740480.pdfi
BUILDING DEPARTMENT Applicant Flu °�
PERMIT APPLICATION I Inside Heavy Lines JOB
ADDRE88 K ,�
NAME (OR NAME OF BUSINESS) d
/ PERMISSIBLE JSp / LOT COVERAGE 3S /o
p' MAIL 0 ADDRESS_
PERMISBIHY BIOII
T
NUMRCITYR ACTUA T AREA
S 05
REQUIREDYARDS
NAME --r SIDE RI
(U,1 ADDRESS LE6 OT VAR1A)
1lY .e NO PE "T
V
CITY I TELEPHONE NUMBER
NAME
AZ 7�cesal_
C ADDRESS
,�// -- S'a,
F CITY TELEPHONE NUMBER
Z. /C�fYlcavl!,� S•
V
STATE LICENSE NUMBER C
'U-3-0% 7�6y
Legal Description of Property (Show Below or
l�y
n
W
7
DPOBED HEIG T z
FAL BL.DO. =_�
PROPOSED YARDS a'
FRONT 8IDE REAR
P
REE /{V
=IS eTREET R/ .OFT. CIENCY THIS PROPERTY
COMP. PLAN ST. SO PLAN ..FT. (. ..FT. _
REMARKS Driveway slopes not to exceed those
indicated on Standard Dw . No. 103
FIRE ZONE OF CONSTRUCTION STREET IMPROVED
HE Bx
METER SIZE I-SERVICE1 SIZE I CLEARANCE
I 137CJLD
REMARKS
TYPE CONNECTION
I
_ 1
I
PERU. TEST
I P IT MBER
REMARKS
Plan Check N. .....................
I
FIRE ZONE OF CONSTRUCTION STREET IMPROVED
BUILDING
PROPOSED USE
ITYPE
C3 YES [3 NO
-
PLUMHIN6
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
M PLOT PLAN (Indicate BSlldlag eelbacks, abutting effects)
HEAT k GAB LINE
RESIDENTIAL
O't8
LINE
❑YES � NO
NEN
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
RETAINING WALL
NON-RESIDENTIAL
SIGN
N
OF EDMOND1 LOCAL SALES TAX
ADD
SWIMMING POOL
RETAINING
REMARKS
SHOULD BE CODED 31.04.
DEMOLITION
❑
DEMOLISH
❑
EXCAVATION OR FILL
ALTER
EXCAVATE
❑
PENCE
❑
OR FILL
FILL
...........Fl.)
O
REPAIR
❑
I 9EPatOVE
ElP
OM
JUMBER OF STORIES
NUMBERF
UMUNI
ATTENTION
APPLICATION APPROVAL
luting Construction; and In doing the work authorized thereby, no person
NO
I
will be employed In violation of the Labor Code of the Stale of Washington
THIS PERMIT
This application Is not a permit until
Willing to Workmen's Compen.atlon Ineurance.
AUTHORIZES
BE
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY TILE
Plan Check N. .....................
I
BUILDING
PROPOSED USE
-
PLUMHIN6
M PLOT PLAN (Indicate BSlldlag eelbacks, abutting effects)
HEAT k GAB LINE
(%e S-0
O
9
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read thls application; that the In.
O
formation given Is correct; and that I am the owner, or the duly author-
Ized agent of theowner. 1 agree to comply wlth city and &tate laws regu•
ATTENTION
APPLICATION APPROVAL
luting Construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Stale of Washington
THIS PERMIT
This application Is not a permit until
Willing to Workmen's Compen.atlon Ineurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY TILE
uty; and fees are paid, and receipt is aC-
j .hall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
WORK NOTED
1mGWledged In space provided.
pleted In .Ix monthe.)
OR AGENT)
DATE SIGNED
INSPECTION
DEPARTMENT
I
DI OR'8 NAT
SIGUIVNFI1
CITY OF
: 14i ." /f,
NOTE: Applicant Subject to Plan Cbee Fee
EDMONDS
.
g a
775-2525
This Permit covers work to be done an private property ONLY.
Any rant furl len an the pulrllc Amm�ln tenrbn, eldewWks, drhewayn.
r r,)�irr�. rt, .1 r, 111 rriui rr xepurafr 1'rnnl..lmr.
FILE
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1
1 1
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PARCEL GC
Tho Westerly 100.00 foot of the Easterly 343.00 feet cf, that pori -Ion of Governmen� i
Lot 2, fn Soetion 24, fow, nshi 27 Norl•h, Range 3 l nsl, V' M. tri Snohomish Couni'y
Washington, doscrIbed .Lis fol Ioyis: "Beg InnIng at tho,NIOI-Thea t`comer of lSold:
Governmant,Lot'.2; thence West "for 30.00 feet; thence South for 30;00 feet totho
corner'. of the paved rood and Seventh Avenue North produced, in the. City.oi.Edrnonds„I
thence S 0°12!00"W, a!on0 lhe`i•lest IIne of Seventh 'Avenue -Mor.th,`produced for 233 G7►y,YtS
feet to the True Porrrt of Beginning of this'd crip-H on;, hence N 89°39!00"4l,: -along rqt
Ir a Ilel Wiih th' North lino.of said Goverranent Lo,.:2 fo'r fi11.07 fee
I
ne d t'
r av n , p r�,
to'an !nter,ectlon with the Easterly margin of Third Avenue North; thence S. 7.?°18'00"V,"
along said Easterly mar -gin for 86.85 feet; thence`S 89°39'001'E,�for 653:71 feet
to:,�rrtl �.
Intersec•I•lon with the lest lino of Seventh Avanue North produced; tfienoe`N 0°12'00"E,
along soid West line for- 46.00 feet -to the True Point of Beginning
EXCEPT that portlon ihereof conveyed to the City of Edmonds for street right -of `w y I•
by deed recorded under, Auditor's File,. No.`2270223, records of Snohomish'Coun•ty,
Washington
- ' I
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i
jj
y(ah �
apt J(t,er ` I
Cj
lz� ( RECORD OF INSPECTIONS I
Date Passed
f %'!
Foundation
Plumbing (Partial) --/Q — -79 /�LCJ• i i
(Rough)
Frame
Furnace & Fuel Linesj5?
. , C,hw I f Final
I V6/D
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