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740390.pdfTELEPHONE NUMBER CITY ELC Et/CI E �%i'LY� 747— 4OSO NAME Am - G AI)KESS 1103 Ad- awe, so C CITY TELEPHONE NUMBER o $'EAirz� 9f1id8 I7�3'9400 V STATE LICENSE NUMBER CITY LICENSE NUMBER ,23 02 403.s' Legal Descrlptlon of Property (Show Below or Attach Four Copts.) FO Y a a e v PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN 8T. R/W ............FT. ............FT. REMARKS i i ...._7 METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY REMARXS TYPE CONNECTION SPECIAL INSPECTOR REQUIREDOCCUPANCY VERIFIED BY PE C. TEST i � I i REMARKS RESIDENTIAL GAS LINE ElYES (] NOEl THIS BUILDING DEPARTMENT Applicant Fill USE Eos ��ynn PERMIT 740390 NUMBER ! © N N -RESIDENTIAL PERMIT APPLICATION Inaldo heavy Lines I ADDRESS / AD �v G_C % 1 ❑ ADD ETAIElDEMOLISHO WALL NTNG SHOULD BE CODED REMARKS I, ,�/(����J� , 1 �� , ALL W - V �76 NAME (OR NAME OF BUSINESS) PERMISSIBLE 7e IAT COVERAGE I' L `^� ACTUAL LOT COVEAOE f 1 j ��V�� �� REPAIR ❑ INSPMOVE ❑ POOL 'f�� �• MA LINO ADDRESS PEftMISBIBLE HEIGHT PROPOSED HEIGHT a ! WELL UNITS V AREA TOTAL BLDG. AREA NATURE OF WORK TO BE DONE L. Y TELEPHONE NUMBER ACTUAL LOT PROPOSED YARDS fi % /?-e7-/%NG , f REQUIRED YARDS REAR i Plan Check Na. NAME/- FRONT HIDE REAR FRONT HIDE r G� Cox) C L BUILDING ��1/�� /0 Bpi U 1rte- =�Q 1rq-t'"'piW/4D [[[O LEGAL LOT VARIANCE OA CONDIT30NAL USE G y G W ADDRESS PLUMBING YES ❑ NO PERMIT NUMBER 0 3 TELEPHONE NUMBER CITY ELC Et/CI E �%i'LY� 747— 4OSO NAME Am - G AI)KESS 1103 Ad- awe, so C CITY TELEPHONE NUMBER o $'EAirz� 9f1id8 I7�3'9400 V STATE LICENSE NUMBER CITY LICENSE NUMBER ,23 02 403.s' Legal Descrlptlon of Property (Show Below or Attach Four Copts.) FO Y a a e v PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN 8T. R/W ............FT. ............FT. REMARKS i (CHECKED BY METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY REMARXS TYPE CONNECTION SPECIAL INSPECTOR REQUIREDOCCUPANCY VERIFIED BY PE C. TEST i � I I PERMIT NUMBER REMARKS RESIDENTIAL x FIRE TYPE OF CONSTRUCTION STREET IMPROVED (� i W I I I 1 YES Q NO e I I SPECIAL INSPECTOR REQUIREDOCCUPANCY I ` I i � I W ) I RESIDENTIAL GAS LINE ElYES (] NOEl FQ FIRE TYPE OF CONSTRUCTION STREET IMPROVED (� i YES Q NO SPECIAL INSPECTOR REQUIREDOCCUPANCY GROUP RESIDENTIAL GAS LINE ElYES (] NOEl THIS I SITE IS LOCATED IN THE CITY PLAN CHECKED BY NEN © N N -RESIDENTIAL slcx OF EDMONDS. LOCAL SALES TAX 31.04. ❑ ADD ETAIElDEMOLISHO WALL NTNG SHOULD BE CODED REMARKS I, ,�/(����J� , 1 �� , ALL W - V �76 I' ALTER EXCAVATE FENCE OR FILL (.........2..........Ft.) ��V�� �� REPAIR ❑ INSPMOVE ❑ POOL 'f�� �• UOF STORIES NUMBER OF NMBER ! WELL UNITS V NATURE OF WORK TO BE DONE Valuation Fee Receipt No. fi % /?-e7-/%NG IAOG Plan Check Na. r G� Cox) C L BUILDING [[[O I t,_ J 45; V PROPOSED ... y G PLUMBING - 0 aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT a: GAS LINE FENCE I'I SIGN i i RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I hove read this application; that the In- �G 7 formation given Is correct; and that I am the owner, or the duly author - lied agent of the owner. I agree to comply wltb city and state Iowa regu• ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will be employed In vtea.tic. of the Labor Cade of the stale of Wesbinglon TIDE PERMIT 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 whlch ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed in ninety days; MOVED -IN BUILDINGS &heli be com• Imowledged in Space provided. - pleted In six months.) .. 91 URE months OR AGENT) D/ATE s10N7E�0f INSPECTION D3ftEC 'B BfONATy(//�(B( 74 DCITY OF `' i DAT NOTE: Applicant Subject to Plan Check Fee EDMONDS — 775-2525 Tide 1'ennit corers work to be done on private property ONLY. Any construction an the public domain (curbs, sidewalks, &IV6wrtys, FILE marquees, etc.) will require separate permission. O i BION tRETAINING P'R P R N Ft.) .......... .......... REPAIR SWIM BUILDING D E P A R T IIA E N T Applicant FIR PERMIT ZONE NUMBER a/ ![.11:.�•l (, E]NSPafOVE ❑ POOL PERMIT APPLICATION Inside Heavy Lines Von Ion LJ L-5 ` \ t FIRE ZONE(TYPE OF CONSTRUCTION• STREET IMPROV: `( NUMBER OF STORIES NUMBER OF I ADDRESS J / a) hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I sin the owner, or the duly author- I ❑ YES ❑ NO NAME (OR NAME OF BUBINESS)'r' Ized agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL SPECIAL INSPECTOR REQUIRED 6 YES NO / PERMOVER E rs ACTUAL LOT COVERAGE LOT COVESiAOE will be ,played In vlolall- of the Labor Code of the elate of Weahinglon i RESIDENTIAL MAILING ADDRESSN! ! PEItM1881BLE HEIGHT PROPOSED HEIGHT $$$O 'NEW ONLY THE WORK NOTED LINE shall be completed In nicely days; MOVED -IN BUILDINGS shall be coin. Ell I NON-RESIDENTIAL❑ SIGN CITY TELEPHONE NUMBk:R ACTUAL LOT AREA TOTAL HLDO. AREA ADD RETAINING REMARKB -fel /�rtel/ ')� .• E- G C -I DEPARTMENT BUILDING _ ... CITY OF t' -C / JrIO<�• �/ - y 7 _?I REQUIRED YARDS PROPOSED YARDS EDDIONDS O NOTE: Applicant Subject to Plan Cbeck Fee NAME FRONT SIDE REAR FRONT 815E REAR This Permit col— it 1. done oa private property ONLY. 775-2545 �`11��16-,X1'1 S, V,(! (..lAe tr0,N LD ii ^ marquees, etc,) w'III require separate peUnleslon, ADDRESS LEGAL LOT VARIANCE. OR CONDITIONAL UBE 0 YES 0 NO PERMIT NUMBER PLOT PLAN (Indiiate,9u`ng�aetJUaCks, abutting streets) q \ HEA T & GAS LINE /Y (� r �r7 •— PLANNING BE APi'ROV AL DATE: ._ J\``,, J�\ C CITY TELEE HONE NUMBER - n .?Ke-- 7.4 GCU 4 � FENCE r •%^ , EXISTINGSTRST.R/W,_,,.„,_Fr, DEFICIENCY, THIS PROPERTY (/NA,ME /,•y l-jr:Na AU l 1 •/IAS° _n r;_/2- t -+l REMARKS b QC ADDRESS �C M (('.I G('(./. r CHECKED BY CITY TELEPHONE NUMBERI 4 STATE LICENSE NUMBER CITY LICENSE NUMBER METER SIZE SERVICE SIZE CLEARANCE I CHECKED BY •,� Legal Description of Property (Show Below or Attach Four Copies) REMARKS r Y. T P q N VERIFIED BY ; O i BION tRETAINING P'R P R N Ft.) .......... .......... REPAIR SWIM REMARKB } �`l.(3�ii-/J �rC `t�✓r' ![.11:.�•l (, E]NSPafOVE ❑ POOL � J .. LJ L-5 ` \ t FIRE ZONE(TYPE OF CONSTRUCTION• STREET IMPROV: EXCAVATION OR FILL NUMBER OF STORIES NUMBER OF I TOTAL AMOUNT DUE a) hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I sin the owner, or the duly author- I ❑ YES ❑ NO - // j .�•.: Ized agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL SPECIAL INSPECTOR REQUIRED 6 YES NO IOCCUPANCY GROUP -' will be ,played In vlolall- of the Labor Code of the elate of Weahinglon Valuation RESIDENTIAL GAS PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY 'NEW ONLY THE WORK NOTED LINE shall be completed In nicely days; MOVED -IN BUILDINGS shall be coin. Ell I NON-RESIDENTIAL❑ SIGN Plan Cheek No ..................... OF EDMONDS. LOCAL SALES TAX ADD RETAINING REMARKB SHOULD BE CODED 31.04. DEPARTMENT LJ DEMOLISH J .. J WALL EXCAVATE FENCE BION tRETAINING WALL ALTER ❑ OR FILL I . ❑ Ft.) .......... .......... REPAIR SWIM } �`l.(3�ii-/J �rC `t�✓r' ![.11:.�•l (, E]NSPafOVE ❑ POOL PRE-DIOVE INSPECTION . EXCAVATION OR FILL NUMBER OF STORIES NUMBER OF I TOTAL AMOUNT DUE a) hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I sin the owner, or the duly author- DWELLING/,- 1 UNITS - // j .�•.: Ized agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL NATURE OF WORK TO BE DONE will be ,played In vlolall- of the Labor Code of the elate of Weahinglon Valuation Fee ReccInt No, ;'�,• ,' /;. / l_� i}. /.i /V L ! 1.%'. .. signed by the Building Official or his Dep. NOTE: Permit Limit One Year (Except DEMOLITION8 which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac. shall be completed In nicely days; MOVED -IN BUILDINGS shall be coin. knowledged in space provided. pleted In six month..) Plan Cheek No ..................... SIGNATURE (OWNER,OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE Z _ e, PROPOSED USE DEPARTMENT BUILDING _ ... CITY OF EDDIONDS O NOTE: Applicant Subject to Plan Cbeck Fee PLUMBING "c- I This Permit col— it 1. done oa private property ONLY. 775-2545 Any Any construction on the public ch mmn (curbs, sidewalks, drlrewaya, ii ^ marquees, etc,) w'III require separate peUnleslon, PLOT PLAN (Indiiate,9u`ng�aetJUaCks, abutting streets) q \ HEA T & GAS LINE ._ J\``,, J�\ FENCE BION tRETAINING WALL N SWIMMING POOL DEMOLITION PRE-DIOVE INSPECTION . EXCAVATION OR FILL I TOTAL AMOUNT DUE hereby acknowledge that I have read this application; that the In- formation given Is correct; and that I sin the owner, or the duly author- - // j .�•.: Ized agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL hill".. construction; and In doing the work authorized thereby, no person will be ,played In vlolall- of the Labor Code of the elate of Weahinglon TIDE PERMIT This application is not a permit until ,.,.".;,played Workmen's Compensation Insurance. AUTHORIZRS signed by the Building Official or his Dep. NOTE: Permit Limit One Year (Except DEMOLITION8 which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac. shall be completed In nicely days; MOVED -IN BUILDINGS shall be coin. knowledged in space provided. pleted In six month..) SIGNATURE (OWNER,OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE /r i-, I DEPARTMENT _ ... CITY OF EDDIONDS DATIP NOTE: Applicant Subject to Plan Cbeck Fee "c- I This Permit col— it 1. done oa private property ONLY. 775-2545 Any Any construction on the public ch mmn (curbs, sidewalks, drlrewaya, ii ^ marquees, etc,) w'III require separate peUnleslon, INSPECTOR /yu RECORD OF INSPECTIONS Date Passed Foundation _ Plumbing (Partial) (Rough) Frame Furnace & Fuel Lines_ Final 19