740365.pdfMIT
BUILDING DEPARTMENT AnnulnlitFiu
14 t- NUMBER 740365
N Inside Ireavy Lines
PERMIT APPLICATIOJOB t ,
NAME (OR NAME ADORERS r� •1 /' ,� ( �.1/�, W ' 1
PERMISSIBLE 7 V 6 (1 ACTUAL f
LAT COVERAGE LOT COVERAGE i I
MAILING ADO1111H.O ; )
PERMISSIBLE HEIGHT / IIOPOBED HEIGHT
Z, G_/ 7 if �rrU . r,v . 35 0� _
7
1 1
z�
CITY
TELEPH//ONE N W5ER AC gl, LOOTti ARA TOTAL BLDG. ArtEA
r�-REQeUIIR'D YARD tl P_ROPPOSEED YARD.
;
NAME FRO(NT , .IDE REAR FRONT HIDE REAR
LAB
a
C-3
yF.11
NEW
NON-RESIDENTIAL
ADDRESS LEO IJ OT VARIANCE on COIJUITIONAL
❑ NO P .RMIT NUMBER—_A!/'1!P
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rC
PLN DEPT. AP I A
CITY TELEPHONE NUMBER
ADD
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t
FJ(ISTIN BEET R/W_50.III.y7r. DEFICIENCY THIS PROPERTY
NAME 01
COMP. PLAN ST. R/t�/(u'PC. ...(IF1`.
%
-
REMARKS
�(• L 5 /�I� REMARKS Driveway slopes not to exceed those
!
m
AD REB.
indicated On Standard Dwq. No. 103
w
CHEC D Y
ALTER
OR FILL (..........X..........Ft.)
CITY
TELEPHONE NUMB�E'
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-7
I • / METER SIZE SERVICE SIZE CLEARANCE
1A`'
REPAIR ❑
INSP. O POOL
CH�
tjD Eft
�
V
STATE LICENSE NUMBER
-
CITY LICE�'8)'. UMBER
7, / ♦/'
ILV, ///_n
I REMARKS
I
NATURE OF WORK TO HE DONE
Valuntlon
Fee Receipt No.
Legal Description of Property (Show Below or Attach Four Copies)
WCV
zz%/ TYPE CONNECTION VLRIQF
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PERC. STIPERM UMBER
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BUILDINa
REMARKS
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FI TYPE O ONSTRU lON STREET IMPROVED
I[3
YES )aNO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
RESIDENTIAL
LAB
O YES a NO
C-3
NEW
NON-RESIDENTIAL
LINE
PLAN CHEC ED DY
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
ADD
SIGN
SHOULD 8E CODED 31.04.
RETAINING
WALL''.
REMARKS
DEMOLISH
EXCAVATE[]FENCE
ALTER
OR FILL (..........X..........Ft.)
MOVE SWIM
REPAIR ❑
INSP. O POOL
NUMBER OF STORIES NUMDER OF A
DWELLING
./
l/ UNITS
NATURE OF WORK TO HE DONE
Valuntlon
Fee Receipt No.
-
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ADGrT/i��'/ 17%Pion
%
Cheek Noir/L
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BUILDINa
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4
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PROP ED UBE
PLUMHIN6 Ct)S/N,<
�, :370
O
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAS LINE
m
D
FENCE
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
I
PRE -MOVE INSPECTION
EXCAVATION OR FILL
1 hereby acknowledRs that I have read this application; that the In.
TOTAL AMOUNT DUE�x
tormntlon given Iscorrect; and that I am the owner, or the duly autbor-
Ized nRent of the owner. I agree to eomD1Y with city and erste laws regu-
ATTENTION
APPLICATION APPROVAL
toting conatMetlon; and In doing the work authorized thereby, no Darson
will beemployed In violation of the Labor Code of the State of Washington
TRIS PERMIT
This application is not a permit until
relatlog to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORE NOTED
uty and fees are paid, and receipt Is ac -
shall be completed In ninety days; MOVED -IN BOMBINGS shall be com-
knOWledged in space Kovided.
'
pleted In six m..the.)
INSPECTION
DIRECTO
B16NATDitE (OWNER 9lSaAGENT)
DATES 6NED
^' f
�7 /`
DEPARTMENT
CITY OF
_,,JV TE: Applicant Subject to Plan Cheek Fee
EDMONDS
775-2525_-
DATE
-
Thls Permit c Ives work to be done on private property ONLY.
Any construction on it.public domain (curbs, eldewWke, drlVMAYe,
FILE
marquees, etc.) .111 require separate pc—fitidon.
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__ _ _ _ _ 1 el�rlr
CUSE
PERMIT
l BUILDING DEPARTMENT I dr I� zoxE NUMBER
(ra1CBDt FLI �)
PERMIT APPLICATION � IRBide Ilenvy Lines -70—B Tl,
, ADDRESS / 1 / �� ._ �,.,v
NAME (OR NAME OF DUSINESB),
, f
1 _ ' • PERMISSIBLEACTUAL
LOT COVERAGE LOT .01AAOE
MAILING ADDRE88•
PERMISSIBLE HEIGHT PROPOSED }(EIGHT
• /
O
(OCCUPANCY GROUP
C. j
CITY
TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
THIS SITE IS LOCATED IN THE
NAME
FRONT SIDE REAR FRONT BIDE REAR
j0 �...il �f• i'n3 ,�-•
SIGN%
O,,ADD
t�
SHOULD BE CODED 31,04.
W
ADDRESS
LEOAL LOT VARIANCE OR CONDITIONAL USE _
clS,f El NO PERMIT NUMBER �) �'J �)/`� ) �,•,
, 7-
❑DEMOLISH WALL
ALTER D EXCAVATE El FENCE
OR FILL
4'
ftA N6 DEPT. APYRrOYAL J DATE/:
_ `; l r': '.r \/ /..;; 1 f'R r , (ji Gf l/: �.• //. —
0
CITY
TELEPHONE NUMBER
NUMBER OF STORIES 11 NUMBER OF
DWELLING
STREET R/1}r
EXISTINGt§TREET R/{'✓-!VJ I.:a1. 6�EPICIENCY THIS PROPERTY
r
UNITS --
NAME
' •: -
-
COMP. PLAN ST.
J.f�t,'•'y %
REMARKH r1.•yif;:._:':v O ne i not to is i; (: �'::::•'. �'IIn SC'
�•`�I,i)l,:i
:: - ` ;`i •�
lyyy
GI
ADDRESS
PROPOSED USE'
t`�7
•,:...._,)Iv✓?:'C?Lt.�
,;i:il�E:C
'
F
CITY
TELEPHONE NUMBER
CHEC<�ED BY I
J
l ,/ /—
I
SIGN
V
STATE LICENSE NUMBER
CITY LICENSE NUMBER
METER 81.6 I SERVICE SIZE CLEARANCE CHECKED BY
N
I
REMARKS
�
DEMOLITION
Legal Description of Property (dhow Below or Attach Sour Copies)76
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have rend this apPlic¢tlCn; that the In.
TYPE CONNECTION V
RiF1ED1•$;
formation given is correct; and that I are the owner, or the duly author.
5,
ATTENTION
PERC. TEST P
RMIT NU HER
THIS PERMIT
relating to Workmen's Compensation Insurance,
This application is not a permit until
NOTE: Permit limit One Year
AUTHORIZES
ONLY TILE
signed by the Building Official or his Dep -
(Except which
be completed in ninety deye; MOVED
{YORK NOTED
uty; and fees are paid, and receipt is ae-
a
REMARKS
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTOR'S BIOI, U
I
DEPARTMENT
3
CITY OF
EDMONDS
DATE
NOTE: Ap[,licant Subject to Plan Check Fee
RE ,ZO I T PE CEJCONSTnUCTION
TREET IMPROVE
I \, ._ /
V.t-•
/°�'/C• ' I 0 YES
SPECIAL INSPECTOR REQUIRED
OYES \13 NO
(OCCUPANCY GROUP
C. j
RESIDENTIAL
xEw LINE
PLA_ CHECKED BY
THIS SITE IS LOCATED IN THE
., NON•REBIDENTIAL El
1
CITY
OF EDMONDS. LOCAL SALES TAX
SIGN%
O,,ADD
t�
SHOULD BE CODED 31,04.
RETAINING
REMARKS-'
77
❑DEMOLISH WALL
ALTER D EXCAVATE El FENCE
OR FILL
(..........z..........FL.)
ElREPAIR ❑ PRE -MOVE O SWIG[
INSP, POOL
NUMBER OF STORIES 11 NUMBER OF
DWELLING
UNITS --
NATURE OF WORK TO DE DONE
J.f�t,'•'y %
Valuation Fee Receipt N
Plan Check No.2!
:: - ` ;`i •�
lyyy
BUILDING11✓-
PROPOSED USE'
PLUMBING
O PLOT PLAN (Indicate Bulldlng',tbyaogs. bbgl I g-elroele)
\)1.--
HEAT d: GAS LINE
..
FENCE
SIGN
'
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have rend this apPlic¢tlCn; that the In.
TOTAL AMOUNT DUE
f
formation given is correct; and that I are the owner, or the duly author.
(red agent if the owner. I agree to comply with city and Stale taws resu-
lalling construction; and In dols the work authorized thereby, no person
ATTENTION
APPLICATION APPROVAL
will be employed In violation of the Labor Code of the Slate of Waehington
THIS PERMIT
relating to Workmen's Compensation Insurance,
This application is not a permit until
NOTE: Permit limit One Year
AUTHORIZES
ONLY TILE
signed by the Building Official or his Dep -
(Except which
be completed in ninety deye; MOVED
{YORK NOTED
uty; and fees are paid, and receipt is ae-
-1N BUILDINGS shall be mm-
DINGS shall
plee
pleted In six months.)
knowledged in space provided.
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTOR'S BIOI, U
I
DEPARTMENT
CITY OF
EDMONDS
DATE
NOTE: Ap[,licant Subject to Plan Check Fee
775-2525
% `r
Thle I'ermll mrero work to M: done on private property ONLY.
Any conetructlon on (III publle domala (,.,be. elaewalke, drh'ewaye,
marquees, etc.) will require separate permleelon.
INSPECTOR
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