740503.pdf1
USE PERMIT
BUILDING DEPARTMENT Applicant Fill ZONE �S._ NUMBER 740503
i
Plan Check No .....................
PF MIT LIGATION Inside Heavy Lines JO
ADD
❑ DEMOLISH
M (OR NA OF USINESS) PERM1ADDRE8B %
D /ACTUAL[•I/7 (IWNN
LOT COVE AOE
T '�I� LOT co EnA d i
7,/- U D LOT COVERAGE
WALL
REMARKS
n L
T+
�r191
O
M 1 O ADD EBB 1J ( PIIOPOBED HEIGHT
I•EIiAI ItleIBLE HEIOII� (.l / �
{
1
{(reg
'CITY PHONE NUMBER ACTUAL L T AREA TO CAL BLUO, AREA Y.
/G 'E79 /'Z49
❑ OFILL EXCAVATE
PLUMBING
�i�-i�% REQUIRED YARDS kROPOtlLU YARDS
REAR
//��/��f�
BEAT A GAB LINE
NAME FRONT SIDREAR FRONT BIDE
a5` 40' +
GC
REPAIR
�'• LEGAL LOT VARIAN Oft CONDITIONAL USE
NO PERMIT NUMBER
i
..........Ft.)
swim POOL
Yl ADD"" YES ❑
QK—
ORO •
PLANNING PT. PPROVAL O ABATE:
T
i
SIGN
m
CITY T EPHONE NUMBER
7 STREET O
/t/Y•� �/y EXISTINGG STREET R/40.0...t,t,rrt��l'r. DEFICIENCY THIS PROPERTY by
h/Ir
DWELLING
•�� UNtTe
NAME COMP PLAN ST. R/ t.S�!I•T. •••-O•FT• N
j
REMARKS Driveway slopes not to exceed those C
'
\TUBE OF WORK TO BE DONE
m
ADDRESS indicated on Standard Ihug. No. 103 z
W
HE/iC CED DY
C1
�
j!if
F
NUMB
Z
E SIZE
M�r 812I I SERVICCLEARANCE CH ED BY
_FTATE —LICENSENUMBER Y LICENSE NUMBER I'�
alREMA�� r
Legal Description of Proport (Show Sallow or Attach Four Coplee)
TYPE CONNECTION V FIE
Z
C
F
r-� I
��
PERTEST PER2d U SBER
�
S
C. y.
1+
W
t
I
REMARKS m
O
a
J
FIRE ZONE TYPE OF CONSTRUCTIgN STREET IMPROVED
1J
i
I C3 YES � NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY OR0�1P
NO Aires 1
GA8 Q'YEe
RESIDENTIAL LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
NEW
NON-RESIDENTIAL I ❑ OF EDMONDS. LOCAL SALES TAX
1 TOTAL AMOUNT DUE
I hereby acknowledge that I he,. read this application; that the In.
formation given Is correct; and that I am the owner, or the duly aJ"Ihized
SIGN
Plan Check No .....................
SHOULD BE CODED 31.04.
ADD
❑ DEMOLISH
❑
WALL
REMARKS
n L
T+
W��F►'7�--
CCI`
Vf•T� 1� ..
ALTER
❑ OFILL EXCAVATE
PLUMBING
FENCE
//��/��f�
BEAT A GAB LINE
5
GC
REPAIR
❑ PRE -MOV
O
..........Ft.)
swim POOL
��/�r/
/ pre'r y rW 04
QK—
ORO •
This Prrmlt cucrn work to he done an prlvnte property ONLY.
;UMBER OF HTORIESNUMBER OF
SIGN
nmraners, Ste.) wul reawre sep—te, permlealon.
RETAINING WALL
h/Ir
DWELLING
•�� UNtTe
/
j
SWIMMING POOL
\TUBE OF WORK TO BE DONE
-
DEMOLITION
I
Valuation
_i FCC
Receipt i
1 TOTAL AMOUNT DUE
I hereby acknowledge that I he,. read this application; that the In.
formation given Is correct; and that I am the owner, or the duly aJ"Ihized
agent of the owner. I agree to comply with city and elate Tawe
Plan Check No .....................
lating conetrittlon; and In doing the work authorized thereby, no
will be employed In violation of Ula Labor Code of the state of Wash
BUILDING
y-
[00
4 PROPOSED USE
AUTHORIZES
NOTE: Permit Limit �i' ®fir (Except DEsfGLITIDNH
ONLY THE
WORKNOTED
'L7
month..)IIG
PLUMBING
U
PLOT PLAN (Indicate Building setbacks, abutting streets)
BEAT A GAB LINE
5
GC
CITY OF
�
NOTE: Applicant subjecl to Plan Check Fee
FENCE
775-2525
This Prrmlt cucrn work to he done an prlvnte property ONLY.
SIGN
nmraners, Ste.) wul reawre sep—te, permlealon.
RETAINING WALL
j
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
1 TOTAL AMOUNT DUE
I hereby acknowledge that I he,. read this application; that the In.
formation given Is correct; and that I am the owner, or the duly aJ"Ihized
agent of the owner. I agree to comply with city and elate Tawe
ATTENTION
lating conetrittlon; and In doing the work authorized thereby, no
will be employed In violation of Ula Labor Code of the state of Wash
TIUH PERMIT
relating to Workmen's ComDeneatlon Insurance.
AUTHORIZES
NOTE: Permit Limit �i' ®fir (Except DEsfGLITIDNH
ONLY THE
WORKNOTED
,hall bn ompl0cd In nine .; OVED-IN BUILDINGS Shall blz
month..)IIG
URE (OWNS ALDATE 16NINSPECTION
DEPARTMENT
GC
CITY OF
EDDIONDS
NOTE: Applicant subjecl to Plan Check Fee
775-2525
This Prrmlt cucrn work to he done an prlvnte property ONLY.
Any construction on the flublle domain (curb., .Idewulk., dri—I.Y.,
nmraners, Ste.) wul reawre sep—te, permlealon.
J
Il*49r5-DI
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 apace provided.
FILE