740445.pdf1
BUILDING DEPARTMENT I Applle.wtFlli
Inside Heavy Linea
PERMIT APPLICATION
USE P E
ONE NUMBR 740445
ion
ADDRESS
Pk:12T1(tl81HLE LACTUACOVL EAOE
LOT COVERAGE/ OT '
NAME Ion NAME OF BUSINESS)
'T tiQCC Pit dr es
Y
PERMISSIBLE HEIGHT PROPOSED HEIGHT
ACTUAL LOT AREA TOTAL BLDG. AREA ,x •I
MAILING ADDRESS
CITY
TELEPHONE NUMBER
4,1,Vn rI
REQUIRED YARDS PROPOSED YARDS m
FRONT SIDE REAR FRONT SIDE REAR
NAME
I
LEGAL LOT VARIANCE OR CONDITIONAL USE
YES NO PERMIT NUMBER j
PLANNING DEPT. APYR L DATE: �t I
IU.1 ADDRESS
STREET R/W t7
EXISTING STREET R/W ........._FT. DEFICIENCY THIS PROPERTY
V. CITY
TELEPHONE NUMBER
COMP. PLAN ST. R/W ............FT. ............FT. � 1
NAME
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V " Nh L
REMARKS A
x j
w
CHECKED SY
METER SIZE SERVICE sI2E CLEARANCEHECK '
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REMARKS i }
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C ADDRESS
7660 1tS9'� p,1 /f/B
C11'Y0
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T�EILEPHONE NUMDER
Q SSTAnTEq LICENSE NUDIBE}L
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I CITY LICENSE NUMBER
Legal Description of Froparty tShow Below or Attach Four Copies)
TYPE CONNECTION VERIFIE BY
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PER ir, PERMIT N MHER
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W
REMARKS W
FIRE ZONE E OF CONSTRUCTION STREET IMPROVED - I
[] YES [] NO
•,
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
PLANYES
CHECKED YO !
THIS SITE IS LOCATED IN THE CITY
DMONDS.DELODCAL SALES TAX
OF ESHOULD CO31.04.
BE
REMARKS / �j��ry-�
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CAS LINE
NEW RESIDENTIAL
NON-RESIDENTIAL SIGN
F-1ADDETAINING
E]❑RWALL
DEMOLISH FENCE
® ALTER ❑ EXCAVATEOR FILL (.......... x.......... Ft.)
El REPAIR ❑ PRE-MOVE ❑ SWIM
INSP. PCOM
��L✓l� ��fl-�'V / GFS I//y / / ��
NUMBER OF STORIES NUMBER
/ DWELLING
UNITS
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Velunllon Fee Receipt No.
NATURE OF WORK TO BE DONE
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Plan Check Nn..................... � I
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DUILDIN I
� 91,00 1
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I PROPOSED USE
PLUMBING
A <7 - a r,T
}TEAT &CAS LINE
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a
PLOT PLAN ('In�cnta Bulldln6 setbacks, nbuttln6 .frosts)
I
FENCE
SIGN
tRETAINING
WALL
SWIMMING POOL
DEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
/1 I1
hereby acknowledge that I have [e¢tl this application; lhaL L60 In•
�V
lormntion given Is correct; and that I am the owner, or the duly nuthor-
Iced agent of the owner. I agree to Comply with city and state law. reg.•
1ltling comdruello¢; and in doing the work authorir.d thereby, no person
ATTENTION APPLICATION APPROVAL .
will be employed In violation of the Labor Code of the Stale of Wmhington
THIS PERMIT This application Is not a permit until
relating to Workmen's Compensation Insurance,
NOTE: Permit Limit One Year (Except DEMOLITIONS which
.hall be completed In ninety days; MOVED-IN 13UILDINGS .hall be Co.-
AUTHORIZES signed by the Building Official or his Dep-
ONLY TILE
WORK NOTED uty; and fees are paid, and receipt Is ac-
Imowledged in space provided.
pleted In nix months.)
SIGN TUILE (N CR AGENT) DATE SIGNED
INSPECTION DIRO GNAT RE
/
8 G
DEPARTMENT
CITY OF ATE
EDhIONDB -----
NOTE: Applicant Subject to Plan Check Fee
_ _
— '
775-2525
This Ptnnit r vers work to be done on private property ONLY.
Any cunetrurtina on the public domain (curbs, sidewalk., driveways.
marquee., etc.) wlll require separate p—A.Mon.
FILE
USE '• PERMIT
4 BUILDING DEPARTMENT I Applicant FW ZONE NUMBER !(, �,• ,':;.j '
PERMIT APPLICATION Ingldo HcaYy Lincs JOB
ADDRESS
NAME (OR NAME OF BUSINESS) 'l « ALV
I LOT C VERA ' ACTUAL l !
/ 1 LOT COYERAOEe LOT COVE AOE
MAILING AUDRESe PROPOSED HEIGHT j
PERMISSIBLE HEIGHT
C ' O / ACTUAL LOT AREA TOTAL BLDG. AREA N
CITY TELEPHONE NUMBER
/ PROPOSED YARDS W
REQUIRED YARDS SIDE REAR '
NAME FRONT SIDE REAR FRONT
LEGAL LOT VARIANCE OR CONDITIONAL
W ADDRESS YES NO PERMIT NUMBER �
PLANNING DEPT. APPROVAL ,.. DATE: J
a
NVMBER
CITY
-
ITELEYHONE
STREET R/W
EXISTING STREET R/W ............F
i
-r. DEFICIENCY 7H18 PROPERTY
•:'
NAME
COMP. PLAN ST. R/W ............FT.
............I
(i,/ / (J L /
REMARKS
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ADDRESS
[ //!G
CHECKED BY
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J YTELEPHONE
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CITY NUMBER
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C�HECKED BY
METER SIZE SERVICE SIZE LE
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/ /ARANCE
1D H
STATE LICENSE NUMBER CITY LICENSE NUMBER
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REMARKS
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Legal Description of Property (Show Below or Attach Four Copied)
-�Yi S /7iv
t
TYPE CONNECTION
IVERIFIED�BY
E
PERMIT NUMBER
E
)njm
U
w
x
0
VULM
i
i
aOf
FIRE ZONE
E MPROVED
TYPE OF CONBTRU LX
11 YES ❑ NO
j
SPECIAL INSPECTOR REQUIRED
I OCCUPANCY GROUP
f
GAS O YES [3 NO
RESIDENTIAL ❑ LINE BY
IN THE CITY
NEWk
PLAN CHECKED
THIS SITE IS LOCATED
LOCAL SALES TAX
NON-RESIDENTIAL
El SIGN
OF EDMONDS.
SHOULD BE CODED 31.04.
FJ'ADDEl❑ RETAINING
WALL
REMARKS
DEMOLISH
EXCAVATE FENCE
!'/`/"- /' ,�. /;'i i-; i•
/�0/ 1,
ALTER
❑ OR FILL � G.........x.......... Ft.)
....
E] REPAIR ❑ PRE -MOVE SWIM
INSP. POOL
/,'
l -ii: 1 -'
\
( •' w' t' "-11-'
NUMBER OF STORIES NUMBER OF
DWELLING
I UNITS
No.
NATURE OF WORK TO BE DONE
Valuation
Fee
Recclpt
i
Plan Check No .....................
W
PROPOSED USE
PLUMBING
O PLOT PLAN' (Indlcato' Bulltlln6 ectb(�ncks, ng streets) BEAT & GAS LINE
21
ro\...11
FENCE
BION
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
'DOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
/
formation given iscorrect; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and elate laws rasa-
ATTENTION
APPLICATION APPROVAL
luting construction; and In doing the work authorized thereby, no person
will be employed Ia violation of the Labor Code of the Slate of Washington
TITIN 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 which
THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety days: MOVED -IN BUILDINGS shall ba com.
knowledged in space provided.
pleted In six months.)
'.
SIGNATURE (OWNER OR AGENT)I DATE OIONEU
INSPECTION
DIR O OR'8 SIGNATURE i
DEPARTMENT
CITY OF
DATE ,
ti
'
EDhIONDB
NOTE: Applicant Subject to Plan Check Fee
775-2525
i
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
INSPECTOR
marquees, etc.) will require separate permission.