740431.pdf/,0/ / W
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BUILDING RM
DEPARTMENT Applicant FLU °� �S- / t� NUMBER 740431
PERMIT APPLICATION Inside Heavy Linos
LNAME
OF HU81NE88)
102)SS
TELEPHOUMBER K S % I
77 �— e72
a�i ADDRESS
JOB / .� ` V'i ✓�� ..
ADDRESS
z.
PERMISSIBLE 7 ACTUAL
LOT COVESYAGE
LOT COVERAGE
❑YES 0,W0I
PORRHISIBLE HEIGHT PRO Os7 ED fIE1GHT/�
� l I
ACTUAL/f]L�O'CTL A,rR�EATO AL D—ZDEI. ATx
NEW
REQUIRED YARDS P OPOSED YARDS
FRONT HIDE REAR /FRONT AIDE
REAR
THIS SITE IS LOCATED IN THE CITY
LEO LCT VARIANCE OR CONDITIONAL 8
0 ❑ NO FRMIT NUMBER
NON-RESIDENTIAL
U PISA SING DEPT. APYRE:
C CITY I TELEPHONE NUMDER '-• '
R ET,R/ V /
EXISTf d STREET R/W ..1...../I , /DIj'ICIENCY THIS PROPERTY/
NAME // {/ /
COMP. PLAN ST. R/W ...........FT. ............p'r.
0 w hl Z,(4__, REMARKS Driveway slopes not to exceed those-
QQ
U ADDRESS
J indicated on Standard Dwg. No. 103
CHEC ED BY
N CITY I TELEPHONE NUMBER I ��
O METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
STATE LICENSE NUM13EII CITY LICENSE NUMBER �/�
Jr REMA/t tl /VVl�7�
1 Legal Deecriptlon of Properly (Show Below or Attach Four Coplee)
PERO. TEST
V
47 REMARKS
:7
=F CONSTRIjCTION 1,:7T IMPROV.
[:rNO
RESIDENTIAL
6A8
F-1LINE
❑YES 0,W0I
� l I
NEW
PLAN CUE D Y
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
El
6&v
OF EDMONDS. LOCAL SALES TAX
ADD
RETAINING
wlucs
SHOULD BE CODED 31.04.
❑ DEMOLISH WALT
EXCOR AVATEILLE]FENCX
'/
ALTER F-1.......... Ft.)
REPAIR MOVE SWIM
E]PPRE-RE- ❑ POOL—
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OFF WORK TO BEE�DONE
Valuation
Fee
Recelpl No
;
Plan Check No ................
[Oy
BUILDING
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GU
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4
PROPOSED USE
t��r��Q
a
J�✓
PLUMBING
a�.sa
�
PLOT PLAN (Indlcato Building 9etbacke, abutting streets)
flTi7,Girc�,J
HEAT & GAS LINE
9, (-yI
/ V V
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
'](5977; 17945
I hereby acknowledge that I have read lhle application; that e fn -
/
formation given le correct; and that I am the owner, or the duly author.
Ixed agent of the owner. I agree to comply with city and statelaws ngu-
ATTENTION
APPLICATION APPROVAL
Iating construction; and In doing the work allthariZed thereby, no person
will be employed In violation or the Labor Code or the State of Washington
THIS 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 (Eyrept DEMOLITIONS Which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt Is ac -
shell be Completed In ninety days; MOVED -IN BUILDINGS shall be com.
knowledged in space provided.
pleted In ala months.)
SIGNATURE (OWNER Olt AGENT) DATE 816NED
INSPECTION
IRE '8 IO AT RE
�,� �2�
DEPARTMENT
t
.`
�^-'�"' " ` '-�
CITY OF
EDMONDS
DATE
NOTE: Applicant Subject to Plots Check Fee
_ �-
775-2525
This 1'ennit ratene work Ili ba gone on Private property ONLY.
Any construction on the publle domain (turbo, sidewalks, driveways,
.,.Queen, etc.) n'lll r".1ce separate Velmisslen.
FILE
-. --..
7
LEGAL:DESCRIPTION FOR GRANT C KNIIb;FN tit
4
PARCEL B }
The 'south. 84.35:feet,of.the north '164, 35 fee the east.160.00 feet of
Tract 139, MeadcaidaIa Beach, accord Ing' to' the:plat, Oiereuf recorded In':
t Volume 5 of Plats, on parlc'38, records of Snohomish County, Washington,
!
EXCEPT the east 10,00feet thereof as conveyed to,the.City of Edmonds for,
road by deed recorded under Auditor's Fl le No.- 2081779, records':of SnohomisFi
:.County, Washington
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RECORD OF INSPECTIONS
1
Date Passed
Foundation ---------- � � ;
Plumbing (Partial) $�S
t
Frame
Furnace & Fuel Lines Epi `'--"—
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Final i !