740459.pdfi BUILDING DEPARTMENT Applicant Fill °� _ � 3 NUMBETR 740459
rtKMIJ APPLICATION I Inside Heavy Lines
NAM ( AME OF BUSINESS)
J m MAILING DRESS
Il\ &y
71 A mIIIkR
NAME 7 n��� 661I
W ADDRESS
F
ADDRESS
JOB �g7�a
Sit
PERMISSIBLE
LOT COVERAGE
LOTUCOVAAGE
PERa11BS18LE HEIGHT
PROPOSED HEIOILT
ACTUAL LOT AREA
TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
FRONT HIDE REAR FRONT BIDE REAR
.--/
LWEW LOT
`S I ❑ NO A
VARIANCE OR CONDITIONAL USE
PE MIT NUMBER
RESIDENTIAL
U
l
. i
PL I G DE APP i TE•
t
PLAN CHEC D Y
L
TELEPHONE NUMBER
NON-RESIDENTIAL SIGN
RESIDENTIAL
U
l
. i
PL I G DE APP i TE•
1
PLAN CHEC D Y
CITY
TELEPHONE NUMBER
NON-RESIDENTIAL SIGN
OF EDMONDS. LOCAL SALES TAX
STREET SV
EXIHE STREET R/W ............FT. EPICIENCY THIS PROPERTY
Z
HOULD"CODED 31.04.
NAME
OAK
p7
El FENCE ALTER EXCAVATE
�
Or✓l��✓
✓7sei cam' �
COMP. PLAN BT. R/W Fr.
REPAIR ❑ SWI
iIJL� iG/t
1
REMARKS
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
A 6/
—KD—DRESS
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_✓VJ/
i
NATURE RK TO DONE
ValunUon Fee Receipt No.
Z
w
Plan Check No .....................
CHECKED BY
O �f Y 7 •� �z
BUILDING
C117
TELEPHONE NUMDER
�—
[+
PLUMBING
aPLOT
Z
G
PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAS LINE
all
METER, SIZE
`RV10E SIZE
CLEARANCE
CHECKED BY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
SIGN
RETAINING WALL
F
N
Legal Description or Properly (Show Below orAttach Four Copies)
REMARKS
SWIMMING POOL
DEMOLITION
PE CONNFffION
I VERIFIED BY
r.
'
(0.
C
p O
PERC. TEST
PERMIT NUM
SIS
J
n
formation glven In correct; and that I am the owner, or the duly author-
I
�
Ircd agent of the owner. I agree to Comply with city and elate lawn ngu-
ATTENTION
APPLICATION APPROVAL
be
lating construction; and In doing the work authorised thereby, no Doreen
REMARKS
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
N19—
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official Dr his Dep -
FIRS ZONE TYPE OF CONSTRUCTION STRROOT IIIPROVED
JL JV (TES ❑ NO
'
ONLY TILE
uty; and fees
_
shelf be completed In ninety days; MOVED -IN BUILDINGS shall be com-
WORT{ NOTED
are paid, and receipt is ac -
ktlowledged In apace
pleted In el months.)
SPECIAL INSPECTOR REQUIRED IOCC UPANCY GROUP
RESIDENTIAL
❑ YES a- b
l
LINE
NEW
PLAN CHEC D Y
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL SIGN
OF EDMONDS. LOCAL SALES TAX
❑ nen RETAINING
HOULD"CODED 31.04.
ElDEMOLISH WALL
OAK
El FENCE ALTER EXCAVATE
�
Or✓l��✓
✓7sei cam' �
OR FILL (......._x..........Fl.)
REPAIR ❑ SWI
INSP. ❑ POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
�orrrrl/G �r--n.�.vi..r
✓��Bc= "G.r.�✓�
_✓VJ/
i
NATURE RK TO DONE
ValunUon Fee Receipt No.
Plan Check No .....................
O �f Y 7 •� �z
BUILDING
ay---
k
. PROPOSED UBE
�—
PLUMBING
aPLOT
PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAS LINE
9
FENCE
SIGN
RETAINING WALL
_
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
'
EXCAVATION OR FILL
TOTAL MOUNT DUE
p O
I heresy acknowledge that I haus read t61e application; that the In-
SIS
J
formation glven In correct; and that I am the owner, or the duly author-
Ircd agent of the owner. I agree to Comply with city and elate lawn ngu-
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorised thereby, no Doreen
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
Thls application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official Dr his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
uty; and fees
shelf be completed In ninety days; MOVED -IN BUILDINGS shall be com-
WORT{ NOTED
are paid, and receipt is ac -
ktlowledged In apace
pleted In el months.)
prOvlded.
SIGN TUi (OWNER OR AGENT) DA' E e NED
INSPECTION
DIRT. O 'S IGNA URE
`OJ(
I
DEPARTMENT
CITY OF
EDMONDS
DATE
NOTE: Applicant Subject t Plarl Check Fee
_
775-2525
This Permit toren work t¢ be done on property ONLY.
private
Any conelruC<lon en the public domain (curbs, sidewaike, drlvewaye,
marquees, etc.) will require separate pernllulon.
FILE
b
7-1
A.
So
RECORD OF INSPECTIONS
oampasse4d �
|
Foundation
` v
Plumbing (Partial) _------'
.
(mmgh)
Frame
Furnace & Fuel Lines -
Final