740292.pdfAll
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BUILDING DEPARTMENT Applicant FILL
ZOO
I
PERMIT APPLICATION inside aeaYy Lines
A D
ADDRESS
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24126-77th Place West
24126-77th
NAME (OR NAME OF IIU8INESS)
PEItM7o
ACUAL
Arthur Still
LOTCOME GO
LT CORAGE
1
MAILING ADDRESS
PERMISSIBLE HEIGHT
PROPOSED HEIGHT
24126 -77th Place WestA
O
PHONE NUMBER
ACTUAL LOT AREA
TOTAL IILDO, AREA
CITY
Edmonds, Washington
774-2746
1
REQUIRED YARDS
PROPOSED YARDS
FRONT SIDE
ftF.An FRONT SIDE REAR
NAME
LEGAL LOT VAR ANCE OR CONDITIONAL USE
t
kUj
ADDRESS
YES O NO PERMIT
NUMBER
PLANNING DEPT. APPROVAL DATE
CITY
'TELEPHONE NUMBER
STREET R/W
EXISTING STREET R/W ............F'r.
DEFICIENCY THIS PROPERTY
O
I
NAME
COMP. PLAN ST. R/W ............FT.
............FT.
REMARKS
ADDRESS
d
X
67
'1
CHECKED BY
!(
C
CITYI
TELEPHONE NUMBER
'
F
Z
METER SIZEI
OEIiV10E SIZE CLEARANCE
CHECKED BY
v
STATE LICENSD NUMBERI
CITY LICENSE NUMHEK
I
I
{Fd'�
REMARKS
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!
Legal Description of Property (Shaw Below or Attach Four Copies)
Lot #6 Woerner Addition
TYPE CONNECTION
i VERIFIED BY
o
PERC. TEST
PERMIT NUMBER
a
I
W
it
W
REMARKS
re
flf`
a
1
1
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
I
0 YES ❑ NO
i
SPECIAL INSPECTOR REQUIRED GROUP
GAS
RESIDENTIAL ❑ LINE
❑ YES 0 NO!
(OCCUPANCY
PLAN CHECKED IIY
THIS SITE IS LOCATED IN THE CITY
❑ NEWNON-RESIDENTIAL
❑ ❑ sicx
OF EDMONDS. LOCAL SALES TAX
❑ ADD
RETAINING
REMARKS
SHOULD BE CODED 3114.'
'
El DESfOLIBH ❑ WALL
❑ ALTER EXCAVATE ❑ ❑ PENCE ....Ft.) OR FILL
❑ REPAIR ❑ PRE'INSP. svnht
EJPOOL
1
NUMBER OF STORIES NUMBER OF
DWELLINGi
I
UNITS
NATURE OF WORK TO HE DONEValuation
Fee RecelPt No.
COMPL I ANCE INSPECTION
Plan Check No .....................
BUILDING
[p
0,
PROPOSED USE
PLUMBING
a
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
tfIj
FENCE
{
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
25.00
TOTAL AMOUNT DUE
25.00 7859
I hereby acknowledge that I haus tend this application; that the In-
formation given Is correct; and that I am the owner, or the duly aulhor-
Ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no person
wit l be employed In violation of the Labor Code of the State of Washington
THIS I-ER511T
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 DEMOLITIONS Which
ONLY TIIE
WORK NOTED
uty; and fees are paid, and receipt Is Be
shall be completed In ninety days; MOVED -1N BUILDINGS .hall be wm.
knowledged in space provided.
plated In six months.)
SIGNATURE (OWNER OR AGENT) DATE S10NEU
INSPECTION
D1R OWS 84GNATI n
DEPARTMENT
_
�
'J'r /
;:- '. lt: , 11 f.,
Kessler 8 Co. 5-2I-74
CITY OF
`��G
EDMONDE4
DATE
NOTE: Applicant Subject to Plan Check Fee
5-21-74
775.2525
This Per It r s work to be done on prlvnte property ONLY.
Any toneiruelb. on lha public domain (curbs, sidewalks, dAvOways,
FILE
nmrqueee, rlc.) Gill require separate permission.
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set w
t � ,
01
BUILDING DEPARTMENT Applicant IriH USE
NE PERMIT
u BER 74 - 77),9
PERMIT APPLICATION
Inside Heavy Linea ]O
ADDRESS 1 .I
L
NAME OF BUSINESS) %4126677tH PI 9Cf� 1Vr�St
PEIIM Itle IDLE ACT AL
ihur St I I I LOT COVERAGFa LOT COVERAGE
ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT dG J I
ia)-77th I'IaCe "It)st ACTUAL LOT AREA TOTAL BLDG. AREATELEPHONE NUMBER
inonds, 'tiaslli ngtorl 774-2146 REQUIRED YARDS PROPOSED YARDS
NAME FRONT SIDE REAR FRONT SIDE REAR
1 j
FU7 LEGAL LOT VARIANCE OR CONDITIONAL USE ! !'
yN ADDRESS YES NO PERMIT NUMBER
9 PLANNING DEPT APPROVAL DATE: 1
cU
m
pz
O
CF
Plan Check No .....................
I El RESIDENTIAL
❑
GA
LINE
BUILDING
NEW
❑ NON•REHIDENTIAL
UBE
'ly
➢ICN
C�1
ADD ❑ DEMOLISH
WALL KING
M PLOT PLAN (Indlents Iltll g sCt a 8, nbdtting e[recla)
ALTER EXCAVATE
❑
FENC.
❑ ORFILL
.......... Ft. )
INHPASOVE
REPAIR
❑
SWI I
POOL
IUMBER OF STORIES NUM➢ER OF
SWIMMING POOL
DEMOLITION
DWELLING
PRE -MOVE INSPECTION
EXCAVATION OR FILL
UNITS
(`r"r I n s I .
PATURE OF WORK TO BE DONE
I hereby acknowledge that I have read this application; that the In-
farmetlon R1van Is correct; and that I am the owner, or the duly author.
"'''O I'JSPFCTIO''d
Ized agent of the owner. I agree to comply with city and state low. ragu•
ATTENTION
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
CHECKEDHY
METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY.
E] YES E] NO
'A';",- L I A.l _ 1
Plan Check No .....................
,[I
BUILDING
4 PROPOSED
UBE
'ly
PLUMBING
C�1
M PLOT PLAN (Indlents Iltll g sCt a 8, nbdtting e[recla)
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
(`r"r I n s I .
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
farmetlon R1van Is correct; and that I am the owner, or the duly author.
Ized agent of the owner. I agree to comply with city and state low. ragu•
ATTENTION
..,In. conetrucllon; and In doing the work authorized thereby, no perean
will be employed In viola Ion of theLabor Code of the Stale of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZE8
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
H'OItK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS Shatl be cam.
plated In six months.)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
I
DEPARTMENT
CITY OF
ENDS
NOTE: Applicant Subject to Plan Check Fee
yrs-ss2s
This Per It Soren work to be done on private properly ONLY.
Any conelruetlon on the public domain (...In, eldewnike, drlvewaye,
marquees, etc.) xRI require separate pernrlssiun.
CRUGTION STREET IMPROVI
0 YES ❑ NO
D IOCCUPANCY GROUP
THIS SITE 15 LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
tJ.Ur. I I
25. C0 1 1c:5,,
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.
1
DIRE OR'B pfONAT/U/kE ns
iti7y'..,:f//ter i i'LUtc'o"v0 JI
DATE�
-L1 74
INSPECTOR