740257.pdf\"
6A8
RESIDENTIAL O LINE
NEW
NON-RESIDENTIAL ON
ElADD ❑ RETAINING
DEMOLISH WALLEl
ALTER ❑ OFILL EXCAVATE ❑ (ENC x .......... Ft.)
REPAIR ❑ INSP.RE-MOVE ❑ POOL
❑ YES �-NO I `, �-
PLAN CHECKS BY
/E THIS SITE IS LOCATED IN THE CITY
1ll(_J OF EDMONDS. LOCAL SALES TAX
REMARKS t)�]SH�OULD BE`C\pODED
(,,,, n .J•�'` Nl`^�^ I IOi,)
`` /� r `` ` ('' /' J r� ` l�
1MCC LFL �I..`OJ1)A—
NUMBER OF STORIES NUMBER OF
/��p �•t�%
DWELLING
I
lk'
1
UNITS
NATUR OF WORK TO E DONE
Valuation Fee Receipt No.
Pine Check No .....................
BUILDING DEPARTMENT Appilcnnt Flit
DONE PERMIT
740257
�
a
PLUMBING
PERMIT APPLICATION I Inside Heavy Linesos
{
BEAT & GAS LINE
ADDRESS -
,
j
SIGN
NAME (OR NAME OF UBINE88) �a o ��
RETAINING WALL
N
��
PERMISSIBLE ACTUAL //�
p
,
DEMOLITION
PRE -MOVE INSPECTION
_ .a. t�/F °t
LOT COVERAGE LOT COVAXGE
I
Ev
i
1
`'/•`
mMAILING
ADDRESS
PERM1I180IBLE HEICFIT PROPOSED HEIGHT
/ui Q /— OQ �yr;
I hereby acknowledge that 1 have rand this apDllcallap; that the 1n -
CITY
TEL` ACTUAL LOT AREA TOTAL BLDG. AREA
L`
Irsd agent of the owner. I agree to comply with city and stale laws"g-
ATTENTION APPLICATION APPROVAL
Iating construction; and In doing the work authorised thereby, no Darson
/%✓iy%O A/1/�
d �O
REQUIRED YARDS PROPOSED YARDS
rebulug to Workmen's Compensation Insurmce.
AUTRORIZES signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
NAME FRONT SIDE REAR FRONT SIDE REAR
.hall be completed in mDetY days; MOVED -IN BUILDINGS mall be com-
linowledged In Space provided.
Plated In six months.)
b r_LWJGE— rZA01 PS Z;*csT-
INSPECTION DIRECTO 1 N E
DEPARTMENT
CITY OF
( t
NOTE. Applicant Subject to Plan Check Fee
W
ADDRESS LEGAL. LOT VARIANCE OR CONDITIONAL USE
YES NO PERMIT NUMBER
Any coastrultlan on the public domain (curbs, sidewalks, driveways,
F.,
marquees, eta) will require .operate P..d..taet.
O []
I
V
PLANNING DEPT. APPROVAL DATE:
i
I
C
CITY TELEPHONE NUMBER
I
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
O I
NAME
tee,
COMP. PLAN 8T. R/W ............ FT. ............FT.
ADDREB
CHECKED 13Y//
/�
j
CITY
TELEPHONE NUMBER
F
E
C
U
METER SIZE SERVICE SIZE CLEARANCE
04i
CHECKED BY
STATE LICENSE NUMBER CITY LICENSE NUMBER
I I
1
.Legal Description at Property (Show Below or Attach Four copies)
REMARKS
TYPE CONNECTION VERIFIED BY
PERC. TEST
PERMIT NUMBER
a
REMARKS
m
V
!
i
FIRE TYPE O!NSTTION STREET IMPROVED
B ❑ NO
8P CIAL INSPECTOR REQUIRED OCCUPANCY GR
OUP
\"
6A8
RESIDENTIAL O LINE
NEW
NON-RESIDENTIAL ON
ElADD ❑ RETAINING
DEMOLISH WALLEl
ALTER ❑ OFILL EXCAVATE ❑ (ENC x .......... Ft.)
REPAIR ❑ INSP.RE-MOVE ❑ POOL
❑ YES �-NO I `, �-
PLAN CHECKS BY
/E THIS SITE IS LOCATED IN THE CITY
1ll(_J OF EDMONDS. LOCAL SALES TAX
REMARKS t)�]SH�OULD BE`C\pODED
(,,,, n .J•�'` Nl`^�^ I IOi,)
`` /� r `` ` ('' /' J r� ` l�
1MCC LFL �I..`OJ1)A—
NUMBER OF STORIES NUMBER OF
/��p �•t�%
DWELLING
I
UNITS
NATUR OF WORK TO E DONE
Valuation Fee Receipt No.
Pine Check No .....................
BUILDING
4 PROPOBED
a
PLUMBING
U
PLOT PLAN (Indicate Building setbacks, abutting sheets)
BEAT & GAS LINE
0
FENCE
SIGN
•
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT BE
D
I hereby acknowledge that 1 have rand this apDllcallap; that the 1n -
formationgiven Is correct; and that I am the owner, or the duly author.
Irsd agent of the owner. I agree to comply with city and stale laws"g-
ATTENTION APPLICATION APPROVAL
Iating construction; and In doing the work authorised thereby, no Darson
will be employed In I.Iati.h of the Lobar Coda of the Stats of Washington
TIDE PERMIT This application is not a permit until
rebulug to Workmen's Compensation Insurmce.
AUTRORIZES signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED uty, and fees are paid, and receipt is ac.
.hall be completed in mDetY days; MOVED -IN BUILDINGS mall be com-
linowledged In Space provided.
Plated In six months.)
qq SIGNATURE (OWNER OR AGENT)T DATE OIGNED
INSPECTION DIRECTO 1 N E
DEPARTMENT
CITY OF
EDMONDS DATE _
NOTE. Applicant Subject to Plan Check Fee
PR d-1107
This Permit coven work to be done on private property ONLY.
Any coastrultlan on the public domain (curbs, sidewalks, driveways,
marquees, eta) will require .operate P..d..taet.
FILE
\"
.1
C;1
I
'
BUILDING DEPARTMENT
° NUMBIER
r
1
PERMIT APPLICATION
Applicant Fill
Fnetde Heavy Lines
o
Do Es 13
NAME (OR NAl0.E OF BUSINESS)
`_ , /., Li
PERMISSIBLE %ACTUAL
COVERAGE
1 I
c
IAT COVERAGE LOT
'
MAILING ADDgEppg
loll. '
PERMISSIBLE HEIGHT lt01'OtlED HE �
°
C1TYr
TELEPHON11 NUMBER
ACTUAL LOT AREA TOTAL BLDG. AREA x
e
j
;
REQUIRED YARDS PROPOSED YARDS a,
NAME
E
F OW SIDE RAR FRONT SIDE REAR
i
G
LEGAL LOT VARIANCE OR CONDITIONAL UBE
{
F
ADDRESS
0 YES ❑ NO PERMIT NUMBER
PLANNING DEPT. APPROVAL i, ' DATE:
R
i
CITY
TELEPHONE UMBER
STREET R/W C
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY 0
NAME )
� � }
CO1.fP. PLAN BT. R/W ............FT. ............FT.
�
l
/ s/ ✓
REMARKS
{ptl�
ADDRESS
z
M
1
/
NUMBER
CHECKED HY
CITY
TELEPHONE
/--�
of
G
I
METER BILE
SERVICE SIZE CLEARANCE
CHECKED BY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
I
'
I
Legal Description 0[ Property (Shaw Below or Attach Sour Copies)
REMARKS
TY E ION
VERIFIED BY
F,
1
J;
P T NUMBER
i
5
i
GREMARKS
Fl,RF�.ygNE TYPE OF,-CONSTRUp1'!ON B EEZ MPROVED
j (
� t YES NO
SPECIAL INSPECTOR REQUIRED
OCCUPAtjOY GROUP
YES �'NO
J 1
RESIDENTIAL
GAS
LINE
❑
PLAN
El NEW
CHEC XEX B THIS SITE 15 LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
I
'
NON-RESIDENTIAL
1:1SION11�~
SHOULD 0E1,CODED 31.�04.[^/
ADD
RETAINING
REMARKS
0 DEMOLISH WALL
/-^ f
I �. f'iM1 I J
ElALTER EXCAVATE FENCE
OR FILL (R.)
`
.......... x ..........
t /•
_l� LF -� `� �.... S I
1m(l CI
REPAIR ❑ INSP. POOL
NUMBER OF STORIES NUMBER OF
DWELLING
.!
UNITE
F WORK TO HE DONE
Vnitlon
V.1 -Al..
Fee
Recclpt No.
Check Nn .....................
BUILDING
,t,�\^�
�'�V�_
L
PROPOSED USE /
-.
PLUMBING
aPLOT
t
PLAN (Indicate Building setbacks, abutting street.)
BEAT d: GAB LINE
b
°
FENCE
SIGN
tRETAINING
WALL
N
_
SWIMMING POOL
-
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT UDE
r-
`•
{(,j, 0 q
1
I hereby acknowledge that I have read thin application; that the in-
formation Stven le correct; and that I am the owner, or the duly au Nor-
,
Ized agent of the owner. I agree to comply with city and elate laws regu•
ATTENTION
APPLICATION APPROVAL
latlos Coastmetlon; and In dotal the work authorized thereby, fin personwill
be employed In violalloa of me Labor Code of the Stale of Washington
THIS PERMIT
This application Is not a permit until
relattns to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TH
WORK NOTED
uty; and fees are paid, and receipt Is ac -
shall be completed In nudely days; MOVED -IN BUILDINGS Shall be com.
knowledged in space provided.
Pleled In six months.)
-
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTORH SIGNATURE
�"1
DEPARTMENT
\
.�•._:
{J
fir... �.. 1 ,'�..,
CITY OF
1..�4�i1
--' ---..
EDMONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
PR 6.1107
1
This Permit coven work to be done on Drivste property ONLY.
Any construction on the public domain (curbs, sidewalks, drivewoys,
INSPECTOR
ma+0uces, Sic.) will re0sire --pante perml--len.
I
--- _�..._. ,_
-
9
1
1
r'
Y.
i
i ..
e
1
I
SI
; '. 4 i5 i 1 Si s i V5
.... _. _ ..: :... .. .. ... ..1
Gl
tial. 1
..•
vj
RECORD OF INSPECTIONS
I
`.,
;.. ,; +i a= t$'t ;Iv ti ct ?7"' usq'
Foundation
..,..
,:Plumbing (Partial)
., (Rough)
Frpme
ines
Furnace & Fuel Lines—
Final s— ice'7 511---
Final-�
.3
i
� I
I �
a
i
( 1
7
j
VTI
E
;
9
1
1
Y.
i
i ..
e
I
SI
.... _. _ ..: :... .. .. ... ..1
Gl
tial. 1
Lj
vj
RECORD OF INSPECTIONS
Date'Passed
Foundation
,:Plumbing (Partial)
., (Rough)
Frpme
ines
Furnace & Fuel Lines—
Final s— ice'7 511---
Final-�
.3
9
1
1