740312.pdfRETAINING WALL
tfy_+7/�Vt[
I
SWIMMING POOL
Cv+
Q � DAN
s?�t-D
DEhIOLITION
BUILDING DEPARTMENT
Q
�
4
Ap Leant Fill
ZONE C� Nv BIER
�n Z
PERMIT APPLICATION
Insld -Heavy Lines
I GS
PRE -MOVE INSPECTION
I
HANE (Ott NAME OF HUeINEee)
EXCAVATION OR FILL
(] 1 L� (� I1
ADDREBB , A 1 2� t �ALL I' ,^M W�
Lk F 'B/>LL wl>y
-
ACT A
Therebyacknowledge that I have read this appllcau
that the In.
LOT COVERAGE L T COVERAGE
�d
a - �3
formation elven iscorrect; and that I acct the owner, ort
duly auth
MA LIN A RE)TB
O jI
�CITY
lagent the owner. I agree to comply with Cland amor-
ts Inwe ergo.
p>,RMIB81➢LE HEIGHT D HEIGHT PROPOSE
luting conetrtructlao; and In doing the work authorizl. ed thereby,
E NUMBER TELEPHON
ACTUAL LOT AREA TOTAL BLDG. AREA ,x
APPLICATION APPROVAL
will be employed In violation of the Labor Code of the Slate
relatingto Workmen's Compensation Imurmace.
ar Washington
THIS PERMIT
s
Permit Limit One Year
6 Z+
AUTHORIZES
ONLY THE
a'
.hallNOTE: (Except DING
be completed In ninety days; MOVED -IN IIUtI.DINO
hall which
shall be cam-
RL•`QUIRED YARDS PROPOSED YARDS
uty; and fees are paid, and receipt is ac-
NAME
FRONT BIDE REAR FRONT BIDE REAR
knowled gad in apace provided.
�1jt TURE (OWNER OR AOE DAT'
J
SIGNED
INSPECTION
DEPARTMENTgi�
�y
WADDRESS
DIRECTOTy SIO
LEGAL LT
`24'7
/
CITY OF
VARIANCE OR CONDITIONAL USE
0 YES [3 NO PERMIT NUMBER
NOTE: Applicant Sub)ect to Plan Cbec
Fee
EDMONDS
DATE
v�
�
This Penn" lore. work la be done n prlrate property
ONLY,
775.2525
.
Any cenelruct on the public domain (curb., eldewdks,I driveway.,
V
C CITY
'E
TELEPHONE NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET R/W
NAME
E)CISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
O
�
COMP. PLAN ST. R/W ............FT. ............FT.
W i
REMARKS
ADDRESS
r0
U
F CITY TELEPHOS{E NUMISF.R
:G
W
CHECKED BY
U
STATE LICENSE NUMBER
CITY LICENSE NUMBER
MET BlZls
eLRVSCE eIZE CLEARANCE CHECKED BY
I
I I
„
{Ck1
Legal DescrlpllDn of Property (Show Below
or Attach Four CODIee)
RF.MAIIKB
F
I�tn �
/-a SCO
N
/�/n (A/QP f J`
7
O
Gf CrY4
TYPE
I VERIFOIED BY
j
PERC. TEST
PERMIT NUMBER
r� /
j O/ 3--- h
/
1
l
f= X c ��
/CT
REMARKS
l' Sef L
W
m
Y/-� d
7 e
GoNc Io�j
IY b �„ T 'Fe)J /,,,�
�(y0
61RII ZONE TYPE OF CONBTRUC I STREET IhIPROVED
YES ❑ NO
,[,• �< S '/y^ rt
—��
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
j
❑ NEW
❑ RESIDENTIAL
❑
GAS
O INE
❑ YES NO
I
PLAN CHECKED ➢Y THIS SITE IS LOCATED IN THE _CITY
El
NON-RESIDENTIALIGN
❑
OF EDMONDS. LOCAL SALES TAX
SHOl1LD BE CODED
DEMOLISH
ITETnININc
❑ IVALL
31.04
REMARx9
❑ ALTER ❑ OXCAVAT
FILL E
❑
r-
�.+'.I.t�{j-•j�Y� ► 1!• {
I�
1�j�t/l{
❑ REPAIR ❑ I'N'S' -MOVE
❑
L.ENC=
..........
. .....Fl.)
P OL
(��{�7,JC/�/�D �// /j(�r�J�1
C CIL•' !cam 1 -rACU e/ L - `� r �/'_
NUMBER Ob BTOR189 DUELER OF
DWELLING
t
1 $ 4ASi TAgLE
-rrzu/rV xL
UNITS
{/
NATURE OF WORK TO BE DONE
Valuation
Fee Rccclpt No.
Ii
x �OL!'1rlb
0
Plan Check No........_...........
i
� PROPOSED UBII
BUILDING
APLOT
PLUMBING
PLAN t"aacalo Building setbacks, abutting street)
9
HEAT & GAS LINE
FENCE
+
SIGN
RETAINING WALL
tfy_+7/�Vt[
I
SWIMMING POOL
Cv+
Q � DAN
s?�t-D
DEhIOLITION
Q
�
r O
PRE -MOVE INSPECTION
I
-
EXCAVATION OR FILL
Lk F 'B/>LL wl>y
-
Therebyacknowledge that I have read this appllcau
that the In.
TOTAL AMOUNT DUE
�d
a - �3
formation elven iscorrect; and that I acct the owner, ort
duly auth
lagent the owner. I agree to comply with Cland amor-
ts Inwe ergo.
luting conetrtructlao; and In doing the work authorizl. ed thereby,
no person
ATTENTION
APPLICATION APPROVAL
will be employed In violation of the Labor Code of the Slate
relatingto Workmen's Compensation Imurmace.
ar Washington
THIS PERMIT
This application is not a perinit until
Permit Limit One Year
AUTHORIZES
ONLY THE
signed by the Building Official or his Dep-
.hallNOTE: (Except DING
be completed In ninety days; MOVED -IN IIUtI.DINO
hall which
shall be cam-
WORD NOTED
uty; and fees are paid, and receipt is ac-
Plete
plcled In elg months.) �
knowled gad in apace provided.
�1jt TURE (OWNER OR AOE DAT'
J
SIGNED
INSPECTION
DEPARTMENTgi�
DIRECTOTy SIO
///
`24'7
/
CITY OF
NOTE: Applicant Sub)ect to Plan Cbec
Fee
EDMONDS
DATE
v�
�
This Penn" lore. work la be done n prlrate property
ONLY,
775.2525
� _
fes'
Any cenelruct on the public domain (curb., eldewdks,I driveway.,
nlnreaee., etc.) wlk reeWre separate perml.eloll.
FILE
1
r
T+�?�'!�r+e.<-.e•+:� ��. .:�.:.,fR'"�..,, "avr �s A:S^Mn�'
•.:c.. _1`� ._..:...vK rn.�ya...�_.. - ..-., ._.- .. m.......,..T7f�"_�,
77,
:
4
•
1
p.
t
n•
#j
I
tx
7�103f2-
nrCORD OF INSPECTION
I
Date Passed
Foundation —
Plumbing (Partial)
I
(Rough)
Frame
_.
Furnace & Fuel Lines
. L3—
Final
{
,
I
r