740363.pdfO CITY TELEPRONH N MHER ACTUAL. LOT AREA TOTAL BLDG, AREA
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REQUIRED YARDS PROPOSED YARDS
FRONT HIDE REAR FRONT BIDE REAR
NAME
f� LEGAL LOTVARIANCE OR CONDITIONAL V8E
kUj ADDRE88 YE9 NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE: �
`� TELEPHONE NUMDER .' 1
CITY
STREET R/1V ERTY O
EXISTING STREET R/W ............FT.
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BUILDING DEPARTMENT Applicant Fill
USE
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PERMIT
NUMBER 740363
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PERMIT APPLICATION
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ADDRESS
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PERMISSIBLE HEIGHT
PROPOSED HEIGHT O
TELEPHONE NUMBER
O CITY TELEPRONH N MHER ACTUAL. LOT AREA TOTAL BLDG, AREA
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REQUIRED YARDS PROPOSED YARDS
FRONT HIDE REAR FRONT BIDE REAR
NAME
f� LEGAL LOTVARIANCE OR CONDITIONAL V8E
kUj ADDRE88 YE9 NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE: �
`� TELEPHONE NUMDER .' 1
CITY
STREET R/1V ERTY O
EXISTING STREET R/W ............FT.
DEFICIENCY THIS PROP
NAME/
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REMARKS
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TELEPHONE NUMBER
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METER SIZE SERVICE SIZE
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CHECKED BY
STATE LICENSE NUMBER
C3TY LICENSE NUMBER
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REMARKS
Legal Description or Property ( how Below or Attach Four Copies)
TYPE CONNECTION
VERIFIED BY
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PERC. TEST
NUMBER
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REMARKS
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FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
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SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
GAS
RESIDENTIAL ❑ LINE
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BY
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SITE IS LOCATED IN THE CITY
�'�•NEW
PLAN CHECKED
THIS
OF EDMONDS. LOCAL SALES TAX
IAL
NON-RESIDENT ❑ SIGN
SHOULD BE CODED 31.04.
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ADD ❑❑ RETAINING
DEMOLISH
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❑ FENCi_........FL,
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NUAIHER OF STORIES NUMBER OF
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NATURE OF WHO RaC,.TO HE DONE
Valuation
Fee Receipt No.
Plan Check No .....................
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BUILDING
PROPOSED USE
PLUMBING
PLOT PLAN (Indicate Building aelbIIeke, abutting streets)
HEAT & GAS LINE
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FENCE
SIGN
RETAINING WALL
,
SWIMMING POOL
DEMOLITION
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PRE -MOVE INSPECTION
EXCAVATION OR FILL
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AMOUNT UE
I hereby acknowledgeTOTAL
that I have read this application; that the In-
formation given Is correct; and that I am the owner, or the duly author-
I:ed agent of tho owner. I agree to comply with city and stale Law. rasa-
ATTENTION
APPLICATION APPROVAL
rating conetroetion; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORZE8
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 ac -
shall be completed In ninety days; IIIOVED-IN BUILDINGS shell be com-
knowledged in space rOVided.
pleted IsIz months.)
SIGN U E (OWN I R AGENT) DATE STONE
INSPECTION
DIRE O Bl A
DEPARTMENT
CITY OF
EDhIONDB
DATE
�
'✓
NOTE: Applicant Subject to Plan Cheek Fee
6 / /V/l
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775.2525
This Permit en". work to be done on private properly ONLY,
Any construed.. on irte public domain (curbs, sidewalks, driveways.
FILE
marquees, etc.) will require separate permission.
USE
BUILDING DEPARTMENT AppueantFiu "ONE
PERMIT APPLICATION Ingldo Heavy Lines A D DDP
NAME (OR NAME OF BUSINESS)
CVC LOT I
`/ L+/ LOT 1
m MAILING ADDRESS + '
3 Z`
ACLU
U
❑ YES ❑ No
SITE IS LOCATED IN THE
EDMONDS. LOCAL SALES
Fee
-�-' oo I 7
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-
knnwledeed in space provided.
(�J CCC INSPECTOR
ADDRESS
[3 YES 0 NO PERMIT NUMBER
'
❑ YES ❑ NO
PLANNING DEPT. APPROVAL DATE:,
q'
[LISIDENTIAL
j
1
will be employed In violation of the Labor Code of the Stale of Washington
CITY
TELEPHONE NUMBER
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
FENCE
PERMIT 630 4
NUMBER 7�}{J o1
W
SWIMMING POOL
SIGN
NAME ^ uL )Q
F� y
REMARKS
is
❑
x 11
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❑
RETAINING
ADDRESS
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SBIBLE %
ACTUAL
EXCAVATE
❑
This Permit covers work to bo done on Private property ONLY.
CHECKED BY
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)VERAOF.
LOT COV ESiAGE
ORFILL
r
CITY
I TELEPHONE NUMBER
01BLE HEIGHT
PROPOSED IIEIOHT
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POOL
L LOT AREA
TOTAL BLDG. AREA
7
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TYPE CONNECTION V E
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REQUIRED YARDS
PROPOSED YARDB
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UN1T8
PERC. TEST PERMITM E
NT SIDE REAR
FRONT SIDE REAR
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. LOT VARIANCE OR CONDITIONAL USE
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m
❑ YES ❑ No
SITE IS LOCATED IN THE
EDMONDS. LOCAL SALES
Fee
-�-' oo I 7
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-
knnwledeed in space provided.
(�J CCC INSPECTOR
ADDRESS
[3 YES 0 NO PERMIT NUMBER
'
❑ YES ❑ NO
PLANNING DEPT. APPROVAL DATE:,
q'
[LISIDENTIAL
j
1
will be employed In violation of the Labor Code of the Stale of Washington
CITY
TELEPHONE NUMBER
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
FENCE
COMP. PLAN ST. R/W ............FT. ............FT.
W
SWIMMING POOL
SIGN
NAME ^ uL )Q
F� y
REMARKS
is
❑
x 11
W
❑
RETAINING
ADDRESS
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ALTER
EXCAVATE
❑
This Permit covers work to bo done on Private property ONLY.
CHECKED BY
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C.
F
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❑
ORFILL
r
CITY
I TELEPHONE NUMBER
ME IZE CLEARANCE HY
(CHECKED
11
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C
POOL
STATE LICENSE N7HER
D/�f`72`%
CITY LICENSE NUMBEH
Legal Description of Property (Show Below Or Attach Four Copies)
1
TYPE CONNECTION V E
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UN1T8
PERC. TEST PERMITM E
'e.
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m
REMARKS
❑ YES ❑ No
SITE IS LOCATED IN THE
EDMONDS. LOCAL SALES
Fee
-�-' oo I 7
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-
knnwledeed in space provided.
(�J CCC INSPECTOR
���'- • "'C
I hereby acknowledge that I hove rend this appllcallon; that the In-
0
LINE
❑ YES ❑ NO
El
NEW
[LISIDENTIAL
will be employed In violation of the Labor Code of the Stale of Washington
PLUMBING
PLAN CHECKED DY
HEAT @ GAS LINE
FENCE
SIGN
N RESIDENTIAL
SWIMMING POOL
SIGN
PRE -MOVE INSPECTION
EXCAVATION OR FILL
ADD
❑
DEMOLISH
❑
RETAINING
REMARKS
EDNIOND8
ALTER
EXCAVATE
❑
This Permit covers work to bo done on Private property ONLY.
Any construction an the public domain (curbs, sidewalks, drlveways,
❑
ORFILL
.. x. Ft.)
❑
REPAIR
pA1OVE
NSP.
ED
POOL
VUDSBER OF STORIES
DUELER OF
DWELLING
UN1T8
❑ YES ❑ No
SITE IS LOCATED IN THE
EDMONDS. LOCAL SALES
Fee
-�-' oo I 7
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-
knnwledeed in space provided.
(�J CCC INSPECTOR
���'- • "'C
I hereby acknowledge that I hove rend this appllcallon; that the In-
Plan Check N n .....................
BUILDING
W
O
aPLOT
b
�
PROPOSED USE
will be employed In violation of the Labor Code of the Stale of Washington
PLUMBING
PLAN (IndleatO Building setbacks. abutting etracta)
N
HEAT @ GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
❑ YES ❑ No
SITE IS LOCATED IN THE
EDMONDS. LOCAL SALES
Fee
-�-' oo I 7
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-
knnwledeed in space provided.
(�J CCC INSPECTOR
TOTAL AMOUNT DUE
I hereby acknowledge that I hove rend this appllcallon; that the In-
formation given in correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and elate laws regu-
ATTENTION
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Stale of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY
ONLY TRE
NOTED
shall be completed In ninety days; pIOVED-IN SU[LDINGS shall he mm-
pletcd Inalx months.)-)
SIGNATURE (OWN�It.OH AGENT) DATE B10NED
INSPECTION
•' �/;�/ %�/ /�f�
DEPARTMENT
C .2•( `� cD/ / / /
CITY OF
EDNIOND8
NOTE: Applicant Subject to Plan Check Fee
775.2525
This Permit covers work to bo done on Private property ONLY.
Any construction an the public domain (curbs, sidewalks, drlveways,
ntNqueesr els.) w'lll require separate permission.
❑ YES ❑ No
SITE IS LOCATED IN THE
EDMONDS. LOCAL SALES
Fee
-�-' oo I 7
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-
knnwledeed in space provided.
(�J CCC INSPECTOR
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PLAN :CR ADDITION TO RESIDENCE } 7
tl OF OVE & ELEANOR R. GREEN
NO
534 2nd AVE. N., EDMONDS, LfaSH.
DaSCRIPTION OF LOT:
;I
That portion Of Government Lot 2; Section 24, '
Township 2T North, Range 3 East, W. M., in Snohomish
County, Meat m
Aashir�ton, described as follows; Commencing 'I
ata point of intersection of the is at of Third
Avenue and the North lino of the tract conveyed
N wember 7., ],917 to Her.ry Strudwick Hedges.. and wife, „
eing the
by deed recorded under Auditbr'a File No. 2
racords of Snohomish County,said line also bis
rath margin of the plat of Morse Addition; thence::
North (39`•59' 40" Jest•along said line 120 feet; to the
true point!of be inning; thence continuing North
'40" West 10.00 feet`; ;thence 3outh 29"18.'. 00"
,i•3st 86.01 feet, more or lyss,. tb the North we"
corner of a tract conveyed January -3,1927, to
°.
Rijn, under .auditors File No. aCO 2F'recards �-
S zohbmish Count; ; thence South 89'5,9'40" LastA.
thence wrth 29 1}3'00" East 86.01 t to the t
print of beginning• i
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I.
RECORD OF INSPECTIONS i
Date Passed
Foundation