Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
740469.pdf
EXISTING STREET R/W ............1". DEFICIENCY THIS PROPERTY NAME'ry UBE PERMIT i /� fl/{ ! 404O / ............FT. i O� BUILDING DEPARTMENT AppLcant FILL ZOO NUMBER ' PERMIT APPLICATION I Ineldo HcaYy Ltnoe dOB /1 1 �. �— CHECKED HY i NAAMME1 (OR NA/ME DOFF BUSINESO) ' •4EE GooD �'GAt'�c QOF�LI �Rl'E J �oS LOT hCOVERAOEe LOT COVESFAOE e�" F 1I i� MAILING ADDREBe I 'Box PERMISSIBLE HEIGHT PROPOSED HEIGHT i i V OACTUAL T -C) • 0-H ^©t, M I LLTOW lV LOT AREA TOTAL BLDG. AREA zCIT—Y�I� T�EyLEPHONE NUMBER STATE LICENSE NUMBERCITY LICENSE NUMBER REQUIRED YARD. PROPOSED YARDS i NAhI Fi FRONT BIDE REAR FRONT GIDE REAR / "�� r REMARKS LEGAL LOT VARIANCE OR CONDITIONAL USE ADDRE1111 YES ❑ NO PERMIT NUMBER Legal Description of Properly (Show Below or Attach Four Copies) ^ PLANNIN T. APPROVAL �� / DATE: TYPE CONNECTION I VERIFIED BY CITY TELEPFIONE NUMBER STREET R/W v O EXISTING STREET R/W ............1". DEFICIENCY THIS PROPERTY NAME'ry COMP. PLAN ST. R/W ............F1'. ............FT. 1 O� D CtJ REMARKS C ADDRESS W CHECKED HY i X e�" F CITY TELEPHONE NUMBER I V I MET. SIZE SERVICE 1112E CLEARANCE CHEC ED BY STATE LICENSE NUMBERCITY LICENSE NUMBER REMARKS Legal Description of Properly (Show Below or Attach Four Copies) ^ TYPE CONNECTION I VERIFIED BY i O ' �+ PERC. TEST PERMIT NUMBER V0.. a'1D, I i ki W REMARKS 11 I U a FIRE ZONE TYPE OF CONS ON STREET IMPROVED �9 ❑ NO I lr I � SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP YES Q-tru Z+ RESIDENTIAL GAB EllLINE ❑ PLAN CFIEC ED IIP CITY .f El NEW THIS SITE IS LOCATED IN THE NON-RESIDENTIAL E] SIGN n OF EDMONDS. LOCAL SALES TAX 31.04. M ADDRETAA,INING MARK/%y�/` SHOULD BE CODED DEMOLISH •' FENCE (�G��3%J / Imo(/ �i /✓y / L /�/ (/�C/ 7 23 ALTER ❑ EXCAVATE OR FILL (.......... x .......... Fl.) ❑ REPAIR ❑ PN IPMOVE ❑ SNVIM POOL _ S V /-� V I —�7 J / / v O•N i / �J �G �/� i NUMBER OF STORIES NUMBER OF E LING .� UNITS I NATURE OF WORK TO BE DONE Vnitmlion Fee Recelpt No, plan Check No ....................., eM CqA L Fa R�[ BUILDING 6000 O0 O rt - f"y G �LOPOSED USE a PLUMBING I M PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE ! � PENCE SIGN tRETAINING WALL li SWIMMING POOL I DEMOLITION i. PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT I hereby acknowledge that I have read this application; that Ills In- v formation given Is correct; and that I am the owner, or the duly author- Ired agent of the owner. I agree to comply with city and .tate laws mgu. ATTENTION APPLICATION APPROVAL laung construction; and In doing the work authorised thereby, no person j will be employed In violation of the Labor Code of the State of Washington TIUS PER511T This application is not a permit until relntlag to Workmen'. Compensation Imurance. AUTHORIZER signed by the Building Official or his Dep NOTE: Permit Limit One Year (Except DEMOLITIONS which NOTE: THE WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In ninety days; 3I0VED-IN BUILDINGS shall be com- knowledged in space rovlded. pleled In six months.)I GNATUItE (D{Y EK OR AGENT) DATE 810NED INSPECTION 3 ECTOR'eA URO a DEPARTMENT I-Us._...------�—" CITY OF EDMONDS ATE NOTE: Applicant Subject to Plan Check Fee 775-2525 Thle 1'ermll cot'en work Eo be done on privote properly ONLY. Any <anetrucllon on the public domain (curbs, sidewalks, driveways, FILE marquees, etc.) will require separate permission.