740272.pdfFENCE
SIGN
tRETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
1 hereby acknowledge that I have rend this application; that the In.
formation given Is correct; and that I am the owner, or the duly author -
,red agent of the owner. I agree to comply with city and slate laws ngu-
I
I.
I
will be employed to vioh,th, of G, Labor Code of the State of Washington
fie"
rein'... to Workmen's Compensation Insurance.
�l ^/
NUMBER 74`-'27'•-
BE_/�
I
ONLY THE
WOR. NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS atoll be com-
BUILDING DEPARTMENT Applicant FW
ZONEUPERMIT
----
E (OWNS} OR ENT) DATE SIGNED
INSPECTION
PERMIT APPLICATION inside Heavy Lines
o _
nnonEae m
tl�� v— �-- 7
CITY OF
EDMONDS
NAME (OR NAME OF HU8lNESS)
PERMISSIBLE % ACTUAL
S�AOE
PR a-llo.
LOT COVERAGE LOT COVE
/oma
Al NO ....'son.
PERMISSIBLE HEIGIIT PROPOSED HEIGHT C
� T�N
/ ✓
BLDG. AREA
T PRONEUMBER
ACTUAL LOT AREA TOTAL
C1TY�O
S"
REQUIRED YARDS PROPOSED YARDS
G t�IYI G N O S
FRONT HIDE REAR FRONT AfGE REAR
NAME
ya s s— 7 5
LEG LOT VARIANCE OR CONDITIONAL U E
y7
ADDRESS
a ❑ NO PERMIT NUMBER
pL DEPT. P VAL
m
CITY
TE EPHONE NUMBER
_
•'
llA�
E ITN / TREET R/v&/"�I>1'. DEFICIENCY THIS PROPERTY
NAME
,,..��
COMP. PLAN eT. R/�W.:FT. ••1.JFT•
P C L A/�
REMAR.s Driveway slopes not to exceed those
I
NCr
10� int
Y
(a
6 / 2. / /✓�- / ��
HEC ED
!
W
CITY
TELEPRO14E NUMBERITT
I
g,CST
&6/ ell , gRo / t
I ��G -qtly
METER 812E
SERVICE SIZE CLEARANCE
C E D Y
STATE LICENBE NUMBER
CITY LICENSE NUMBER
I I
I ymI
3 - d Z— /2 Fr �G
I
REMARKS
e
Legal Description o[ Property (e.ow ..law or Attach Feur Copies)
,/ /
/ /7A/(O
TYPE CONNECTION YERIFI
c� P s
PERC. TEST R IT NUhi ER y.
I
b /
WL
REMARKS
�3 PLATS
AIV Id J',17e'N SL V &Z/ L/pn i tL-0 TDA
FIREZZOONE TYPE OOF CONSTRUCTION STREET IMPROVED
/ ' i i d,4l� ml -6 ❑ NO
SPECIAL INSPECT— nREQUIRED
OCCUPANCY GROUP
GA8
® RESIDENTIAL LINE
❑ YE8 1-15
PLAN CHECKS B THIS
I —Fla d G�
SITE IS LOCATED IN THE CITY
NEW
NON-RESIDENTIAL SIGN
OF EDMONDS. LOCAL SALES TAX
-
ADD RETAINING
WALL
�•�� SHOULD BE CODED 31 04.
R RKB
DEMOLISH
FENCE��
r4/L%JJ�7'LLrr•%G'ON G�/v v�I/�O�/•'
ALTER ElEXCAVATE
OR FILL (.....................Ft.)
El REPAIR ❑ IN E- SPMPOOLWIM
pose, Gd Derr.ss� (_',ZZ •s��/�'
NUMBER OF STORIES NUMBER OF
DWELLING
I
�J
`' U�• �� �S
UNITS
lC_-�
Valuation
Fee Receipt No.
NATURE OF WORK TO BE DONE
Men Check N. .....................
-
ZOi
BUILDING
PROPOSED UBE
PLUMBING
qq
HEAT A GAS LINE
W
D
PLOT PLAN (Intllcnte Building eetbncke, abutting Streets)
FENCE
SIGN
tRETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
This Permit coven work to he done on private pnperty ONLY.
Any construction on the public domain (.-be, sidewalks, driveways,
marquee, etc.) win require separate permission.
/6`° 7i"(a
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, find receipt is ac-
knowledged In space provided.
J
FILE
TOTAL AMOUNT DUE
1 hereby acknowledge that I have rend this application; that the In.
formation given Is correct; and that I am the owner, or the duly author -
,red agent of the owner. I agree to comply with city and slate laws ngu-
ATTENTION
luting construction; and In doing the work authorized thereby, no person
will be employed to vioh,th, of G, Labor Code of the State of Washington
TIDE PERMIT
rein'... to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WOR. NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS atoll be com-
pleted t�lY manlha.)
E (OWNS} OR ENT) DATE SIGNED
INSPECTION
C �-
DEPARTMENT
tl�� v— �-- 7
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR a-llo.
This Permit coven work to he done on private pnperty ONLY.
Any construction on the public domain (.-be, sidewalks, driveways,
marquee, etc.) win require separate permission.
/6`° 7i"(a
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, find receipt is ac-
knowledged In space provided.
J
FILE
yi
Y
• b
•j
t
'
1
jr
Pei Nymoxlt
1 I
SGo - e �. � A✓� N
53
410
I
E
IT
CITY
I
tPER;d1T
`... ............ _ ... ._..�.._...
_LID.,.
.„.I __ ......... - L._ CON011'ION11.
WOR&
I I
I � (
...I .. 1 ._. ..
i
ADDRESS• �
. 1 .
Ikj j � OWNER•_u._------
APPRO
131.0'G. Ear
S
KEEP 1'HE{.: suitFLA
FLL INSI'ti:.liil6tS•
Pi� G IiO. SHEIT
14 OF
I MUN[tt
_ i N01[ rn
14
1 � 0
..f I,r• it n H
•
[. ?.
RECEIVED owurse.b.
I
� YMMI'Owr N•.L
MAY -2 1974
,[• Mr. Y o... W.L
I
OWNER APPROVAL
DATEP.o. RM sm
9605]
6EO2MI
4bwn MMw n It 1[,roNi.lrt TxeT TNIt I06Y .t cOxM1[l[lT NLUO OUT..ane'Ma M ww• N IM .",/ liw a e«w.n4n�.n Mwwn M t.w«w
8 5 0
.��� nn. e=nn w • wn'n a �.nnnW w.nem. in s.nnn.s,xn.w xa N+.... 1. minnruw,nw. 13081 685"05]6
FlAY f PLAN W�u —1, = I'
s.r hw O..u. O.a. , n x mw w, .err«,.. n
I I
�1
gill
IT
tp
0.51
;it
i -it
i
i. —'k - =" .:J t r r.. r T 'St`•V a t:-'•� J' ."" �.� 1
e 1
1
i
�.•
t � (.T ..11 1
�
1 _ W
...�� ... .. ... 3
al.:..:... fi 1 �•
,�
-
�
S
... t,.:.• , :... ..,. .. _. ,1.., ., .t ..S i_._.
••
1.iti ✓' i F�
���
t
i
,
�e
-7gO27 71
RECORD OF INSPECTIONS
+
1
Date Passed
_.... _. Foundation
_ Plumbing (Partial)
(Rough) d:
ines
,Furnace & Fuel Lines—
Final
Final —
�'i
1
r
a