Loading...
740527.pdf740 BUILDING DEPARTMENT Applicant Fill z EE '-7_ S _ NUMB&R PERMIT APPLICATION Inaido —Vy Linea IO ADDRESS Q�O / r��� (tom/r •I NAME (OR NAME OF IIVBINE88) i I C IT YVl C.%.IZ11F lS {� L I.�(iL'1', E-S- PEi2Mltl8[HLE ACTUAL LOT COVERAGE /�- 1 - LOT COVE AGE (,Y.Q t MAl AllDliEee PEltMItleIBLE HFI G7 ! P1tOE'OSED EIEjOHT I b C"'I:zA Lk_)A.Y �VY CITY TELEPHONE NUMBER ACTUAL LOT AREAS TOTft p AREA is avo // } z 1i 67' 1, It 7f REQUIRED YAKDe PROPOSED YARDS AME FRONT BIDE REAR FRONT SIDE HEAR `7 CCL • P-.S 412— i.+ LEGAL LOT VAKIANCE OR CONDITIONAL 1 N ADDRESS ADDRESS SI YES i] NO PERMIT NUMBER ,I 7 PLAN I G, EP APP VAI. U TF.: CITY TELEPHONE NUMBER I STREET R/WC EXISTING STREET R/ = DEFICIENCY THIS PROPERTYt,' NAME COMP. PLAN ST. RY ....�...FT. W �n4clrii( nc,CA2At k49 CILVA' t+Cn':-S REMARKS Driveway slopes not to exceed those nunttEtle indicated on Standard Dwg. No. 103 w t - C C 4?A b b Wn Y CHE e CITY TELEPHONE NUMBER I, `� F / 2L:. ►Ji Qtt� OAS ai fr''���� �•� Ba IS 6k {�IeAlIIr% {1Itv1 STATE L^ICENBB NU.fDERCITY p Lj _ LICENSE NUMBER/, METER SIZE SERVICE SIZE CLEARANCE I y I CH ED BY m i !' C RE&S Legal Description of Property (Show Below or Attach Four Coplee) r I 7 'lv` ` d ? S E-A ` 9 I L'( .o P I L) �`.` TYPE CONNECTION ECTION V ERI •IED BY c�> i t f' _ PERC. TEST PERbu NUMBER n W REMARKS W .i 1 FIRE ZONE TYPE OF COf7R0 T IMPROVED NO ( -/// El SPECIAL IN8PECTOR REQUIRED OCCUPANCY GROUP © RESIDENTIAL GAS YES L 1 I / ® NEW LINE PLAN CHKS D ECY THIS SITE IS LOCATED IN THE CITY '. Lo NON-RESIDENTIAL SIGNOF EDMONDS. LOCAL SALES TAX ADD ❑❑ RETAINING WALL SHOULD BE CODED 31.04. FEMA DEMOLISH ALTER EXCAVATEFILL ❑ FENCEA'11..........Ft.) �•� `' �/ / Q y ❑ z El REPAIR ❑ INSP. El POOL NUMBER OF STOItIE8 NUMBEROF DWELLING ( UNITS NATURE OF WORK TO HE DONE Valuation Fee Receipt No. Ilan Cheek No..................... I BUILDING fOy PROPOSED USE _ L OfiO��r Y y4 c, PLUMBING -Ed aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAB LINE O D FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 1 hereby flCknowiCtlga that I have [satl Lhls oDpllC¢tlan; Ihat NO In- larm¢tlan given In correct; and that 1 a n the owner, or the duty author- ized ¢gent of the owner. I agree to Comply With City and state law. regu- ATTENTION APPLICATION APPROVAL '.u.'conatructlo¢; and In doing the work authorized thereby, no person will be employed In vlot¢tiaa of the Label Code of the State of Washlaglon THIS PERMIT This application is not a permit until relattag to Workmen's Compensation Ineureace. AUTHORIZER signed by the Building Official or his Dep. NOTE: Permit Limit One Year (Ezeept DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- shall be completed in ninety days; MOVED-IN BUILDINGS shall be com- lt0 kedged 1n Space provided. pleted In six manti-) SIGNATURE OWNER OR AGENT) DATE SIGNED INSPECTION D OR•$ BIO UHE DEPARTMENT CITY OF C NOTE: Applicant Subject 10 Plan Check Fee EDMOND3 ATE i✓ f x~ .-,_. _. __.._ 775-2525 Title rerltdt Corers work l0 6e Can¢ on pd—t. properly ONLY Any construction on the public dnmaln (curb,, sidewalks, driVew'ays. mursucee, rte.) will '".1"seDarete Vermleslen. g1AlAmll�ll�nllE111111111111119a�AlIRll11� - � FILE - - t1��1 ISR® a - slw sw! s musawr�sllwimeaarm I .. � � ,/�/ �iC . �.LAV1�:.�W �/NGS L. /i / O,c .�"LY/Cn�DS� v.e/ON6�iYi5 /f. �. W%ltl� /ail./ �e /C L= / %=�C.�.%�,'i �.H.S' ,��[' j. /,+;!_ ; �c^!'aC='_.. � _'�•;'�' . i .i i I BUILDING DEPARTMENT I Appllcant Pill Is "ONE ��- j -1,2- Inside 2_ PERMIT U HIFTR V' PERMIT APPLICATION Insldo ticnvy Lines joB ADDRESS NAME (OR NAME OF BUSINESS) i� l/� PP // V`• PERafttl0lHLE ACTUAL JJ 1`I rill 1C LOT COVERAGL/s j LOT COVEItAGD Cd MAIWNO AUDAESS `• PERMISSIBLE HEI!r I PROPOSED HF�;OHT O ACTUnAL LOT AREA TOTpL BLU / AREA CITY T }10NE NUMBER 11A bOO l• l` I 1„ (. F (. ( REQUIRED YAKDB // PROPOSED YARDS U F a� G ADDRESS CITY T' STATE LICENBD NUDSBEIL C, ,Legal Description of Property (Show Below or O U W O O W a ® YES [] NO PERMIT NUMBER PLAN�Irf DEP'}`f�hY,FRf%VAL STREET It/{V/{/VV�[�( 7/ <+H�}- EXISTING STREETR/{W{yy.-FSC-AIlPT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. RpMP, PLAN ST. /µr•-��„%�.FT, ....0••FT....0••FT• REMARKS Drivl—oay slopes not to exceed those indic:atrd on Standard Dwq. No. 103 �- I _r - SPECIAL INSPECTOR REI Y, NEW ❑ ADD ❑1. ALTER ® RESIDENTIAL NON-RESIDENTIAL ❑ DEMOLISH ❑ EXCAVATE OR FILL ❑ ❑ ❑ ❑ GAS LINE BICN WALL FENCE I........_x.......—Ft.) ❑YES �p'NO PLAN CHECK E , BY �y��j.� J j�•J-•L-� MAR �/C ❑ REPAIR ❑ PRE -MOVE INSP. El SWIM •. r '— (UMBER OF STORIES NUMBER OF BUILDING U� (p Y PROPOSED USE DWELLING UNITS 1.t .---- ' T, 'HIS SITE IS LOCATED IN THE IF EDMONDS. LOCAL SALES HOULD BE CODED 31.04. NO NATURE OF WORK TO BE DONE Valuation Fee Receipt No. Plan Check No ..................... V BUILDING U� (p Y PROPOSED USE PLUMBING 1.t .---- Uq W PLOT PLAN (Indicate Building setbacks, abutting streets) 7 HEAT @ GAS LINE O � FENCE SIGN RETAINING WALL N _ SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this apPlIentle.; that the In. N given Is correct; and that I m the owner, or the duly author. formationa Iced agent of the owner. I agree to comply with city and state laws "go- ATTENTION APPLICATION APPROVAL toting construction; and In doing the work aulhortced thereby, no person will be employed In violation of the Lobar Code of the Stale of Washington THIS PERMIT This application is not a permit until relallog to Workmen's Compensation Ineurance• AUTHORIZE& signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt Is Be shall be completed In ninety day.; MOVEDAN BUILDINGS shelf be com- knoWlledged in space provided. pleted In six months.) 1 SIGNATURE (OWNER OK AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE DEPARTMENT ) /� CITY OF— EDMONDS DATE NOTE: Applicant Subject to Plan Check Pre - ( 775-2525 Thls Permit curers work to he done on Private Prala.'rtY ONLY. ion Any constructon the Publle domain (curb., sidewalks, drhow•ays' INSPECTOR marquee., etc.) .'111 requlro separate perml..lon.