740470.pdf�._-....._. _ /
BUILDING DEPARTMENT DBE PERMIT 740410
PERMIT APPLICATIONjoB
II dop Ieavy Lines zoNE �S� NUMBER
NA(/ME)' 110/11 NAME Oil B/U/g�{NE881 �r
i..i -LT / AA1 tV /-.rid �!. h
'77C-4 ti 1 6
ADDRE88 "/ / � G�i/�`•"
�1
ADDRESS
[3 YES
EWi
I / ";,Z—/
O
C CITY
New
ACIUAL�()L= TOTAL BLDG. ARBA J
II
NAME
THIS SITE IS LOCATED IN THE CITY
REQUIRED YARDS PROPOSED YARDS
�f
09 ADDRESS
REAR
U
rt
c
CITY
ADD
F
z
r,
MARX
HO LD BE CODED 31.04.
'77C-4 ti 1 6
ADDRE88 "/ / � G�i/�`•"
ESIDENTIAL
PE BLE ry, �/ ACTUAL rr//'��
LOT COVERAGE D LOT COVERAGE
[3 YES
3S O r•-�V
I / ";,Z—/
PEHMI881BLE HEIGHT PROP BED HEIGHT
30' iacrG
New
ACIUAL�()L= TOTAL BLDG. ARBA J
PLAN CHECED Y
THIS SITE IS LOCATED IN THE CITY
REQUIRED YARDS PROPOSED YARDS
FRONT BIDE REAR FRONT SID4
REAR
10 IS 'PD 5- 5
ZOfi
LOT VARIANCE OR CONDITIONAL USE
ADD
L�WAL
S NO PERMIT NUMBER
RETAINING
THIS PROPERTY
COMP. PLAN ST.A/R't :.:�V.'::FT. ..I..o1....TV. to
ADMARKB Driveway slopes not to exceed those
indicated on standard Dwg. No. 103�/K w
I111 I IED BY
I—RE;A'
or Attach Four Copies). -
OF
NO
ESIDENTIAL
LI
F-1 INE
[3 YES
I / ";,Z—/
New
PLAN CHECED Y
THIS SITE IS LOCATED IN THE CITY
'
NON-RESIDENTIAL
❑ SIGN
OF EDMONDS. LOCAL SALES TAX
ADD
RETAINING
MARX
HO LD BE CODED 31.04.
EJDEMOLISH WALL
ALTER EXCAVATE FENCE
0 OR FILL ........... ........... Ft.)
REPAIR ❑ IN P. El SWI I
POOL
NUMBER OF STORIES NUMBER OF
1
I DWELLING
/ UNITS /
NATURE OF WORK TO BE DOqp E
ynluntlon
FCC
Receipt No.
/l
Pion Check N......................
BUILDING
33 P3 2-
/3,
n, PROPOSE UBE JJJ
PLUMBING
aPLOT PLAN (Indicate B Ilding Setbacks, abutting streets)
HEAT & GAS LINE
h
a
FENCE
ryJ t ft,
SIGN
4
RETAINING WALL
!
N_
Sf
SWIMMING POOL
_
DEMOLITION
-
PRT. -MOVE INSPECTION
�-}-
EXCAVATION OR FILL
f1t�J� f ST
_
I hereby acknowledge that I have read thin application: that the In-
TOTAL AMOUNT DUE
b
formation given In correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with elty and elate law. regu-
ATTENTION
laling con.tructlan; aad 1. dolag the work authorized thereby, .o person
APPLICATION APPROVAL
will be employed In violation of the Labor Code of the Slate of Weeltington
TIDE PERMIT
This application is not a permituntil
relating to workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
`;��---'--'
shall be completed In ninety days; V'jVED-IN BUILDINGS shall be com-
ltllowledged In apace provided.
pleted In .Ix month..)
SI NATU1tL IOWNE7 AGENT)
DATE SIGNED
INSPECTION
's 1 TURD
11
DEPARTMENT
�it'1✓
CITY OF
r�
EDMONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
— 3^
Permit cul'enn work be done on private property ONLY.
775-2525
AnyThl.
Anro..... ntlnn on thepublili c domain (curb., nldewnike, drivelewye,
ir,lm,•., rlc.� „III ,rani rr ,rpurnlr t ml.nl i,n.
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