The URL can be used to link to this page

740476.pdf'\ USE D PERMIT NUMBER �0� / �✓ FOR EPARTMENT AppllcantFlll ZONE )01—p PLICATION Inatdo Heavy Idnoe dos o2l5 — h nonnES. BUSINESS) LOTUAL 74LOT ....A LOT COVAAGE LOT CgVERAG pElibllSHIBLE HEIGHT PROPOSED HEIGHT x NrJ✓ /S��E CTUAL LOT AREA TOTAL BLDG. AREA 'S t NUMBER A y� RP:gU1RED YARDS PROPOSED YARDS FRONT SIDE REAR FRONT HIDE REAR LEGAL LOT VARIANCE OR CONDITIONAL USE YES NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: NUMBER STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COhIP. PLAN ST. R/W ............FT. ............ FT' REMARKS r FIRE ED TYPE IR _7O=R EET IMPROVED YES P NO 9�ECIAL INSPECTOR AEgUSRED YES ANO OCCUPANCY GROUP ��•/ NEW PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD eE CODED 31.04. REMARKS i11_1_ 06fl--9- PA717: QdC 11173 ❑NON-RESIDENTIAL ❑ BION ADD _ Plan Check Nn ..................... I� RETAINING E yA Valuation ❑ DEMOLISH ❑ ALTER ❑ ORFILLElFENC x..........R. El REPAIR ❑ INSP. O swim pOOL 7UMBER OF STORIES NUMBER OF DWELLING I UNITS VATURE OF VyORK TO AE DONE e FIRE ED TYPE IR _7O=R EET IMPROVED YES P NO 9�ECIAL INSPECTOR AEgUSRED YES ANO OCCUPANCY GROUP ��•/ PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD eE CODED 31.04. REMARKS i11_1_ 06fl--9- PA717: QdC 11173 _ Plan Check Nn ..................... I� Valuation Fee Rsecl Pt No. x/ 8 BUILDING /�� s s V V PROPOSED USE PLUMBING LOT PLAN (Indicate Building setbacks, abutting streets) HEAT 4 GAS LINE i FENCE SIGN l—^'�/.��•I RETAINING WALL / �-e 1 - I SWIMMING POOL 6 C ' MlU. DEMOLITION PRE -MOVE INSPECTION 1 EXCAVATION OR FILL Gia TOTAL AMOUNT DUE i hereby acknoWledgo that 1 have read this application; that the In- formntlon Elven le correct: and that I am the owner, or the duly author - ,red agent of the owner. I acres to comply with city and .tate laws regu- ATTENTION APPLICATION APPROVAL ,aling construction; and In doing the work authorized thereby, no person will beemployed In violation of 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 - ONLY THE uty; and fees are paid, and receipt is nc- NOTE: Permit Limit One Year (Exc.pt DEMOLITIONS which WORK NOTED .hall be comPl.ted 1. noely days; MOVED -IN BUILDINGS Shall be coin- knowledged in apace provided. plated In elx nth..) (L�WNrtt_ 17 OR AGENT) DATE SIGNED INSPECTION D3RECT0 eiO A RE DEPARTMENT s s� 27_ CITY OF DATE --- EDMONDS s NOTE: Applicant Subject to Plan Check Fee 775-2525 S77 --7V This Permit coven work to be done on privets prop.rty ONLY. Any construction an the public domain (curbs, sidewalks, driveways, FILE murqueen, etc.) will require separate permission. I. ... .. .._.,...-. _. _. _.... .. 5r Y r. - VSE PERMIT �.�:i..• ^• BUILDING DEPARTMENT Appucant Fiu 'R!7� LGNE NUMBER - i PERMIT APPLICATION I Inside Heavy Lines idt I} X A F a t ADDRESS l '-•_[, ^t • H /_j , PERANSSIBLE r LOT COVERAGE• ACTUAL LOT COVAAGE PERMISSIBLE HEIGHT PROPOSED HEIGHT ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS FRONT HIDE REAR PROPOSED YAKDH FRONT 81DE REAR PROP08ED USE PLUMBING LEGAL LOT VAHIANCE OR CONDITIONAL USE � YES [] NO PERMIT NUMBER W PLANNING DEPT. APPROVAL i - DATE: STREET R/W j EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REbIARKB ) O ,t7 W (CHECKED BY METER BILE I SERVICE SIZE I CLEARANCE I CHECKED BY ur Copies) I+ Firm Cheek No ................ �J/A _ ��• -�� 11 YES ❑ NO TYPE CONNECTION t I VERIFIED BY W PROP08ED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE PERO. TEST PERMIT NUMBER y. RESIDENTIAL GAS LINE NEW REMARKS THIS SITE IS LOCATED IN THE CITY ADD ALTER ElREPAIR ❑ ❑ FIRE Zq;5E TYPE ¢EPS CONSTRPCTION STREET IMPROVED O SIGN RETAINING WALL PENCE z..........Ft.) POOL I OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31 04 - Firm Cheek No ................ ��• -�� 11 YES ❑ NO BUILDING W PROP08ED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE SPECIAL INSPECTOR REQUIRED ❑ YES [}-CIO OCCUPANCY GROUP I 7—/ RESIDENTIAL GAS LINE NEW PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY ADD ALTER ElREPAIR ❑ ❑ NON-RESIDENTIAL DEMOLISH OR ILLEXCAVATE INSP.h10VE O SIGN RETAINING WALL PENCE z..........Ft.) POOL OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31 04 ..� REMARKS A J '. /,(, I! / A L. L6`X)(.L / 1 p Y.� L&C O I G (%C SWIMMING POOL 'UMBER OF STORIES NUMBER OF I DWELLING I PRE -MOVE INSPECTION I j EXCAVATION OR FILL UNITS 'I Valuatlon Fac r APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. INSPECTOR Firm Cheek No ................ 13 BUILDING W PROP08ED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE FENCE SIGN RETAINING WALL O I G (%C SWIMMING POOL DEsiOLITION I PRE -MOVE INSPECTION I I EXCAVATION OR FILL I hereby acknowledge that I have read this application; that the in. TOTAL AMOUNT DUE formation given Is correct; and that I am the owner, or the duly author. , Ized agent of the owner. I agree to comply with city and state laws regu- luting construction; and In doing the work authorized thereby, no person ATTENTION will be employed In Violation of the Labor Code of the State of Washington relating to Workmen's Compensation Insurance. THIS PERMIT AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- ONLY THE (YORK NOTED pleted In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED / \ _,, �,, �J , ./ !' •�� INSPECTION DEPARTMENT CITY OF NOTE: Applicant Subject to Plan Check Fee EDDIONDS ThisPermlt rm'ers work la bo done on privet. property ONLY. 775-2525 Any construction on the Public do,, sidewalk., drl—.,,., marquee., etc.) will require .eparate perml.elpn. Valuatlon Fac r APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. INSPECTOR