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740426.pdfPRE -MOVE INSPECTION EXCAVATION OR FILL Plan Check No ..................... TOTAL AMOUNT DUE o� Ihereby acknowledge that I have read this application: that the In. 596 DG t_ `ZONE ;. formation given Is correct; and that I are the owner, or the duly author. A BUILDING DEPARTMENT AppilcantFM /n� C NUMBER llJ—J ATTENTION �(`1,. PROPOSED USE APPLICATION Inaldo Heavy LIROB aoH G Single fwmily residence ? PLOT PLAN (Indicate Building eetbacks, moulting streets) le .u..to Workmen's Compensation Insurance, �a „rr HEAT A GAS LINE PERMIT O See attached — — — ADDRE88 18811 - Both Ave. 17. Fdlnorlds, 'Nash. shall be cotyplrled In ninety day.; MOVED -IN BUILDINGS shall be com- knowledged In space provided. SIGN NAME (OR NAME OF BUSINESS) VERA r/. 7 � ACTUAL I �,, 1_ LOT COVESiAOE _ INSPECTION DIR a SIG ATU :`j zn e i,jo i=resident 7-16-74 H 7-: H HOPIIGS, INCe IAT COVERAGE tA`_AICn�/ LOT C NOTE': Applicant Subject to Plan Check Fee 1 DATE t ' MAILING ADDRESS7 PERMISSIBLE HEIGHT 7't1 / PROPOSED HEIGHT Any construction on the public domain (curb., sidewalks, driveways, DEDIOLITION & P. O .Box 6Wl 7. Z O CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL DLDO. REA Lynrnrood, flash. 770;-1916 REQUIRED YARDS PRO(POOSEED—YARDB NAME. FRONT BIDE REAR FRONT 81D REAR f h iy J�� 30 ti - �j LE L VARIANCE OR CONDITIONAL Utir,j EB� ERMIT NUMBER I ADDRESS y� x I /L I G D T. V L /� S i f C CITY TELEPHONE NUMBER - 1 — _FIE TILE R/w EXIST NO STREET R/4.01'. DEFICIENCY /T�I(IB PROPERTY NAME COMP. PLAN ST. R/m6d/j{of;�. .....Q.FT• (',I, Same as owner REMARKS rlveway s Opes not t0 exc;3e those C I 01 ADDRESS indicated on Standard Dwg. No. 103 w ,\ CHE KE BYE. ' CITY I TELEPBONE NUMRER f jNbaZ 6Q01iNQ Vtll Ql'N6 R� O Z i3 ME SIZE SERVICE SIZE CLEARANCE �/ I C D Y I STATE LICENSE NUMBER CITY LICENSE NUMBER I ICIdd Ei 223-01-9080 RE/MARKS Legal Description of Property (Show Below or Attach Four Copies) D/7 2 //'a-vf1eJ Lot 1 'l oodland Estates, City Of TYPE CONNECTION VERT/FIELD' Y Elmonds Snohomish County, Washington PERC. TEST PEHM�JJJT� Uh BER y. NW O REMARKS 'd .1 e OW7 FIRE ZONE TYPE OF CON STRU TION STREE IMPROVED ES NO UI SPECIAL 1NBPECTOR RED OCCUPANCY GROUP _^ J/ C] YES `]O RESIDENTIAL E]GAS LINE PLAN GREG n THIS SITE 15 LOCATED IN THE CITY NEW NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX ❑ ADD slox SHOULD BE CODED 31.04. MARKH ❑ DEMOLISH ❑ wAIS'NINO 77,Wcy7dc% ❑ ALTER EXCAVATE FENCE OR FILL (x Ft.) .......... .......... swim REPAIR �i �" ��✓lr ��/ ❑ NSPhfOVE POOL (/ ! 7 �l L1 �t V ✓ `� L��V�✓ NUMBER OF STORIESI NUMBER OF DWELLING UNITS Vnlu.tlon Fee Receipt No. NATURE OF WORK TO BE DONE Nevr Single family residence PRE -MOVE INSPECTION EXCAVATION OR FILL Plan Check No ..................... TOTAL AMOUNT DUE o� Ihereby acknowledge that I have read this application: that the In. BUILDING formation given Is correct; and that I are the owner, or the duly author. Ized agent of the owner. I agree to comply with city and state law. regu- ATTENTION �(`1,. PROPOSED USE PLUMBING will be employed In violation of the Labor Code of the State of Wmhlugton VVV G Single fwmily residence ? PLOT PLAN (Indicate Building eetbacks, moulting streets) le .u..to Workmen's Compensation Insurance, �a „rr HEAT A GAS LINE NOTE: Permit limit One Year (Except DEMOLITIONS whteh O See attached — — — uty: and fees are paid, and receipt is ac - shall be cotyplrled In ninety day.; MOVED -IN BUILDINGS shall be com- FENCE knowledged In space provided. SIGN _ INSPECTION DIR a SIG ATU :`j zn e i,jo i=resident 7-16-74 RETAINING WALL � NOTE': Applicant Subject to Plan Check Fee N DATE t SWIMMING POOL Any construction on the public domain (curb., sidewalks, driveways, DEDIOLITION n—queer, etc.) will require separate permis.lun. PRE -MOVE INSPECTION EXCAVATION OR FILL - 1 TOTAL AMOUNT DUE o� Ihereby acknowledge that I have read this application: that the In. formation given Is correct; and that I are the owner, or the duly author. Ized agent of the owner. I agree to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL luting construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Wmhlugton THIS PERMIT This application is not a permit until le .u..to Workmen's Compensation Insurance, AUTHORIZES aligned by the Building Official Or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS whteh ONLY TRE WORK NOTED uty: and fees are paid, and receipt is ac - shall be cotyplrled In ninety day.; MOVED -IN BUILDINGS shall be com- knowledged In space provided. pilled_.. months.) /� BIG RE ( AO J,DATE SIGNED INSPECTION DIR a SIG ATU :`j zn e i,jo i=resident 7-16-74 DEPARTMENT � NOTE': Applicant Subject to Plan Check Fee CITY OP' EDMONDS 775-2525 DATE t This Permit Coven work to be done on Private Property ONLY. Any construction on the public domain (curb., sidewalks, driveways, FILE n—queer, etc.) will require separate permis.lun. 379.o 74.361 304.5 740426 tw RM r. SCAM 1" a 801 ;_ .. its WA' 9t um $ 8 SLL�$TI�It l�r JOB Hos V i } a r • ) J f I , ZONE-� ? C t NUMBER ... i .) BUILDING DEPARTMENT Applicant Fill /� �—�� i PERMIT APPLICATION Inside Heavy Lines NAME (OR NAME OF BUSINESS) NMAILI O ADDRESS CITY TELEPHONE NUMBER Fk NAME U ADDRESS O PknLM IBBIDRLE ^ ..� T COVEAGFe t� ACTUAL LOT COVERAGE l PERMISSIBLE HEIGHTVI / PROPOSED HEIGHT 1p ACTUAL LOT AREA i TOTAL BLDG. /tRF/A / I REQUIRED YARDS PROPOSED YARDS FRONT SIDE REAM FRONT Sup. REAR EXIBYIN6 STREET R/W �:.,..-(.:ST.� DEFICIENCY THIS PROPERTY _11 LITE 8 y O ERMIT NUMBER P�tA NO DEPT. A 'ROVpL yATE: q' CITY I 1 t7 I P�tA NO DEPT. A 'ROVpL yATE: q' CITY TELEPHONE NUMBER I EXIBYIN6 STREET R/W �:.,..-(.:ST.� DEFICIENCY THIS PROPERTY NAMECOMP. / n PLAN BT R/W- ,. Pp ..,..F7'. a W .. ..V.1.1,—, REMARKS � III ADDRESS . J. O i BY EjCHECKED 6f N CITY TELEPHONE NUMBER 1 \f,ii V I p I MEA ER SIZE SERVICE SIZE CLEARANCE CHECKED BY G7 STATE LICENSE NUMBER CITY LICENSE NUMBER ` / j/ I I I �, 4 � / v •— µ7 li ",.... _ REMARKS Legal Description of Property (Show Below or Attach Four Copies) ) :j '.•� '�:'/ '^ _ � : , 1 { TYPE CONNECTION VERIFIED BY I I ♦ +I {{{lllj i [r+ '-' '" -`"-• "`"- PERC. TEST PERMIT NUMBER ' I { REMARICBi t /EW D777 to FIRE Z ONS R 1 E MPROVED NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ! RESIDENTIAL GAB LINE 10 [3 YES EI -NO NEW PLAN CHECKED Y THIS SITE 15 LOCATED IN THE CITY No SIGN OF EDMONDS. LOCAL SALES TAX /. BE CODED 31.04. EADD RETAINING �'. -'„ -� SHOULD REMARKS,{ \ DEMOLISH WAIT' ❑ ❑ J ' ElALTER EXCAVATE FENCE ❑ OR FILL E](..........x.......... Ft.) El REPAIR PRE -MOVE SWIM INSP. POOL .'t /" i'• / ( 1! /�' I'�; I �i/:/ S f NUMBER Ok' STORIES NUMBER OF , DWELLING UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No, Plan Check Na.. ........... ....... BUILDING .:/f /� f (✓ / / i'..r (� lO Y PROPOSED USE / PLUMBING '/ PLOT PLAN (Indleato Building eCLb akCs, abutting streets) HEAT A OAS LINE __• 5`•. FENCE ` SION RETAINING WALL I. , SWIMMING POOL I DEMOLITION I PRE -MOVE INSPECTION EXCAVATION OR FILL I TOTAL AMOUNT DUE `,' , 'i .,',.� ;_. • I 1 heresy acknowledge that I have rend 161" npplicntlon; that the In- formation given Is correct; and that I am the owner, or the duly author- Izeet agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL - J I.Ungeonstructlon: and In doing the worst authorized thereby, no person Will be employed In vlolatlon of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Imurance• AUTHORIZES signed by the Building Official Or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TH WORK NOTED uty; and fees are paid, and receipt is ac- .hallbe completed 1. Bluely day.; MOVED -IN BUILDINGS shelf be Co.- $ilowledged in space provided. plated In elsmonth".) - t SIGNATURE (O\VNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR SIGNATURE' DEPARTMENT /• I CITY OF ED51ONDS DATE NOTE: Applicant Subject to Plan Check Pec 775-2525 This Permit cevere work to he done an private property ONLY. Any Construction on the publle domain (curb., sidewalks, drivewaf., INSPECTOR marquees, etc.) will require eepernlc permu.lon. I N � ��d '`.� � C�✓ rid i�-1 C �� h w . , �� w�- 9 ..__ 9