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740522.pdf_ - - - , _I ( 740522 ENT Appll—t FW inside Heavy LIDeg BUILDI7771PLANNING DOE ZONE PERMIT (� NUMBER ZZSUYL 1 JOADDRESS/ PERMN ADDRF98 f NAME (OR CO 0 BLE 9r ACTUAL % I.OT COVEIkAOE , �.,IAT COVERAGE LOTC V olMAILING A Q PERMISSIBLE HEIGHT PROPOSED HEIGHT O � 1 TELEPHONE NUMIIBR ACTUAL LOT AREA TOTAL BIRO. AREA Z REQUIRED YARDS PROPOSED YARDS P_ SIDEREAR NAME FRONT BIDE REAR LEGAL LOT VARIANCE OR CONDITIONAL USE ; ADDRE88 O YES 0 NO PERMIT NUMBER PLANNING DEPT. APPROVAL nATE; i pVr, CITY TELEPHONE NUMBEIi I STREET EXISTINGGSTREET R/W ............F1'. DEFICIENCY THIS PROPERTY O NAME COMP. PLAN ST. A/W ............FI'. ............FT. IN i A / REMARKS C, ADDRESS Z E / M (�_ r' CHEC 8Y I H */ CITY TE PHONII NUMIIFR MID– U S1Oy�/G--� METER SIZE SERVICE SIZE CLEARANCE CH D BY SnTATE NUM BE/R�j.(� CITY LICENBE NUMBER eLjICENSE F J D` / / O✓ I REMARKS Legal Doacrlptlon o[ Properly tunow• Below or Attach Four Copies) ,r r I TYPE CONNECTION VERIFIED BY Fi YER0. TESTI PER!(IT NU ER W 1 WREMARKS O ! �I FIRE ZONE TYPE OF CONST,(RU/C/TION STREET I PROVED I ; �� I ' /c/ C NO CIAL INSPECTOR QUIRED OCCUPANCY GROUP GAS RESIDENTIAL LINE NEW rr_1ENON-nESIDENTIAL [3 YES NO PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OFEDMINDS.OCAL SALES TAX SIGN ADD VINO REMARKS SHOULD E CODED 31.04. E] DEMOLISH WALL D ALTER n EXCAVATE FENCE OR FILL (......... ........... Ft.) I. SWI El REPAIR O INBPbfOVE El POOL ! NUMBER OF STORIES NUMIIER OF DWELLING UMTS NATURE OF WORK TO BE DONE. Valuation Fee Receipt No, pp flan Check NO— .................. BUILDING [n 4 PROPOSED UBE 7a PLUMBING .. W � PLOT PLAN (Indic¢l0 Building setbacks, abutting Streets) HEAT & GAS LINE � FENCE SIGN tRETAINING WALL N SWIMMING POOL I, DEMOLITION i PRE -MOVE INSPECTION EXCAVATION OR FILL • TOTAL AMOUNT DUE 1 hereby acknowledge that I have read this appllcntlon; that the In- formation given Is correct; and that I athe owner, or the duty author- m Ized agent of the owner. I agree to comply with city and state Iowa regu- ATTENTION APPLICATION APPROVAL bitingconstruction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington THUS PERMIT This application is not a permit until relating to Workmen's Compensation Ioaurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except BE1fOLITIOYH which ONLY TILE Wong NOTED uty; and fees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged 1 apace provided. plcted In six menthe.) StGNATsI tE (OWNER OR AGENT) DATE SIGNED INSPECTION B10N URE i �i _ ' _ DEPARTMENT -�I" WAT i' `ii _ i"`- / CITY OF NOTE: Applicant SR iert t0 Platt Cbeck Fee EDMONDB 775-2525 This Permit riners bark to by done on private Property ONLY. j Any construction an the public domain (curbs, sidewalks, drlvew•vs. FILE marquee, rIt.) will require srparale permission. /•ne L ti 1 PERMIT UMB !� BUILDING DEPARTMENT Applicant Fill ER (. �'• r— ` PERMIT APPLICATION Inside 11cavy Lines Son ADDRESS �•-- '� //�t --.. ,j NAME (OR NAME OF BUSINESS) PEH7,11881BLE % ACTUAL //�� pp "'J " LOT COVERAGE LOT CDVEIIAOE 1 r r,• MA NO A% E80 PROPOSED HEIGHT' PERM188LBLE HEIGHT �/J 7F• O _1/1T Lal %) .'Y TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA Z �� jf REQUIRED YARDS PROPOSED YARDS —REAR .� FRONT HIDE REAR FRONT WIDE NAME 1y U CONDITIONAL USE L YAS LOT ' ADDRESS; ❑ NO PERMITVARIA NUMBoR ER 'yl PLANNING DEPT.API•HOVAL /;' DATE; O CITY TELEPHONE NUMBER%.C. STREET R/W ___ U 1 EXISTING STREET R/W ............Fr. DEFICIENCY THIS PROPERTY O as . NAME COMP. PLAN ST. R/W ............FT. ••...FT, I'� ' •'/t-/y'/�% r �� .� z;g REMARKS C i ADDRESS - � CHECKED BY ;S W �•�/� � -1e ! ' TE PHONE NUMBER / �O' I fCiL METER SIZE CLEARANCE CHEOX_ED-MY STATE LICENSE NUhIDER Y%BEXSIZESERVICE L NM I — - - j REMARKS Legal D—clptlon Or Properly (Show Below or Attach Four Coplee) • - ,1/,/) TYPE CONNECTION VERIFIED BY, PERU TEST' , P MIT NUMBER d. ' I a G7 REMA x8 'A t 'aO7 FIRE ZONE TYPE OF CONSTRUCTION B P vED I� I YES SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP I��•�� GA9 Nr [L....E.TIAL l� LINE ❑ YES 0•NO %. ..�. .. THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX I .I PLAN CHECKED BY N -RESIDENTIAL SIGN SHOULD BE CODED 31.04. ❑ ADD ❑ ❑ w,AL L NING DEMOLISH REMARKS ALTER ❑ ORCFILL AVATD ❑ fENC........... Ft.) I REPAIR ❑ PIRPTIOVE El SWIM POOL .' , NUMBER OF STORIES NUMDER OF I DWELLING UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. � � ) i F- ..i : ,, .. /' •,.., i . r Plan Cheek No ................ .... 1 7 BUILDING PROPOSED USE PLUMBING U a PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE ' / /�'7r �- c", — ? -� �>..;•-.. `.'rl` `� FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION I PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 1 hereby Acknowledge that I 6avo rend this application; that the fn- h formation given is correct; and that I — the owner, or the duly author. Ized agent of the owner. I agree to comply with city and elate law, regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington THUS PERMIT This application is not a permit until relating to Workmen's Compensalion Insurance. AUTIIOIUZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE %VoRR NOTED uty; and fees are paid, and receipt Is aC- ehall be completed In ninety days; MOVED -IN BUILDINGS shall be anon- knowledged In space provided. pilled In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOA'8 BIGNATURD / i DEPARTMENT f% ..,�.. - .•: - -;' "� OLP 4 NOTE: Applicant Subject to Plan Check Pee CITY ED51ONDS LATE , I — 775.2525 This 1'ermlt revere work to be done on private PlerertY ONLY, Any construction on the public domain (curbs, sidewalks, drivew',n. INSPECTOR na gUtes, etc.) will require separate, permission. y•. Z i 1 7. t is .• , S I t Y c n r a • r 1 1 i } - j i r. RECORD OF INSPECTIONS I� Date Passed { )i i Foundation i l Plumbing (Partial) I� (Rough) Frame -- - Furnace & Fuel Lines9 Final y: i' l