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740500.pdf�HE S✓/ / j y/' r„ PERMIT CT� F t / / r 1`o BUILDING DEPARTMENT Applicant FID ZONE NUMBER —40 PERMIT APPLICATION aide Heavy'nesaAODDRESa NAME 1 1 NAME OF BUSINESS) PERMISSIBLE 0yA LUT COVERAOFe ALTUCAOLVryryAGE 1 f„ agg nnnxEss F CITY Z Is MAILING ADDRE88 F, p r ox 3 -7 O CITY TELEPHOI r---pMo1.�D� 3 NAME PROVE TYPE OF CONST=UCTIQN IbI❑ S'.zalt I c - W ADDRESS aj CITY I TELEPHO agg nnnxEss F CITY Z Is 0 YES 0 NO PERMIT NUM—R, i PLANNING DEPT. APPROVAL DATE: STREET R/W O EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY E j CObIP. PLAN ST. R/W ............FT. ............FT. REMARKS ti z w CH ECKED BY , A -)I)& i 1 3 , 0 YES 0 NO PERMIT NUM—R, i PLANNING DEPT. APPROVAL DATE: STREET R/W O EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY E j CObIP. PLAN ST. R/W ............FT. ............FT. REMARKS ti z w CH ECKED BY , A -)I)& D I 1 I _ I NATURE OF WORK TO BE DONE Valuation Fee Rccel pt No. "7��i� y Plan Check N...................... 5, PROPOSED 8E G T� �L ��/� BUILDING�O t �� PLUMBING .� PLOT PLAN (Indicate Sullding Setback., abutting streets) HEAT k GAS LINE b � FENCE 9I6N RETAINING WALL d of -r— p6C BWIMMIN6 POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL ADIOUNT DUE O(^) 1 Hereby acknowledge that I have read this application; that the In- formation given In 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- ATTENTION APPLICATION APPROVAL laling construction; and In doing the work authorized thereby, no person , will be employed In vloiatlon of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until relating to Workmen'. Compen..tlon Insuranoe. AUTHOnIZEs signed by the Building Official or his Dep - ONLY THE NOTE: Permit Limit One Year (Ezeept DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In ninety day.; b1OVED-IN BUILDINGS shall be com• knowledged in space provided. plcted In .1.. months.) SIG RE (O\yN ER AOE T) DATE SIGNED INSPECTION DIRECTO ' ION UR DEPARTMENT CITY OF I DATE EDMONDS _ NOTE: Applicant Subject to Plan Cbeck Fre 775-2525 This I•ennit covers work to be done on private properly ONLY. Any eonelrurtlon no Itis public domain (curb., .Idew¢Ik., driveway., FILE marquees, etc.) .911 require separate permission. b J N/tldl- PROVE TYPE OF CONST=UCTIQN IbI❑ I YEST NO I IIOO'CCUPANCY ROUP SPECIAL INSPECTOR PECTOR RF�EQUJ�IRREE1D RESIDENTIAL LINE �D� ❑ NEWJ THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL s1cN rREMARKS OF EDMONDS. LOCAL SALES TAX BE CODED 31.04. ADDSHOULD ❑ DEMOLISH ❑ RETAINING F-NCi_........Ft.)��C/1'�^PAIL_ /t I, y1 L)8C_ 11/3 �l^7ALTER EXCAATE OR REPAIR PRSEFMOVE ikgay• ❑ PSWIMOOL " `—� 9UMBER OF STORIES NUMBER OF DWELLING UNITS D I 1 I _ I NATURE OF WORK TO BE DONE Valuation Fee Rccel pt No. "7��i� y Plan Check N...................... 5, PROPOSED 8E G T� �L ��/� BUILDING�O t �� PLUMBING .� PLOT PLAN (Indicate Sullding Setback., abutting streets) HEAT k GAS LINE b � FENCE 9I6N RETAINING WALL d of -r— p6C BWIMMIN6 POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL ADIOUNT DUE O(^) 1 Hereby acknowledge that I have read this application; that the In- formation given In 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- ATTENTION APPLICATION APPROVAL laling construction; and In doing the work authorized thereby, no person , will be employed In vloiatlon of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until relating to Workmen'. Compen..tlon Insuranoe. AUTHOnIZEs signed by the Building Official or his Dep - ONLY THE NOTE: Permit Limit One Year (Ezeept DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In ninety day.; b1OVED-IN BUILDINGS shall be com• knowledged in space provided. plcted In .1.. months.) SIG RE (O\yN ER AOE T) DATE SIGNED INSPECTION DIRECTO ' ION UR DEPARTMENT CITY OF I DATE EDMONDS _ NOTE: Applicant Subject to Plan Cbeck Fre 775-2525 This I•ennit covers work to be done on private properly ONLY. Any eonelrurtlon no Itis public domain (curb., .Idew¢Ik., driveway., FILE marquees, etc.) .911 require separate permission. b J ZOSNE 'L- NUMBER-7�."'` ;--•�� ..., BUILDING DEPARTMENT AppllralltFin PERMIT APPLICATION I Inside heavy Lines dO I , j ADORES D / ? /i (' l�Ci /) ilh_ �+,.{ - NAME (OR NAME OF BUSINESS) ( �.i (J �(-�'✓ F LOTC VERA ra ACTUAL r I �.I='ll •' /\ 1'7L� :'C LOT COVAAGE LOT COVERAGE 1 y! MAILING ADDRESS PROPOSED HEIGHT y ! PERM INSISLE HEIGHT F71. 3 "1 O CITY ACTUAL LOT AREA TOTAL BLUO. AREA TELEPHONE NUMBER J- J� !„ i; 1 1 "I! �(•� -'REQUIRED YAIl Utl PROPOSED YARDN NAME FRONT SIDI•.' REAR FRONT SIDE REAR D � LEGAL LOT IVAHIANCL Olt CONDITIONAL USL p ADDRESS 0 YES 0 NO PERh11T NUMBER PLANNING DEPT. APPROVAL DATE: O CITY ITELEPHONE NUMBER 1 STREET R/W O j ' tlr: UVNY. y` (` O'` ed e Valuation Fee Receipt Na. %Il 11 Y-•l'hr (moi I •%<� Plan Check No.. ................... EXISTING STREET R/W ............FT. DEFICIENCY TITIN PROPERTY NAME PLOT PLAN (Indicate (B(llv .J Jtl) E'D JT_5 (lbuttln6 streets) HEAT A GAS N. J \ B COMP. PLAN 8T. R/W ............FT. ............ ) SIGN l RETAINING WALL N SWIMMING POOL ot_,^ REMARKS M ADDREdd PRE -MOVE INSPECTION EEj TOTAL AMOUNT DUE I hereby acknowledge that I have read this oppllcatlon; that the In. 1 CHECKED BY 'fK•it t4 CITY TELEPHONE NUMBEK relating to Workmen's Compensation Insurance. AUTHORIZES ONLY THE NOTE: Permit limit One Year (Except DEMOLITIONS which WORK NOTED BUILDINGS shall he com- h 11 boletIn ninety days; MOVED-INg J I Official or his Dep - paid, and receipt is ac - provided. V I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER I I I REMARKS Legal Deecrlptla of P11111111 (dhow Below or Attach Four Copies) A / /I f I A/ /' G .7/1 -2 /D 1 /// f G ,N' � / TYPE VERIFIEll BY n r7O PER a � n N a REMARKS rl N t O FIRE ZO}`IE I TYPE OF CONSTRUCTION N STREET IMPOVED NO It/)YFI)•_-,IY./moi-^, trJ/YES 0 SPECIAL INSPECTOR REQUIRED I OCCUPANCY ROU RESIDENTIAL ❑ LINE E] NEW cHEt:Kmir'sz� THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONE DS. LOCAL SALES TAX BCODED 31.04. i� ADD Ej RETAINING REMARKS SHOULD ['[� ❑ DEMOLISH WA L�10 �1.-. {)',1 - 73 RE_r Y 9 `fir ` ' ALTER EXCAVATE OR FILL FENCE (.....................Ft.) .1.-� • REPAIR OVE SWIM /-�1� (� �('(, fee r %r"'^• 77 �j(r''• PCT2 . &90V ❑ INSP. INSP. � POOL -f NUMBER OF STORIES 11 MBEB F DWEL ING I UN TS ' tlr: UVNY. y` (` O'` ed e Valuation Fee Receipt Na. %Il 11 Y-•l'hr (moi I •%<� Plan Check No.. ................... c7=Z [D i)'�;•!%'�C/- ! �6i • %U �� G%�� `� BUILDING 5, PROPOSED UBE PLUMBING S. 1 I ; PLOT PLAN (Indicate (B(llv .J Jtl) E'D JT_5 (lbuttln6 streets) HEAT A GAS N. J \ B -- FENCE ) SIGN l RETAINING WALL N SWIMMING POOL ot_,^ DES,fOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this oppllcatlon; that the In. J OU formotion given Ie correct; and that I am the ow or the duly author - Iced agent of the owner. I agree to comply with city and elate laws regu. ATTENTION rating construction; and In doing the work authorized thereby, no person Will bo employed In violation of the Labor Code of the Slate of Washington TIII8 PERMIT APPLICATION This application APPROVAL is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES ONLY THE NOTE: Permit limit One Year (Except DEMOLITIONS which WORK NOTED BUILDINGS shall he com- h 11 boletIn ninety days; MOVED-INg signed by the Building Uty; and fees are knowled ed In Space Official or his Dep - paid, and receipt is ac - provided. c cmp pleted In six months.) INSPECTION SiONATURE (OWNER Oli AOE[jT) DATE SIGNED D3RECTOA.'� p2/ ATURE DEPARTMENT //) Z CITY OFEDMOND DATE NOTE: Applicant Subject to Plan Cbeck Fee 775-2525 This I'ennll co work la be done an private property ONLY. Any conelrurllen on the public domain (curb., eidew'alks, dtiv'sw"s, INSPECTOR marquees, etc.) will require Separate pennleelon, i