740213.pdfYNR
RESIDENTIAL ❑ LINE PLAN CHECKED BY
NEW THIS SITE Is'", IN THE CITY
NON-RESIDENTIALe]aN OF EDMONDS. LOCAL SALES TAX
SHO
ADD RETAINING MA !
DEMOLISH WALL q _
❑ ALTER E] EXCAVATE ❑ FENCE /i/ GO.t/f%fii�CT/O.✓ �L �/ //.Bli /97O
OR FILL (.........A .......... Ft.) i
SWIM
REPAIR ❑ INSP. POOL.SGS a./ L— C' / /� J i✓ .S/ ,i G'r IAIX
NUMBER OF STORIES I NUMBER OF
DWELL NO
UNITS
NATURE. OF WORK TO BE DONE Plan Check No ............ Valuation Fee Recelpt No.
.........
O
ME 1y At' (? z ) a/1. h � I' H L BUILDING
PROPOSED USE
PLUMBING d 0
PLOT PLAN (Indicate Building eetbackebUtting streets) HEAT A GAS LINE a• O Q
:59 / FENCE O I
`�-----{- 36"
BIG"
�i RETAINING WALL —
�� SWIMMING POOL
DEMOLITION 1
PRE -MOVE INSPECTION
7 ` EXCAVATION OR FILL
TOTAL AMOUNT DUE �J1
I hereby allinowladge that I have read this application; that tea in• '77 87 1
formation given 1. correct; and that I nm the owner, or the duly anchor.
,zed
agent of the owner. I agree to complY with City and atate taws reg.- ATTENTION APPLICATION APPROVAL
lating eo-atruttlon; and In 401-9 the Wolk authorized thereby, no parson f
will be employed In violation of the Labor Code of the State of Welahlagton THIS PERMIT This application is not a permit until
relaung to Workmen'. Compensation Insurance. AUTHORIZES
ONLY THE Signed by the Building Official or his Dep- z,.�.------
NOTE: Permit Limit One Year (E9Cept DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac -
Shall be completed In ninety days; MOVED -IN BUILDINGS ahali be com. knowledged in apace provided.
pleted in sig months.)
el ATURE (OWNER OR AGENT) DATE SIGNED INSPECTIONI
—// ( IR K'8 10 TURF
DEPARTMENT
.e_, Lt Uq �� �`/%% CITY OF
EDMONDS ATE
NOTE: Applicant Subject to Plan Check Fee
PR a-voI
Thla Permit Coven work to be do.. on private property ONLY.
Any construetlon on the Public domain (curbs, eIdrwafk.. driveways. FILE re .ire a state Cf-.a51an.
i
ZONE 702I
BUILDING DEPARTMENT Applicant Fill
—/;q,NUMBIRE
PERMIT APPLICATION Inside Heavy Lines
Io
REHS qADDS 0 ! Y1
NAME (OR NAME OF BUSINESS)
i ` I
L ^ /�
up (`! G
PET -COV RA ? ACTUAL
LOT COVERAGE / LOT COVESYAGE
!,
MAILING ADDRESS81�
0
PERMISSIBLE HEIGIiT /
D•[�11 HT /t �J
�j,
1 �y
/—LIPRONE
///�tO�P�/O��e�F.
�D/ a'LJ
z
CI NumullatAcTu7f
TOTAL37 DJDrO�. /AAE
GRE
6 1l
REQUIRED YARDS PR POOH D YARDS
NAME
FRONT RIDE REAR FRONT -RID: REAR
/
�o 3 3
ADDRESS
LEGA VARIANCE OR CONDITIONAL U6-
111 Y El NO PERMIT NUMHER
LATEPAP E`
C
CITY TELEPHONE NUMHER .
ST /
DEFENCY THIS PROPERTY
EXISTIN TREET 11,411 ICI
NAME ('I 1�'j n
�
r0�
COMP. BT. R/V1 :.'�L/OFT. ....C�..FT.
1d
re
S V 1. � ' • `i ` e � � �
REMARKSO
0
iC
ADDRESS Driveway slopes n ot to exceed those
b 3� y �% n�(Q y� (}/S
indicated on Standard Dwa- No. 103
CHEC Y
w
CITY
TELEPHONE NUMBER
MET e['LE SERVICE SIZE CLEARANCE
ED BY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
I I
ICH
4
A,l 3 -0/ `, / /
REMARKS
e
Legal Deacrlpllo of Property(Sh— Below or Attac,.h/ Poor Coplea) i `
LQ 7D
. C Q ` I/ l(y 11U I I
TYPE CONNECTION VERIFI B
1
lro L u „-,e a�/ of �'L�
ti/ff'IZ
I �,11.���
I
�y .�
PERC . TEST
PERM T AfIIER
d.
f
110. g e r 3 l% O y ds 0 Y4
a O (3 t S (3
REMARKS
FIRE ZONE I TYPE OF CONSTRUCTION I STREET IMPROVED
I
YNR
RESIDENTIAL ❑ LINE PLAN CHECKED BY
NEW THIS SITE Is'", IN THE CITY
NON-RESIDENTIALe]aN OF EDMONDS. LOCAL SALES TAX
SHO
ADD RETAINING MA !
DEMOLISH WALL q _
❑ ALTER E] EXCAVATE ❑ FENCE /i/ GO.t/f%fii�CT/O.✓ �L �/ //.Bli /97O
OR FILL (.........A .......... Ft.) i
SWIM
REPAIR ❑ INSP. POOL.SGS a./ L— C' / /� J i✓ .S/ ,i G'r IAIX
NUMBER OF STORIES I NUMBER OF
DWELL NO
UNITS
NATURE. OF WORK TO BE DONE Plan Check No ............ Valuation Fee Recelpt No.
.........
O
ME 1y At' (? z ) a/1. h � I' H L BUILDING
PROPOSED USE
PLUMBING d 0
PLOT PLAN (Indicate Building eetbackebUtting streets) HEAT A GAS LINE a• O Q
:59 / FENCE O I
`�-----{- 36"
BIG"
�i RETAINING WALL —
�� SWIMMING POOL
DEMOLITION 1
PRE -MOVE INSPECTION
7 ` EXCAVATION OR FILL
TOTAL AMOUNT DUE �J1
I hereby allinowladge that I have read this application; that tea in• '77 87 1
formation given 1. correct; and that I nm the owner, or the duly anchor.
,zed
agent of the owner. I agree to complY with City and atate taws reg.- ATTENTION APPLICATION APPROVAL
lating eo-atruttlon; and In 401-9 the Wolk authorized thereby, no parson f
will be employed In violation of the Labor Code of the State of Welahlagton THIS PERMIT This application is not a permit until
relaung to Workmen'. Compensation Insurance. AUTHORIZES
ONLY THE Signed by the Building Official or his Dep- z,.�.------
NOTE: Permit Limit One Year (E9Cept DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac -
Shall be completed In ninety days; MOVED -IN BUILDINGS ahali be com. knowledged in apace provided.
pleted in sig months.)
el ATURE (OWNER OR AGENT) DATE SIGNED INSPECTIONI
—// ( IR K'8 10 TURF
DEPARTMENT
.e_, Lt Uq �� �`/%% CITY OF
EDMONDS ATE
NOTE: Applicant Subject to Plan Check Fee
PR a-voI
Thla Permit Coven work to be do.. on private property ONLY.
Any construetlon on the Public domain (curbs, eIdrwafk.. driveways. FILE re .ire a state Cf-.a51an.