740296.pdf....... .. .... .
USE
F—NE(Oft
G DEPARTMENT Applicant Ftn ZONE
APPLICATION Inside Heavy Lines M.
ADDRESS �% O
ME OF BUSINESS) PERISSIBLE 7, /� /1%ia/lvls LOTCOVERAGERESS��Qy//PERb1ISSIBLE HE•�-'`I/TELEPHONE NUMB�E/R ATAREAO/V l�.S I 7 � % Y- % R O
U
W
yN
S
v I t.; (7-V
RESIDENTIAL
ADDRESS
AS
C
17J NEW
F CITY
TELEPHONE NUMDER
PROPOSED USE
I
7
NON-RESIDENTIAL
❑
STATE LICENSE NUMBERI
PLUMBING
CITY LICENBE NUMBER
Di? -37
C° &oci-7`0
aPLOT
Legal Description of Property (Show Below or Attach Four Gallie.)
Loy- (2AV2
lz.4 6 D
i2D,rio.v/�
DEMOLISH
ORFILL EXCAVATE
s
FI.ENCx..........Fl.)
n 7 q0 "oej
Aj Q.
V —
REPAIR
❑
N P.PRE-
O
J
SWIM
POOL
ExI,.,MG STREET R/W��.�yy ... DEFICIENCY THIS PROPERTY
COMP. PLAN ST, R/Vi`..-....... 4...FT.
ROMA-PM Driveway slopes not to exceed those
indicated on Standard Dwa. No. 103
/y7d
IV I zi-6s 0 NO
IREDOCCUPANCY GROUP
_ _T7 -,F=/
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
G77c
Valuation Fee _7
-
RESIDENTIAL
❑
AS
OPLANS
17J NEW
`.t
PROPOSED USE
`+—\
711__
0� 0gb
7
NON-RESIDENTIAL
❑
SIGN
PLUMBING
7 7 v
aPLOT
RETAINING
A7
ALTER
❑
DEMOLISH
ORFILL EXCAVATE
❑
❑
FI.ENCx..........Fl.)
�• �l N
V —
REPAIR
❑
N P.PRE-
O
SWIM
POOL
C
IUMDER OF STORIES
NUMBER OF
tRETAINING
'
DWELLING
I
N
UNITS
I
/y7d
IV I zi-6s 0 NO
IREDOCCUPANCY GROUP
_ _T7 -,F=/
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
G77c
Valuation Fee _7
-
Plan Check No .....................
PROPOSED USE
BUILDING
0� 0gb
7
ld6 sa
O
PLUMBING
7 7 v
aPLOT
PLAN (f(III dl Bullding eetbacke, abutting streets)
HEAT Q GAS LINE
�• �l N
V —
✓
FENCE
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
� 2 0
Iheresy acknowledge that I have read this application; that We In.
formation given Is correct; and that I am the owner, or the duly author-
,zedagent of the owner. I agree to comply with city and elate taws regu-
lating and
conetruetlon: and In doing the work nulhotlzed thereby, no peteon
ATTENTION
APPLICATION APPROVAL
Will be employed In of the Labor Code of the Stale of Washington
relalmg to Werkmea'a Compensation Insurance.
TiUS PERMIT
This application is not B permit until
AUTfiORIZEB
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORE NOTED
Uty: and fees are aid, and receipt 1s ac -
ahall be completed In bluely days; MOVED -IN BUILDINGS shall be cons-
1mOWled ed In
pleted In elx months.)
g Sp C provided.
V R OR AGENT) DATE SIGNED
INSPECTION
iREC R' SIONAT E
7
2z'
DEPARTMENT
CITY OF
` ''
EDMUNDS
DATE'
NOTE: Applicant Subject to Plan Check Fee
a
Till. Fermlt e era wont to be done on private property ONLY.
775-2525
Any eanet ructlaa an the public Jamal¢ (earba, nldewnike, drlyevvaye,
tnl w•e+. , e.t alit rrnnl n• .,•parate prnnl. nln•i.
FILE,
vv
r-I.L-1^--E,W
RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial) —
(Rough) ZL y_Z`f4
Frame --
Furnace & Fuel
Final