRDATE: W CITY EL PHONE NUMBER -!i�'�%> • - ' - DEMOLITION ) PRE -MOVE INSPECTION e ETD' W ' O I EXCAVATION OR FILL EXIHTIN(3 STREET R/W ............FT. F,NCY THIS PROPERTY TOTAL AMOUNT DQE I hereby acknowledge that I have read this applicatlen; that the In- v'DEFICI j formation given Is correct; and that I am the owner, or the duly nuthor- NAME COMP. PLAN 8T. R/W ............FT. .....FT. ATTENTION APPLICATION APPROVAL Iatmg conelructloa; and in doing the work authorized thereby, no person REMARIIA � 1 This application Is not a permit until an'. Compensation, Insur. relating to workmmea AUTHORIZES signed by the Building Official or his Dep - / /// NOTE: Permit Limit One Year (Except DEMOLITIONS which 1 ". utand fees are paidand receipt is ac - y; , p tp! �I � `•! I. `` i CHECKED BY pleted In six months.) 1 SIGNATURE (OWNER OR AGE" T) DATE SIGNED C, Y DIRECTOR'SSIGNATURE DEPARTMENT ,. ). rl i . - t LICENSE NUMB R C CENSE NU ]IEA METER SIZE BERVICB SIZE CLEARANCE _ KED BY I I I C C EDMOND$ ATE }: STATE PR 6-1101 This Permit coven wovk t+, IV doao on rrtvate property ONLY. REMARKS Any eenetructlon on the Dubile domuin (ca t, sidewalks, driveways, INSPECTOR Legal Description or Property (Show Below or Attach Four Copies) ( TYPE CONNECTION VERIFIED BY PE I - PERMIT NUMBER p, t W RE m j ' F I _ � FIRE ZONE TYPE OFCOSPROVED I SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP , RESIDENTIAL GAB F]LINE ❑ YES F,NO THIS I SITE IS LOC IN THE CITY PLAN CHECKED BYATED ❑ NEW ❑ NON-RESIDENTIAL ❑ `j./., i:r:'. OF EDMONDS. LOCAL SALES TAX j SIGN ADD RETAINING ❑ WALL r',' REMARKS SHOULD BE CODED 31.04. ❑ DEMOLISH ❑ ALTER EXCAVATE FENCE./ ❑ OR FILL (.....................Ft.) ❑ REPAIR ❑ PRE -MOVE ❑ Em POOL I - ' /.(%INSP. NUMBER OF STORIES NUMBER OF DWELLING I UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. •.. I,} ! _.. 1....:1111 :! ! r�� '-/,1,1:1 - Pinn Check Nn ..................... � ._. y S 8 �l BUILDING q PROPOSED USE a PLUMBING v aPLOT PLAN (Indicate Building eetbacks, abutting street.) HEAT A GAS LINE FENCE SIGN 1 RETAINING WALL SWIMMING POOL - DEMOLITION ) PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DQE I hereby acknowledge that I have read this applicatlen; that the In- j formation given Is correct; and that I am the owner, or the duly nuthor- ized agent of the owner. I &Use to comply with city and state laws regu. ATTENTION APPLICATION APPROVAL Iatmg conelructloa; and in doing the work authorized thereby, no person Will be employed in violation of the Labor Code of the Bute of Washington THIS PERMIT This application Is not a permit until an'. Compensation, Insur. relating to workmmea AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORN NOTED utand fees are paidand receipt is ac - y; , p &hall be completed to hloety days: MOVED -IN BUILDINGS shall he com- knOWledged in space provided. pleted In six months.) -. - SIGNATURE (OWNER OR AGE" T) DATE SIGNED INSPECTION DIRECTOR'SSIGNATURE DEPARTMENT ,. ). rl i . - t CITY OF i. i �'!, r.. r .!.•1... �. EDMOND$ ATE }: NOTE: ApplicantSubject to Plan Check Fee PR 6-1101 This Permit coven wovk t+, IV doao on rrtvate property ONLY. Any eenetructlon on the Dubile domuin (ca t, sidewalks, driveways, INSPECTOR nlnrquees, Ste.) will require separate perminlen. •_ i •' "- 4 a.i,.: .( '-� -, }.- .. ; ...i'.M�th MFi4�'1.� 4..! 1 _.:li, .. . N-v,;1y�� .. 1 ( � � r ,I.y - ':.,.. ilk:_ .. _... .' : ,•p 24. f; w ' I•- .. .._, u f 7�10.I gz RECORD OF INSPECTIONS :.. :Date.Tassed .,Foundation -Plumbing (Partial) _ (Rough) Frame Furnace & Fuel Lines_ ;final —7� f