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740401.pdf1-1u. —.1 RESIDENTIAL ❑ GAB LINE TYPE OF CONSTR`U`C'T'ION STREET IMPROVED lTfl I I _ N E3 YES ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY OR SIGN ❑NON-RESIDENTIAL ADD 0 YESNO PLAN CHECK RY` l �U ) RETAINING BE gc "�M` .740401 DEMOLIBR i `. BUILDING DEPARTMINTAsFppu FENCE PLUMBING ❑ OR FILL PERMIT APPLICATION Inside Heavy Lines JG ADDRESS ❑ INSP. O Pwim OOL NUMBER OF STO1tms NAME (ON NAME OF HUeINEtlB) O l DWELLING I ` %y LOT COVERAGE LOT COVESRAGE FENCE UNITS 1; M v MAILING ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT Q ' j l ej b ` RETAINING WALL /� L J �� i't V E LJ.J BLDG. AREA ,�G 1 �. CITY TELEPHONE NUMH6.R ACTUAL LOT AREA TOTAL I DEMOLITION REQUIRED YARDS PROPOSED YARDS PRE -MOVE INSPECTION NAME FRONT BIDE REAR FRONT SIDE. REAR Lac 1N j TOTAL AMOUNT DUE L GAL LOT VA [NCE OR CONDI TONAL UBE PE )T NUMBE74 I hereby acknowledge that I have read this apDllc¢tlan; that the In- yl E 7y ADDRESS I] YES ❑ NO PLAN APPRO t ATF.: / CITY NUMBER '— tall.. construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Stale of Washington TIDE PERMIT (TELEPHONE STREETR/W EXISTING STREET R/W .......... DEFICIENCY THIS PROPERTY O f NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TED NOTED NAME / COMP. PLAN ST. R/W ............FT. ............FT. � ]cnowledged In apnea provided. pleted In six months,) y.. �� REMARKS INSPECTION DIRECT BIO E f' N ADDRESS / � O ' CITY OF EDMONDS C(IT�\Yxl 0 1 T NUM�7BE./R� NOTE: Appli"itt Subject to PlaH Check Fee CHECKED BY I 1 775-2525 \��-L �TpELEPHONE I 6-t- 14 0 4G (J Any coast ... /Isn on the public domain (curbs, sidewalks, driveways, FILE METER HOLE SERVICE SIZECLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LIIINII NUMHENREMARKd I I CkkkF`777 { Legal DescriptionPrpe(Know Below or Attu- Four Copies) 1-1u. —.1 RESIDENTIAL ❑ GAB LINE TYPE OF CONSTR`U`C'T'ION STREET IMPROVED lTfl I I _ N E3 YES ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY OR SIGN ❑NON-RESIDENTIAL ADD 0 YESNO PLAN CHECK RY` l �U ) RETAINING BUILDING DEMOLIBR WALL ALTER EXCAVATE ❑ FENCE PLUMBING ❑ OR FILL ) REPAIR ❑ INSP. O Pwim OOL NUMBER OF STO1tms NUMBER OF O DWELLING I � FENCE UNITS 1-1u. —.1 r.narz y REMARKS W N�h TYPE OF CONSTR`U`C'T'ION STREET IMPROVED lTfl I I _ N E3 YES ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY OR II '— Z 0 YESNO PLAN CHECK RY` l �U ) THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX NATURE OF WORK TO BE DONE Plan Check No.../...P.....�..[ Valuation Fee Receipt No. 19 O II ��,_ `� S 1C.0 -FJ BUILDING �Or©Mwt L PROPOSED USE 'ly PLUMBING U PLOT PLAN (Indicate Building setbacks, abutting street.) HEAT & GAS LINE O � FENCE SIGN Q ' j l ej b RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this apDllc¢tlan; that the In- formation given is correct; and that 1 ara the owner, or the duly author. Ired agent of the owner. I agree to comply with city and state laws regu• ATTENTION APPLICATION APPROVAL tall.. construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Stale of Washington TIDE PERMIT This application is not a permit until relating to Workmen'. Compensation Insurance. AUTDOIHZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TED NOTED uty; and fees are paid, and receipt is ac shall be completed In ninety days; MOVED -IN BUILDINGS shell be nom- shall ]cnowledged In apnea provided. pleted In six months,) SIGNATURE (OWNER OR AGENT)DATE slo ED INSPECTION DIRECT BIO E f' DEPARTMENT / � CITY OF EDMONDS DAT NOTE: Appli"itt Subject to PlaH Check Fee 775-2525 This Permit toren work to tw done an priests properly ONLY. Any coast ... /Isn on the public domain (curbs, sidewalks, driveways, FILE marquees, etc.) will regmre separate 1-ml..lon. I I us ZONE NURMBER g' (MIT � I. 40 1 I' BUILDING DEPARTMENT I Applicant Fill a I PERMIT APPLICATION Inside Ifeavy Lines JOH ADDRESS S; S/'� S �V S . NAME (OR NAME OF DUBINf.Se) ^� l� LOTPERCOVERAGE 7. ACTUAL � LOT COVERAGE LOT COVE AGE MAILING ADD/REBS PERMISSIBLE HEIGHT PROPOSED HEIGHT C �' r. rel 5 ►4l) t C�� . Z TELEP ONE NUSIHhI[ ACTUAL LOT AREA TOTAL BLDG. AREA 4 N "III 11RONT SIDE REAR FRONT tltOr: L OAL LOT VAA ONCE OR CONDITIONAL UeE 0 YES 0 NO PE IT NUMBER -PLAN I S'LAE APPROVI/. TELEPHONE NUMBER �'� "r ' I STREET I'"' EXISTING STREET R/W ..........FT� DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............ FT. ............FT. C' L RESfARi(A CHECKED BY TELEPHONE NUMBER 1� 1 Mwel I JL I G. I �'�/ I [3 YES [3 NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ❑ RESIDENTIAL E:]GAS ❑ YES LVNO j1 �. NEW LINE PLAN CHECKED IIY THIS SITE IS LOCATED IN THE CITY TAX NON-RESIDENTIAL E SIGN SHOULD BE CODEDOCA3104SALES ADD DEMOLISH ❑ µ—AWING WALL ❑ REMARKS l7C�l��ll(� R�� 1 RCFILL E ❑ FENC)= ALTER ❑ OR........Pt') FjREPAIR ❑ PNSE-MOVE ❑ POOL NUMBER OF STORIES "'ROF DWELLING UNITS NATURE OF WORK TO BE DONE Vniuntlan Fee Receipt No. Clan Check N11.1,5. �\ C�I+-HIL ��`-JF''`-� ON VLIJIJI BUILDING PROPOSED USE l PLUMBING O aPLOT PLAN (Indicate Building setbacks. abutting streets) HEAT & GAB LINE .I 0 I OI3`�1��( O ', � \ SSS FENCE I SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL zr• U (J "��.% I \ TOTAL AMOUNT DUE Ihereby acknowledge that I have read this application; that the In- tom/ { 1 formutton 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 state Iawe raga- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will be employed In Violation of the Label Code of the Stale of Washington THIN PERMIT This application is not a permit until relating to Workmen's Compensatlon Insurance. AUTHORIZES Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (E.c.pt DEMOLITIONS which ONLY THE WORK NOTED Uty; and fees are paid, and receipt Is ac- .hall be completed In ninety days; MOVED -IN BUILDINGS shall be coin knowledged in apace provided. plctcd In .1. months.) II NIGNATURE (OWNER Olt AGENT) DATE 117 �i��l INSPECTION DEPARTMENT DIRECTOItJi) BIGNA I}E CITY OF ED11fOND$ DATE ' NOTE: Applicant Subject to Plan Chcck Fre 1 nssszs I This Permit curers work lu be dune nn private property ONLY. / I Any construction on the Public domain (curb., sidewalk., drlveways, INSPECTOR marquees, etc.) will require separate Derndnelon. _:.. , ,.. _-' _ ;, ;., � _t _. � .. i _ . _ _ t` ;, ., � ,.. ; ..:.. ' r. Y � ' .. .. .. _ — �� 1 �. ,� _ _. a l �, ' ; ,. i-. t f 1 �. ..