740232.pdf----
NOTE: Applicant Subject to Plan Check Fee 5
PR 6.1107
This Permit covers work to be done on private properly ONLY. j
Any coustrucllon on the public doral. (curb., sidewalks, driveways,
marquees, etc.) will require separate permission. FILE
1
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NoRTR Sao FEfT eFLeT 3 Ototk t. ALDFRWasp p1AMOR
PERC. TEST
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REMARKS
o YE(ILME /a OF PLATS WE I( 1QFCdI?Ag Ar- TY
BUILDING DEPARTMEN7ENE
Fill
USE
E S — NUMBER 740232
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pplicant
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E3 YES [3 NO
C6NV9VPn Ye � Q;7if or QfA,,#ynS Pp RoA
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PERMITAPPLICATIONe
Heavy LinedOADDRESSNAME
ErRESIDENTIAL El
(] YES [YNO
T-' /
(OR NAME OF BUSLNEBS)
LINE
I�i� ' NEW
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
,
NON-RESIDENTIAL SIGN
TAX
OHOHLD
PERMISSIBLE qLOT
ADD ❑
❑ WAIL NINO
REMARKS
BE CODED 31.04.SALES
DEMOLISH
ALTER EXCAVATE El FENCE"
COVERAGE 1/�LOT COV
FIL
on :..........Ft.)
PEItD1I88IHLE HEIGLIT-.E�
PRE -MOVE SWIM
REPAIR EJ PRE- O El
AVE C -
POOL
NUMBER OF STORIES NUMBER OF
NUMBER
ACCUALyOTAREA TOTAL BL/EA
UNITS
G p
VA.NAME
B/29
RF:GV IR YARDS PROPOSSED YARDS
NATURE OF WORK TO BE DONE
Valuation
_L&Meliyl)s�
FRONT BIDE REAR FRONT 81D' REAR
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.....................'
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BUILDING
VV
2f 7yy is � /y Ib /7
W PROPOSED USE
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PLUMBING
p7 ADDRESS
HEAT &
LEO LOT VARIANCE OR CONDITIONAL USE
NO PERMIT NUMBER
V
e1 CITYI
TELEPHONE NUMBER
PLANNING �PROVAL DATE:
. ........ .......... ..
SIGN
-,
i
STREET n/W zz
EXISTING STREET R/WFT. DEFICIENCY THIS PROPERTY
D
RETAINING WALL
NAME
p
pp��' p�
COMP. PLAN BT. R/WcTJFT. ......V..FT,
SWIMMING POOL
R.C. er, UM
REMARKS Driveway slopes not to exceed those
o
DEMOLITION
In E
,1�0r So
PRE -MOVE INSPECTION
indicated on Standard Dwq. No. 103
"B"CED 8Y
EXCAVATION OR FILL
e 3x2 y-.3 -�
CITY
F
T�rE/L�EPGBONgE�NjUMHER
QMQeIZ61200Nn WI2lNG
O '- / O 9
METER SIZE SERVICE SIZE CLEARANCE CH C ED BY
TOTAL AMOUNT DUE
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STATE LICENSE NUMBER
CITY LICENefl NUMBER
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y.
223-ai - sott,-
779
REMAIilCd
lacing construction; and in doing the work authorized thereby, .o person
----
NOTE: Applicant Subject to Plan Check Fee 5
PR 6.1107
This Permit covers work to be done on private properly ONLY. j
Any coustrucllon on the public doral. (curb., sidewalks, driveways,
marquees, etc.) will require separate permission. FILE
1
iWit
I
NoRTR Sao FEfT eFLeT 3 Ototk t. ALDFRWasp p1AMOR
PERC. TEST
a
� h
w A/n 9 ec.eI2ij D 7 'INE fLATr 6• REc6RvF
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a
REMARKS
o YE(ILME /a OF PLATS WE I( 1QFCdI?Ag Ar- TY
FI� TYPE
N�7CTION STREET IMPROVED
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diSNile$7oK. FXCiFPT- TNf W�'v /® fLr TiVFREop
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E3 YES [3 NO
C6NV9VPn Ye � Q;7if or QfA,,#ynS Pp RoA
_ � Eo{'f
SPECIAL INSPECTOR REQUIRED
OCCUPAN GR UP
I
ErRESIDENTIAL El
(] YES [YNO
T-' /
LINE
I�i� ' NEW
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
,
NON-RESIDENTIAL SIGN
TAX
OHOHLD
ADD ❑
❑ WAIL NINO
REMARKS
BE CODED 31.04.SALES
DEMOLISH
ALTER EXCAVATE El FENCE"
FIL
on :..........Ft.)
I
PRE -MOVE SWIM
REPAIR EJ PRE- O El
POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee Reeelpt No.
Plan Check N.
i
.....................'
1y
BUILDING
VV
t
W PROPOSED USE
a
PLUMBING
LOT PLAN (Indicate Building setbacke, abutting streets)
HEAT &
1
Z v o
FENCE
. ........ .......... ..
SIGN
-,
i
l,C
I
RETAINING WALL
n N
SWIMMING POOL
DEMOLITION
--' 2C--�-)
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I�I
TOTAL AMOUNT DUE
O
I hereby ackngwledge that I have read this application: that the In-
form ntlon given Is correct; and that I athe owner, or the duly author-
Ized agent of the owner. I agree to comply with city and slate law. regu-
ATTENTION
APPLICATION APPROVAL
lacing construction; and in doing the work authorized thereby, .o person
Will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
teIs Ing to Workmea'e Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except nEMor1TIONS which
ONLY
WORK OTED
Dty; and fees are paid, and receipt is ac -
.hall be completed In al.sty days: MOVED -IN BUILDINGS shall be cont-
knowledged in apace provided.
pleted In els months.)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTOR'S SIGN TUI il !
DEPARTMENT
CITY OP'
DATE
----
NOTE: Applicant Subject to Plan Check Fee 5
PR 6.1107
This Permit covers work to be done on private properly ONLY. j
Any coustrucllon on the public doral. (curb., sidewalks, driveways,
marquees, etc.) will require separate permission. FILE
1
BUILDING DEPARTMENT D� PERMIT
zoxE� NUMBERR
APpllcant FW
R, C. C R urn
ei ADDRESS
e� 3,2Y -.3!--'A 'E;- So
W CITY TELEPHONE NUMB
�fJAioNY3S I /77e- "Si. -t%
STATE LICENSE NUMBER I CITY LICENSE N A
Legal Description of Property (Shaw Below obi Attach Four Cople;
�}1E 11dFST 9a fFFT or. Tkir .1vi rll `:)ad FpE`V- 6F. F
/t/d%R7i! boa FESY afEer,% PIi Ck 1, �.LDFRW4'0
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w t16 4 ACCb$Di/14 ,r„ 7,YF PLAT TNF.P vr-• REcm
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V&Lumg )o dF PLAT'S PAss � AFCo Ptiq ,A -i
/NEW
MIT APPLICATION
Inside Heavy Lanes
LINE
OR NAME OF BUSINESS)
ElNON-RESIDENTIAL
ACTUA�,,��O�r}}T-- AREA
O
❑
BION
WALL NINE
FENCE
G ADDRESS
EORR
PROPOSED YARDS
❑
i,,�L�v,�
711-_ /s
x .......... Ft.)
TELEPHONE UMBER
❑
[1.44ADDRE
Receipt No.
swim
POOL
Plan Check No .....................
SS
I
O
BUILDING
„�
I E PRONE N BER
R, C. C R urn
ei ADDRESS
e� 3,2Y -.3!--'A 'E;- So
W CITY TELEPHONE NUMB
�fJAioNY3S I /77e- "Si. -t%
STATE LICENSE NUMBER I CITY LICENSE N A
Legal Description of Property (Shaw Below obi Attach Four Cople;
�}1E 11dFST 9a fFFT or. Tkir .1vi rll `:)ad FpE`V- 6F. F
/t/d%R7i! boa FESY afEer,% PIi Ck 1, �.LDFRW4'0
a
w t16 4 ACCb$Di/14 ,r„ 7,YF PLAT TNF.P vr-• REcm
0
V&Lumg )o dF PLAT'S PAss � AFCo Ptiq ,A -i
/NEW
1----1 RESIDENTIAL
❑
LINE
ED ADD
ALTER
ElNON-RESIDENTIAL
ACTUA�,,��O�r}}T-- AREA
O
❑
BION
WALL NINE
FENCE
F]DEMOLISH
EORR
PROPOSED YARDS
❑
'ILLTE
711-_ /s
x .......... Ft.)
REPAIR
❑
PRE -MOVE
INSP.❑
Receipt No.
swim
POOL
JOB
ADDRESS , "/t I �%, �.
(: i �, `i�Cli(y�3-� �.v/✓.y(
PERMISSIBLEr'
LOT covinAGEa ?-( I)O
ACTUAL
LOT COVESiAOE
PERMISSIBLE HEIGHT /
111101'OSFj' REIOHT
ACTUA�,,��O�r}}T-- AREA
'rOTAi. BLUO. REA /
OO L/�2��1/
REQUIRE YARDS
PROPOSED YARDS
FRONT SIDE REAR
I•'IRONT -SIU REAR
711-_ /s
��� �y /
LEGAL LOT VARIANCE Olt CONDITIONAL US
rn_VES_ i.l NO / PERMIT NUMBER
PLAN NI NO EP PPItOVAL DATE:
STREET R/W y
EXISTING STREET R/VA..SF7'. DEFICIENCY THIS PROPERTY
/•
COMP. PLAN BT. R/W ..�y-
REMARKS pt.ivel'!ay slorles not to IP.Ceed those f..
indicated on. Standard C.+la. 11o. 103
CHEC ED�BY
u13()QZGZ0M 0 NNIQ)N620. il_), 16a T
_!41 I X/ _ /"J I 0 YES ❑ NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GRgUP
C] YES 131)1l;;O Y �—
PLAN CHECKED HY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
NUMBER OF STORIES
NUMBER OF
DWELL NO
UNITS
NATURE OF WORK TO HE DONE
Valuation
Fee
Receipt No.
'
Plan Check No .....................
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O
BUILDING
„�
3, '0
[y
e, PROPOSED USE f
S– r� n I
%•• `�
PLUMBING
`,. � 'J I
LOT PLAN (Indicate II_ulldln_6 set oke, abutting et[Cele)
_.^
HEAT A6AS-i'SNE'
(~I
v
J
FENCE
SIGN
RETAINING WALL
swimmiNG POOL
DEMOLITION
PRE -MOVE INSPECTION
J; N
b,
EXCAVATION OR FILL
I hereby acknowledge that I have rend this application; that the In-
TOTAL AMOUNT DUE
formation given is correct; and that I am the owner, or the duly author-
-,
Ind agent of the owner, I agree to comply with City and state laws rega-
ATTENTION
APPLICATION APPROVAL
latmC construction; and In doing the work authorised thereby, no person
will "employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
rainting to Workmen's Compensation Imuranee.AUTHORIZES
Signed by the Building Official or his Dep.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
Uty; and fees are paid, and receipt is ac-
shall be completed m bluely days; MOVED -IN BUILDINGS shall be Com.
knowledged in space provided.
ll
pleted In six mouth,.)
SI?
SIGNATURE (OWNER OR AGENT)
DATE SIGNED
INSPECTION
DIRECTOR'S BIGNATURE
DEPARTMENT
` '• -
..;.. --.-."
CITY OF
EDMONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
PH g-1107
This Permit coven work to be done on private property ONLY.
Any Construction an the public domain (curbs, sidewalks, driveways,
INSPECTOR
'
maeeuen, elk.) will reymre separate permission.
I