740219.pdfW_ -y- JOY
TOTAL AMOUNT DUE
Plan Check N. .....................
BUILDING
PROPOSED UBE
formation given to correct; and that I not the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and stale laws regu-
ATTENTION
PLUMBING
U
�
TIDE PERMIT
aPLOT PLAN (Indicate Building setbacks, abutting street.)
I
HEAT A CAB LINE
9
PERM
740219
°��S��o
D
�< an
BUILDING DEPARTMENT Applicant Fill
NUMBER
INSPECTION
DEPARTMENT
�T,Unl(D{VNER
"'ON
Inside Heavy Lines APPLICATION
IAcDaDRESS 03-7 ' aum_NAME
RETAINING WALL
ED5IONDS
N
(OR NAME OF BUSINESS)
1 /
i_ L
PERMIABIHLE ACfUAl.
IAT COVERAGE LOT COVES�AUE
j
/�I/'
DEMOLITION
PRE -MOVE INSPECTION
ffiA�NU CRESS
PERMISSIBLE HEIGHT PItoPOBED HEIGHT
,y
BLDG. AREA
Z
I
C1T�Y n
TELEPHONE NUMBI.R
ACTUAL LOT AREA TOTAL
�Ej,
j
A ���� -�
REQUIRED YARDS PROPUAFID YARDS
FRONY' SIDE FRONT SIDE REAR
.
NAME
1EAR
LEONoT VARIANCE OR COND� NAL
M
ADDRE88
Cl YES ❑ NO PERMIT NUMBER
j
PLANNING EPT.APPROVAL DATE:
'
C
CITY TELEPHONE NUMBER
STREET T
EXISTINGG STREET R/W ............FT. DEFICIENCY THIS PROPERTY
p
NAM/C/tO�M7;P.
PLAN A/ W ............FT. ............FT.
R HIM
07
ADDRESS .
// )/ `/3
/ST.
W
CHECKE
TELEPHONE NUMBER
11
I
p
METER BILE SERVICE SIZE CLEARANCE
CHECKED BY
O
STATE LICENSE NUMBER
CITY LICENSE NUMBER
3 �
I
REMARKS
Legal Description of Properly (Show Below or Attach Four Copies)
+
TYPE CONNECTION
VERIFIED BY
F�r
PERC. TEST
PERMIT NUMBER
al
U
I
�
i
W
REMARKS
TYPE OF C!JN/rRUCTI BTBEEET IMPROVED
TAr
�
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GI UUP
�NO
I S' I
❑ RESIDENTIAL
6A0
❑ LINE
❑YES
CIlECIIDBY
❑ NEW
PLANPLAN THIS SITE 15 LOCATED IN THE CITY
TAX
...
❑ NON-REBIDENTiAL
BION ❑
a 0HOIIDLD gE CODED 3104.SALES
1:0j
ADD ❑
❑ yEALL NINC
REMARK.
DEMOLSHH
❑ ALTER EXCAVATE ❑ FENC.
❑ ORFILL.......... Ft.)
MOVE SWITIT
❑ REPAIR ❑ INSPIO POOL
NUMBER OF STORIES NUMBER OF
DWELLING
W_ -y- JOY
TOTAL AMOUNT DUE
Plan Check N. .....................
BUILDING
PROPOSED UBE
formation given to correct; and that I not the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and stale laws regu-
ATTENTION
PLUMBING
U
will be employed In violation of Ne Labor Code of the State of Washington
TIDE PERMIT
aPLOT PLAN (Indicate Building setbacks, abutting street.)
AUTHORIZES
HEAT A CAB LINE
9
shall be completed In ninety days; MOVED -IN BUILDINGS shall be win.
D
FENCE
INSPECTION
DEPARTMENT
�T,Unl(D{VNER
"'ON
I
RETAINING WALL
ED5IONDS
N
PR 0-1107
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
This Permit coven work to be done on private property ONLY.
Any couelractloa on the public domala (.orbs, sidewalk., driveways,
marquees, etc.) will ream's several. per d..lon.
n Fee
bd 0 d
�r� Iir/7S'3)
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged In space provided.
DIRECT/y/�I//j/!))q�eld T RE
DATE t - --
FILE
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given to correct; and that I not the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and stale laws regu-
ATTENTION
Idling construction; and In doing the work authorized thereby, no person
will be employed In violation of Ne Labor Code of the State of Washington
TIDE PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be win.
pleted In six months.)
Olt /iOENT) DAT SIGNED
INSPECTION
DEPARTMENT
�T,Unl(D{VNER
CITY OF
ED5IONDS
NOTE: Applicant Subject to Plan Check Fee
PR 0-1107
This Permit coven work to be done on private property ONLY.
Any couelractloa on the public domala (.orbs, sidewalk., driveways,
marquees, etc.) will ream's several. per d..lon.
n Fee
bd 0 d
�r� Iir/7S'3)
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged In space provided.
DIRECT/y/�I//j/!))q�eld T RE
DATE t - --
FILE
•7�' I , J_ 64YES 0 NO
SPECIAL INSPECTOR REgUIRED OCCUPANCY GROUP
3 YES 6•NO I , j �'-
?LAN CHECKED BY
IS SITE IS LOCATED I
EDMONDS.LOCAL
N THE CITY
OFSALES TAX
_ !
;EMARK9 /SFfiOULD BE CODED 31.04.
!\\ \\ \ - '
Valuation Fee
NEW RESIDENTIAL
'
LINE
n
NON-RESIDENTIAL
MIT
BUILDING DEPARTMENT Applicant Fill ONES--� NUI BFR /L+'
SIGN
PERMIT APPLICATION xafYy Lia°eB ,OB �
ADDRESS
,
NAME (OR NAME OF BUSINESS) /<J '
DEMOLISH
LOT COV T. ACTUAL �
LOT COVERAOF. LOT COVE4iA0E
RETAINING
WALL
PENCE
MAILING AD RESs r� PEI;AI t89IHLE HF.IGIIT PROP08ED i{EIGHT
/
OR PILLEXCAVATE
PRE -REPAIR
NSP.
❑
s ..........
swill
POOL
-1 I /)
TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL BLDG. AREA
T.
PROPOSED USE
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
11 G t •
I
t ^"�: / L.�Y"_7'�•(///e^•[�
a
c�\,�
PLUMBING
NAME
'
fATURH OF WORK TO HE DONE
/I( 1 r (" Q r �lY_ '
/
S 2G)
PLOT PLAN bu
(Intllcnta Building setbacks, at In6 el oe a
y
ADDRESS -
�\
LEGAL LOT PARI
—AUT NCE OR CONDITIONAL UB/
0 YES 0 NO PERMIT NUMBER
5
�'-
0
FENCE
PLANNING DEPT. APPROVAL DATE:
C
CITY
TELEPHONE NUMBER
RETAINING WALL
STREET R/W__
N
EX15TING STREET R/W ............Fr. DEFICIENCY THIS PROPERTY
NAM
/U
COMP. PLAN ST. R/W ............. ............FT.
F1'
W
�.
I
REMARKA
CC
,
ADDRESS
CHECKED,
PRE -MOVE INSPECTION
CITY
TELEPHONE NUMB
�,
W
EXCAVATION OR FILL
I
O
STATE LICENBII NUMBER
CITY LICENSE NUMBER
METER SIZE
I SERVICE 822E
CLEARANCE
CHECKED BY
n
ry
63
'---^
I
I hereby acknowledge that i have this
I
m
1
(zed agent of the owner. I agree to comply with city and state laws ngu-
lating construction; sad In doing the work authorized thereby, no person
ATTENTION
APPLICATION APPROVAL
Legal Description of Property (show Below W Attach Four Copies)
REMARKS
/lam
will be employed In violation of the Labor Code of the State of Washlpgton
THIS PERMIT
This application is not a permit until
relating to Workman's Compensation Insurance.
AUTHORIZES
TYPE CONNECTION
VERIFIED BY
ONLY THE
signed by the Building Official or his Dep -
I
WORK NOTED
uty; and fees are paid, and receipt is ac-
PERO. TEST
PERMIT NUMBER
knowledged in space provided.
m
`\\
pleted In six moathe.)
I
S10 TURF (OWNEOR GENT)
/
DATA SIGNED
%
�j
W
m
DIRECTOR' 8107AT AE
)
REMARKS /
CITY OF
FIRE ZONE TYPE OF CONBTRUCTIO STREET IMPROVED
EDNONDS
DATE
�)
•7�' I , J_ 64YES 0 NO
SPECIAL INSPECTOR REgUIRED OCCUPANCY GROUP
3 YES 6•NO I , j �'-
?LAN CHECKED BY
IS SITE IS LOCATED I
EDMONDS.LOCAL
N THE CITY
OFSALES TAX
_ !
;EMARK9 /SFfiOULD BE CODED 31.04.
!\\ \\ \ - '
Valuation Fee
NEW RESIDENTIAL
'
LINE
n
NON-RESIDENTIAL
SIGN
ADD
ALTER
DEMOLISH
E]
RETAINING
WALL
PENCE
❑
❑
OR PILLEXCAVATE
PRE -REPAIR
NSP.
❑
s ..........
swill
POOL
Pt.)
(UMBER OF STORIES
NOMHER OF
PROPOSED USE
11 G t •
I
DWELLING
c�\,�
PLUMBING
UNITS
fATURH OF WORK TO HE DONE
/I( 1 r (" Q r �lY_ '
a
•7�' I , J_ 64YES 0 NO
SPECIAL INSPECTOR REgUIRED OCCUPANCY GROUP
3 YES 6•NO I , j �'-
?LAN CHECKED BY
IS SITE IS LOCATED I
EDMONDS.LOCAL
N THE CITY
OFSALES TAX
_ !
;EMARK9 /SFfiOULD BE CODED 31.04.
!\\ \\ \ - '
Valuation Fee
'
Plan Check No .....................
BUILDING
k '� /�
(JV
7, (r�
Y
PROPOSED USE
11 G t •
I
c�\,�
PLUMBING
a
PLOT PLAN bu
(Intllcnta Building setbacks, at In6 el oe a
HEAT & GAS LINE
5
0
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
n
ry
TOTAL AMOUNT DUE
I hereby acknowledge that i have this
read application; that the In.
formation given Ie correct; and that I . the owner, or the duly aulher.
(zed agent of the owner. I agree to comply with city and state laws ngu-
lating construction; sad In doing the work authorized thereby, no person
ATTENTION
APPLICATION APPROVAL
will be employed In violation of the Labor Code of the State of Washlpgton
THIS PERMIT
This application is not a permit until
relating to Workman's Compensation Insurance.
AUTHORIZES
ONLY THE
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year which
WORK NOTED
uty; and fees are paid, and receipt is ac-
ehatl be completed In ninety days; MOVED -IN BUILDINGS shall he mm•
-IN(E.ceptBU DINGS shall
knowledged in space provided.
pleted In six moathe.)
S10 TURF (OWNEOR GENT)
/
DATA SIGNED
%
�j
INSPECTION
DEPARTMENT
DIRECTOR' 8107AT AE
)
CITY OF
NOTE: Applicant Subject to Plan Check Fee
EDNONDS
DATE
�)
This Permit covers wary to be done on private Property ONLY.
PR 0-1107
Any troaslruetlop an the pnbOo domaln (garbs, sidewalk., driveway.,
marquees, eke.) will rega/ro ..paste perml..lon,
INSPECTOR