740533.pdfBUILDING DEPARTMENT Applieunt Fm ZONE NUMBER. 740533
PERMIT APPLICATION I Inside Heavy Lines ]OB ,,�t� 9 9
ADDRESS
/ / Shy���Y/ "'
NAME (OR NAME OF .B}U-BINEBB)/ - ,r Ip �l J
R0 �/'` (S- �' �D 'W R�' C/t� LOT COVERAGE' l�' LO'NCOVERAG.0 4 r
yy¢m MAILING ADDRESS H (11L.,L_ F
PL)tDI1881BLE HEIOIiT � PROPOSED HEIGHT �I � I^
!1 yf—•r'l tLY 7 ^,
CITY,!' ( TELEPHONNUMBER v ACTUAL LOT AREA I, TOTAL BLDG. AREA A1.
�• 191VI 0 A J J --777((J/J/ /z/ ''] REQUIRED YARDS PAOPOBED YARDS n<ai
G
V
Al 14 tbAl /VC L
4' ADDRESS
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Cl
TY TELEPHONE NUMBER
STATE LICENSE NUMBER CITY LICENSE NUMBER
223—a1— l3 :Z y6
Legal Deacrlptton o[ Prap."y (Show Below or Attach Four Copies)
�• C G A Tt-': IJ
FRONT BIDE REAR FRONT SIDE REAR
N:kVA
FOAL LOT VARIANCE OR CONDITIONAL U'91
m
YE8 O NO PERMIT NUMBER !t � K
EXISTING STREET R/W ............ FT. DEINCIPACY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
/ v A I CHECKED BY
PROPOSED USE
PLUMBING
PLOT PLAN (Intllentc Bulldln6 eetb¢cke, abutting etrce[s)
li
HEAT @ GAS LINE
- ------ .. _...-_.-
SIGN
RETAINING WALL
RENARK9 /// N
FI E I TYP-r — )0 ION I STREET
i YEST IM*OGED
1�
DEMOLITION
PRE-MOVE INSPECTION
1
4
SPECIAL INSPECTOR REQUIRED
YESNO
OCCUPANCY GROUP
I heresy neknowledgo that I have recd this application; that the In.
formation given le correct; and that I nm the owner, or the duly author-
Ired agent of the owner. I agree to comply with city And stet. laws regu-
hating c...IMetloA; and In doing the work authorized thereby, no person
❑
RESIDENTIAL
NEW
NON-RESIDENTIAL
ADD
E] DEMOLISH
ALTER E]❑ EXCAVATE
On
nEFILL
REPAIR IBDOVP
❑❑
GAS
LINE
SIGN
RETAINING
WALL
Gx.Ft.,
POOL
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
Of EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
RENARK9
/3 C / y / S G of-- -
NUMBER OF STORIFs NUMBER OF
DWELLING
UNITS
INSPECTION
DEPARTMENT
6 - 7
NAT E OF WORK TO BE DONE
-",ti- tom — lG
30
f
.
Plan Check No .....................
BUILDING
VAluatlan
%�
Fce
• �+
Receipt No.
r�
S` /y. d �f G
PROPOSED USE
PLUMBING
PLOT PLAN (Intllentc Bulldln6 eetb¢cke, abutting etrce[s)
li
HEAT @ GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
1�
DEMOLITION
PRE-MOVE INSPECTION
1
4
EXCAVATION OR FILL
I heresy neknowledgo that I have recd this application; that the In.
formation given le correct; and that I nm the owner, or the duly author-
Ired agent of the owner. I agree to comply with city And stet. laws regu-
hating c...IMetloA; and In doing the work authorized thereby, no person
TOTAL AMOUNT DUE
ATTENTION
will be employed In violation of the Labor Code of the State of Washington
relating to Workmen -s Compenentlon Insurance.
THIS PERMIT
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
.hall be completed In -hely days; MOVED -IN BUILDINGS shall be com.
ONLY THE
WORK NOTED
pleted In .1. month..)
IIGNATUAE (OWNS OR AGENT) DATE 9IONED
INSPECTION
DEPARTMENT
6 - 7
CITY OF
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
Thls Permit cure- w¢rk to be done on priv.te property ONLY.
Any construction on the public domain (curbs, sldewdker drl-Alm is.
nmrmmr.. MrA win n•eulrr, .rpnrntr Vrnn i..uo
I/r19Q I(3 `j
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.
_2 •_7�
FILE
wase
NOTE: lkpplicaitl Subject to Plan Check Fee
ec" work I"I" dun :11141, 14—P1lva le 0k., drIve.unytt.
Any rorettrucil— I'll the :11-1111c Usual. if
.—q""e. el".) will Won.
Legal L)encrlptlou of Property j4hov, M- or Atteeh Four C,mle.)
7 j7 fl�k R_ I o r
J.
�,
fl
rr, 14. e- j*AV'q ;1< Vi r,AT.'# .1-rWe,cp
A/O r"V.. At Joe 7AA f P.
i IV
zs, —,e e5r
C*- ry
C
WORK TO BID DONE
NEW❑
HU
NUMBER OF STORIt.8
0
ADD
DEMOIA
ALTER
RESHIENTIAL
0
E .,
0"
U
FEEING
❑
N.N.ILESIL)KNTIAL
UNITS
_.REPAIR
PROPOSED I1SE
At t Y,. g'Ze. rA . i P. Id' Nr�
I ledge that I hove tend thin applicallon: that the Ie -
al
U give In u: rac : atam 1he owner, )r the July ruth,er-
term. , and III
Ized agent. of the owner. I agree t,, coulply with city noted state lawn reple.
the work authorized
In Ing conatmution; and In doingthereby, no wson
I
will be employed in violation of the Labor Codc of the State of Washington
relating to Workmen -0 Compen.ation Insurance.
uum. wh"h Jetl.
NOTE: Permit Limit One Your
DATE Hi I.
UIE"
z 1*1
NOTE: lkpplicaitl Subject to Plan Check Fee
ec" work I"I" dun :11141, 14—P1lva le 0k., drIve.unytt.
Any rorettrucil— I'll the :11-1111c Usual. if
.—q""e. el".) will Won.
ZD OF INSPECTIONS BK92ML� A
Date passe
Foundation
Plumbing (partial)
(Rough)
Frame
Furnace & FuLl Unes—;r:;—__.y_
j
i
�,
fl
ZD OF INSPECTIONS BK92ML� A
Date passe
Foundation
Plumbing (partial)
(Rough)
Frame
Furnace & FuLl Unes—;r:;—__.y_