740483.pdfBUILDING
DEPARTMENT Applicant
USE PERMIT
� — /
ZONE NUMBER 740483 Iw
PERMIT APPB.ICATION Inaldo Iionty Lines
I
!. '
( {
I 1
)}
IO n
ADDRESS � � DO � ^ / � 1 /�
/ t/�
N (OR NAME OF BUet EBB)
`. / • �
/
PERM IdSID),E A UAL
IAT COVERAGEre LOT COVERAGE
/
{
J
i I
I I {
i f
O
MAILING, ADDRESSz
0,ra
�` r �
PERMISSIBLE HEIOIIT PROPOSED IIEIOFIT
ACTUAL LOT AREA TOTAL BLDG. AREA
I
TELEPHONE NUMBER
y= hyo
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
NAME
�
4]
/ e A F 7?J,� %�� o O
;
w/ M „�
ADDRESS
-
��/
LEGAL LOT VARIANCE OR CONDITIONAL USE
YES ❑ NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
i
CITY EPHONF. NUMBER
�I e
.J\
STREET R/W � ' , DEFICIENCY THIS PROPERTY
EXISTING STREET R/ :..
^^ LL
COMP. PLAN ST. ltr. ....J.....FT.
F? 11
NAME
REMARKS
r
CC
ttEjj
z
W
ADDRESS I
CI D BY
6M
O
Cd J
CITY
PHONE NUMBER
AfETFA elLE
I SERVICE 512E
I CLEARANCEI
C CED BY
STATE LICENSE NUAfDER
CITY LICENSE NUMBER
REMARKS
Legal Description of Property (Show Below or AtlaC Four Copies)
TYPE CONNECTION
BY
G
(VERIFIED
1
C ,
PERC. TEST
PERMIT NUMBER
(d
se/
REMARKS/�
a
/ 4
FI� TYPE
.O/F`C,ONSTR�]U-CTION STREET IMPR rO.rVED
-� )ff //W'VJjt� I�b�1 �.� [YES W:O
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
C]YES `�NO I
I
,
OAS
ElRESIDENTIAL❑ LINE
NEW
NON-
NON-RESIDENTIAL 9ION
PLAN CHECKE BY THIS SITE IS LOCATED IN THE CITY
/�-j SCHOULD BE CODED 3LOCL04.SALES TAX
REMARKS /�) r/J //
4L% 4V�/L-/�. '(N / /`�V/, �L"•
C.+ Cl
E CAMS WALL
❑ ALTER EXCAVATE FENCE
OR FILL (....................Ft.)
El REPAIR ❑ N8PREP. MOVE ❑ POOL swim
�yn�/J{!�ry y .-•� c ,/y�/.�jl( l_
P"t r=' — / 1/ / �1 _ / `-' �• ' 1 /
NUMBER OF•STORIES NUMBER OF
I
DWELLING
I
1 I
UNITS
NATURE OF WORK TOHE DON /J � /- s
Vnluntlon
Fce Reccipl
No.
sf�Pion
Check No.....................
�
0
1
�
BUILDING
L PROPOSED USE
a PLUMBING
1
PLOT PLAN (Indlento Building setbacks, abutting streets) HEAT A GAS LINE
9
O FENCE
SIGN
tRETAINING WALL 3� Od
N
SWIMMING POOL
DEMOLITION
PRE-MOVE INSPECTION
-
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have rend this application; that the in-
formation given Is correct; and that I nm the owner, or the duly autlior.
Ized agent of the owner. I agree to comply with city mad state lows 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 Slate of Washington THIS PERMIT This application is not a permit until
relatlag to Workmen's Compensation Imurnnce. AUTHORIZES
ONLY THE signed by the Building Official Or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
shall be completed In ninety days; MOVED-IN BUILDINGS shall be com• Itnowledged in space provided,
plated In six months.) Al
SIGNATURE (OIVNER OINSPECTION R °ENT) DATE B16NEU DI RFC A' URE
t
DEPARTMENT
TY OF
CI/
EDMIDIM DATE
NOTE: Applicant Subject to Plan Check Fee 775-2525
TMs Iiia... r, n work to be done an private properly ONLY.
�
Any ean.Ducl'— on the publle domain "",be' sidewalks, driveways, FILE
marquee...te.l wlll rc,,. separate permission.
(
Vr-�_..:.-.r' ,_•....�........-..mai.-, ... t _ e'. la , t i
AV
� J,� ,� �„ 1• . `•�-,,:;'•; i
' ,�' 1u - �CE�•�j� - _ N t` `,��y � 17 . �� '�', A•�';�_•�'• � �N � .�,i 3' .�;;,►e. ,� 1
I.__._.�L_.._ .�'•� _��.._ '\' S�f�. .�;.. �' •t' G _rl1 `�����. ,'J'1��. 'A, .idajh ..i i. 1'�"_�+�a.,c � .J� I
_._ I iui� . �• .. . � - �.,. �Ic'- I� ',6 I I r � . ` 'T ' >1..1 i �'I � ' ti �
t"'1tl,+t •� ' y"`'alti"'IILf�` �kl..._ �. �-'n'_r_-,1'�—!+.* �• ,:, : J 1S, ,
oor T._�, , J. ! \e• tY• I w2� 2 ��9cC 3 � .< I r rY, �
il. I •' �\'t' c •* '+i { �M _-i, 4 •_'��•. �.% {` I�pN 7�Z-
wt�
(y� \`� • In � �¢� ';�, i i I I 1 �qq1 , <a 1t� zi ,� n Vill,16
�a. -' r� •P I ` - i Id� 1'Z' I ' 46 0. s YAViry t. •I s'Fir �q Jf z• } �+�.•.. �, .,j::i
,r+!
r (i?n�. � �.' iii : I ' i� t c� K;'t`.� is : �' • , .11l1����%---- �
Al
no
Al
t
Ir
it
iy
713
G�. U � 1' Ys •. wI ; � '•""'' Jc�f$•` ^, �. I � ._ _ — I '� � • •JJ1 ,tt\•
/*
�.,y,,l�l����ir7"•.�'�'� �'!1':�.
Vlk
,\ , r �- t •�. it .. =v TLati.
_._�.ws+.+--.-.. •_... _i..._ L.. .._ ... J.. ._ _ ......- .... I'. ... _..._..._ _.._.._. _.. _. .,. _.�-.._ _ _ _— AAAA_.. .. I-----�.r'�
r.r�&
z j
Plan Check No .....................
I hereby acknowledge that I have read this application; that tha In-
BUILDING
ized agent of the owner. I agree to comply with city and state law. rend-
S, PROPOSED USE
aq
PLUMBING
will beemployed Label violation of the abar Code o[ the etule of Washington
4
HEAT A CAS LINE
AUTHOHIZE8
NOTE: Permit Limit One Year (Except DEMOLITIONS which,
.� PLOT PLAN (Indicate Building setbacks, abutting streets)
>i
PERMIT r 74� � _)483
UNE
pleted In elz month..) )
)
SIGN
BUILDING D E P A R T M E N T
•
Applicant Fill
, I]
v
RETAINING WALL
CITY OF
`a e
N
Inside Heavy Linea
PERMIT APPLICAT�®N
IG
ADDRESS
775-2525
This Penult covets work to be done on private property ONLY.
DEMOLITION
Any eenetruellun on the public domain rcub., sidewalks, driveways,
NAME OF BUSINESS),-
PRE -MOVE INSPECTION
EXCAVATION OR FILL
NAME (OR
• f
A, ��,�•• 7� %
/
PERMISSIBLE ACTUAL
LOT COVERAGE q LOT COVE44AOE
;
/7 ,7
M' MAILING AD RESBi
p
I
PERMISSIBLE HEIGHT PROPOSED RElOHT
;
CITY
TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL BLDG. AREA
z
'
O
REQUIRED YARDS PROPOSED YARDS
a
NAME
T FRONSIDE REAR FRONT SIDE REAR
-r
(.,
i^y
���n
/'/IIT
LEGAL LOT VARIANCE OR CONDITIONAL UBE
FW+
AD RESB ./
[3 YES NO PERM1 NUMBER
j
PLANNING DEPT. APPROVAL DATE:
if i
Dl
CITrT Y
TE
PHONb NUMBER
STREET R/W
'I'
S f
,(
EXISTING STREET RIA -1. 40I'. DEFICIENCY THIS PROPERTY
O
y
NAME -
-^
COM1[P. PLAN BT. R/
yd
y
REMARKS
x
E
ADDREBB
CITY
TELF,PRONE NUMBER
F
I
ff((
I{
tin
V
METER SIZE SERVICE SIZE CLEARANCE
C !
RED SY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
I
I
I
[yM
f
Legal Description of Properly (Show Below or AttactJI Four Copies)
REMAHKe
t
4 4
r i f'
C
TYPE CONNECTION
VERIFIED BYrn
0
PERC I)E ) D
E M ER
�
I
x
iI
�'•
W
REMAHWU Lj U n
N�
t
a
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
tiz c - [] YES b.F O
SPECIAL INSPECTOR REgUIRED OCCUPANCY GROUP
RESIDENTIAL
❑❑
GAB
LINE
[3YE8 '(�-NO 7
I
El NEW
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
❑ SIGN
(,, F EDMONDS. AL SALES TAX
OHOULD
I
ADD
RETAINING
,/{'(.•J BE CODED
REMARKS
f
DEMOLISH
WALL
ElALTER EXCAVATE
PENCE(.,�//
/ ,' 1 q
Y o / /��V/,
❑ OR FILL
E](.....................Ft.)
El REPAIR
❑
/7 --/� /) /_
�e�_Li/��%i' %• j / �11_ PEfVi( I
INSP-➢IOVE
POOL
NUMBER OF STORIES
I NUMBER OF
DWELLING
i
UNITS
NATURE OF WORK TO BE DONE
f / I
Valuation
Fee I Receipt No.
r.r�&
z j
Plan Check No .....................
I hereby acknowledge that I have read this application; that tha In-
BUILDING
ized agent of the owner. I agree to comply with city and state law. rend-
S, PROPOSED USE
aq
PLUMBING
will beemployed Label violation of the abar Code o[ the etule of Washington
4
HEAT A CAS LINE
AUTHOHIZE8
NOTE: Permit Limit One Year (Except DEMOLITIONS which,
.� PLOT PLAN (Indicate Building setbacks, abutting streets)
>i
FENCE
pleted In elz month..) )
O
SIGN
DEPARTMENT
RETAINING WALL
CITY OF
`a e
N
SWIMMING POOL
775-2525
This Penult covets work to be done on private property ONLY.
DEMOLITION
Any eenetruellun on the public domain rcub., sidewalks, driveways,
PRE -MOVE INSPECTION
EXCAVATION OR FILL
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.
I �- - �� � - T/ d
INSPECTOR
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that tha In-
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 law. rend-
ATTENTION
lating construction; end In doing the work authorized thereby, no person
will beemployed Label violation of the abar Code o[ the etule of Washington
THIS PERMIT
feinting to Workmen's Compensation Insuranee.
AUTHOHIZE8
NOTE: Permit Limit One Year (Except DEMOLITIONS which,
ONLY THE
t5'Olttl NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be care.
pleted In elz month..) )
31GNATURE (OWNER Olt AGENT) ../ ;• DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDIVIONDS
• NOTE: Applicant Subject to Plarl Check Fee
775-2525
This Penult covets work to be done on private property ONLY.
Any eenetruellun on the public domain rcub., sidewalks, driveways,
marquee., etc.) will require separate permle.lon.
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.
I �- - �� � - T/ d
INSPECTOR
LEGAL �ESC.Q/PT/OrY' A!! fhdf �oo�tio crLof 7 and B/ocl q Ld Fc Bd7/iriyc/�Lo�isd�La t Pia+ 1
q ut division No /, ny South of ttie fa/l�wii79 desc�ibea� //ne•;
Bo iinnin9 d/ the S!Y coiner of La> 7, i'hcnca Nar/h d/ons 1hr flr�s! /�i„� o/lot�
o i
r thC'O1,;V e-oo{/ Sn
/8mfeet `to the t�riG 7�oii}f .of bdGyii�niisyo; fth7/en�'ccee
I
�bct "Ord' or /ass to dPoi;7t 64J£ret rYorlhoflhe South//x of Lo/�; the/Jce
Eds f j»r�//a/ to and 60 fea/ Narfh of sWid South /ii 1 1 ZI/ g '?1 E�stai-/y'
-- of Lot d end the cnd of this dcscriotiarz.
TOG. cTNER. lY/TH shorn /arr4s of fhe
'cols,•Qyed'6 .�d,vesn/ thQ�erfo ss i; i
yf� the Stn/c of LYdsfi/nytOp } "Al
• j' �% a.J .� ir/ar. rzs34i9 �' 2.�2396o I
� NOTE � , • 4 3 ; i i
P, rly /iisGs shown warcr noi�ohyr%ca//y oni;.s/�
Gut astdb/ishaN its �a/.>1�u�> >o fha cxisf%rsy ey'"I'l � Si
cn f/ice north Pr�j�crty /ir�� .;iid 4,10 q tii». /ot++t°ion
of Ave Gt/
f'
i
i
I.
RECORD OF INSPECTIONS
G� r
DatePassed
ld IIII-A mei • i , l i f
�!� r Plumbing (Partial) _
(Rough) _
9 _71 Frame _
Furnace &Fuel Lines
q _ �� (//,Jy',✓L'-�z�(//J� Final -/C '- )J�-Y—� '