740245.pdfNAME FRONT SIDE REAR FRONT BIDE REAR
ADDRE88 3 YE9 LOT ❑ NO PERMIT NUMBERVARIANCE OR NDITIO AL USE
PLANNING DEPT. APPROVAL DATE:
TELENUMBER
CITY PHONE
STREET ft/W
Ce
O
ed
EXISTING STREET R/W ............FT.
DEFICIENCY. THIS PROPERTY
'L4
COMP. PLAN ST. R/W ............Fr.
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DEPARTMENT AppllcantFtll
ZUSE
ONE
PERMIT
NUMBER 740245
ADDREeg
A
REMARKS
APPLICATION Inside Heavy Linde
FNAMSOF BUSINESS)
zDF��rp
PEitM188I8LE %
LOT COVERAGE
ACTUAL
LOT COVERAGE
88 /y/�{/pERM3tltlIDLE
�/ Sr ' • `'
HEIOkIT
ACTUAL LOT AREA
TOTAL BLDG. AREA
TE PHONEQNU(M}DfE�A
TE
I 7 %4t / �7t:/
TELEPHONENUMBERW
CHECKED BY
r • / \
rL�An+T^-E�•/�LIC E/Nt S�^Et NUaISER
CITY LICENSE NUMBER
REQlliRED YARDS
PROPOSED YAR[
NAME FRONT SIDE REAR FRONT BIDE REAR
ADDRE88 3 YE9 LOT ❑ NO PERMIT NUMBERVARIANCE OR NDITIO AL USE
PLANNING DEPT. APPROVAL DATE:
TELENUMBER
CITY PHONE
STREET ft/W
Ce
O
ed
EXISTING STREET R/W ............FT.
DEFICIENCY. THIS PROPERTY
'L4
COMP. PLAN ST. R/W ............Fr.
.FT.
----
-
/AM/E� // / ��
CO/W�
REMARKS
Sl�/• /'Mv
DDRE88
�//c79 reSS
CHECKED BY
,t
pI
lTY
/�%K.C�DI./ !l r '
TE PHONEQNU(M}DfE�A
TE
I 7 %4t / �7t:/
METER BILE SERVICE SIZE CLEARANCE
CHECKED BY
r • / \
rL�An+T^-E�•/�LIC E/Nt S�^Et NUaISER
CITY LICENSE NUMBER
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11
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REMARKS
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,.gal Description of Property lehow Bcl.w or Attach Four Copley)
I
TYPE CONNECTION
VERIFIED BY
PERMIT NUMBER
'I
PERC, TEST
I
'I
m
REMARKS
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
(] YES ❑ NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
GAS
RESIDENTIAL LINE
O YES 0 NO
I
IN THE CITY
;.
j
NEW
PLAN CHECKED BY
THIS SITE IS LOCATED
N TAX
❑ NON-RESCAL
IDENTIAL ❑ gICN
SHOULD CODED 31045ALE5
M ADD
NING
0
REMARKS
❑ DEMOLISH WALL
ALTER ❑ EXCAVATE ❑ G. x .......... Ft.)
ORFILL
!
❑ REPAIR ❑ PRE -MOVE O SWIM
INSP. POOL
NUSIBER OF STORIES NUMBER OF
DWELLING
I
UMTS
NATURE OF WOR TO BE DONE
Valuation
Fee Receipt No.
e
Plan Check No .....................
. ,
�
BUILDING
PROP08ED USE,
PLUMBING
p
HEAT & OAS LINE
PLOT PLAN (Indicate Building setbacks, abutting streets)
FENCE
I
SIGN
RETAINING WALL
N
ISWIMMING
POOL
-
DEMOLITION
PEE -MOVE INSPECTION
EXCAVATION OR FILL
I
61 Z
TOTAL AMOUNT DUE
I hereby acknowledge that I have rend this application that the In'
�
formation given Is correct; and that I am the owner, or the duly uathor-
Ixed agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL
luting construction; and In doing the work authorised thereby, no parson
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZER
signed by the Building Official or his Dep -
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY TILE
{YORK NOTED
uty� and fees are paid, and receipt is ac -
shall he completed In ninety days; MOVED -IN BUILDINGS shall he com-
I •tIn six months )
know3edged in spaCp pr0d t
pa
INSPECTIONit
IION RE (OWNER OR AGENT eI0 ED� DEPARTMENT
�./ 3 7 CITY OF - DATE I
EDMONDS 5- _ -5 7
NOTE: Applicant Subject to Plan Cbeck Fee /
775-2525
Tills Permit rovers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalk., drlvewars. FILE
marquees, etc.) will require separate permlexion.
i
WADDRESS
USE PERMIT ! A t1-) A 5
F
_
NG D E P A R T M E N T Applicant Fill ZONE NUMBER
ry
CITY ITELEPHOp
T APPLICATION Inside Heavy Linos ADDRESS �l / / +_ 1_ V
�1
❑
FNAMM
NAME OF BUSINESS) A (CTJ UAL1v�l�LOT COVERAGE LOT COVJD�1DRESB,(t
i
Cd
PERDIItltlIHLE HEIOIIT PROPOSED HEIGHT
Sf 0V_ �
/
Y
"' 4//
ACTUAL LOT AREA TOTAL BLUO. AREAf�4� LF.PHONE NUMBER
e
U
O
�I
WADDRESS
Plan Check N. .....................
BUILDING
F
_
i
ry
CITY ITELEPHOp
PLUMBING
�1
❑
NAME
�J/JN
i
Cd
ADDRESS I
Y
CIT
/L/Ji°�Gt>D, Jif%/I iiO%�
177
O
•
STATE LICENSE NUM -ER
��2.3 v � i3�..5f3
CITY LICF
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e
U
O
�I
Z
Plan Check N. .....................
BUILDING
_
i
ry
PROPOSED USE
PLUMBING
�1
❑
CAH
LINE
i
,�
NEW
O
FENCE
SIGN
❑
NON-RESIDENTIAL
❑
eIGN
i
ADD
INING
SWIMMING POOL
❑
DEMOLISH
❑
WALL
PRE -MOVE INSPECTION
❑ ALTER
EXCAVAOn FILL
❑
PENCEx.......... Ft.3
REPAIR
❑
Simi
formationgiven le correct; and that I nm the owner, or the duly author-
Ized agent of the owner- I agree to comply with city and elate laws regu-
❑
NSPb[OVE
POOL
` THIS PERMIT
This application is not a permit until
NUMBER OF STORIES
NUb1BER OF
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITION8 which
IL
ONLYTHE
WORE NOTED
Uty� and fees are paid, and receipt is 6C-
DWELLING
I
shall be completed In nicety day.; BIOVED-IN BUILDINGS shall be cam-
know) dged in space provided�.I j
pleled In elx months.)
SIGNE,R
tO/ �
Hi-E
INSPECTION
DEPARTMENT
llNITS
'V);l(CO�WNiORAGENT)
NATURE OF WORI{- TO
BE DONE
CITY OF
EDMONDS
DATE :...
NOTE: APPIkaut Subject to Plan Check Fee
0 YES [3 NO PERMIT NUMB—
PLANNING DEPT. APPROVAL DATE:
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............ IT.
REMARKS
i] YES (] NO
STREET IMPROVED
YES ❑ NO
ROUP
TED IN THE CITY
)CAL SALES TAX
31.04.
Fee I Receipt No.
Z
Plan Check N. .....................
BUILDING
_
i
ry
PROPOSED USE
PLUMBING
�1
j PLOT PLAN (lndlC¢le IIulldln6 setbacks, abutting streets)
HEAT @ GAS LINE
i
,�
O
FENCE
SIGN
1
RETAINING WALL
i
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formationgiven le correct; and that I nm the owner, or the duly author-
Ized agent of the owner- I agree to comply with city and elate laws regu-
ATTENTION
APPLICATION APPROVAL
bating construction; and to doing the work authorized thereby, no person
will be employed In Violation of the Labor Code of the State of Washington
` THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITION8 which
IL
ONLYTHE
WORE NOTED
Uty� and fees are paid, and receipt is 6C-
shall be completed In nicety day.; BIOVED-IN BUILDINGS shall be cam-
know) dged in space provided�.I j
pleled In elx months.)
SIGNE,R
tO/ �
Hi-E
INSPECTION
DEPARTMENT
DIj�yE(ei -
'V);l(CO�WNiORAGENT)
CITY OF
EDMONDS
DATE :...
NOTE: APPIkaut Subject to Plan Check Fee
775-2525
This Permit cnvere work W be dune on private property ONLY.
I
Any conelructlml mt the public domain (curbs, sidewalks, drh'eways,
INSPECTOR
marcid—, etc.) will require eeparale permleebon.
(
-
L
I
I
`a
k
n
�ECuRD OF iNSPFCTIUi'.S
L.
Date. Passed
Foundation
Plumbing (Partial) 1
iJ
(]L'
Frame
Furnace & Fuel Lines
Final
i