Loading...
740538.pdfBUILDING DEPARTMENT U� Applltntlt Flll ZONE �--- PERMIT APPLICATION Ingtdo iioaYy Llnoe a� ADDA U ,97 16 t ffl-A PERMIT NUMBER FRONT BIDE REAR FRONT SIDE REAR I� ti LEGAL, LOT VARIANCE OR CONDITIONAL USE 0 YES ❑ NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W O 1. EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............F'r. ............FT. ki REMARKS RW b W 11 ICHECKED BY METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY a II REMARKS < TYPE CONNECTION I VERIFIED BY I IT TEST PERMIT NUMBER y. i ri F.Tf n RKA m I YES I7 NO SPECIAL INSPECTOR REQUIRED IOCCUPANCY GROUP Q YES ❑ NO PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX V eluntlon Check N RESIDENTIAL ❑ LINCASE NEW E] NON.RESIDENTIAL ❑ PROPOSED USE 1911-- 5= ❑ SIGN RETAINING ❑ DEMOLISH ElALTER EXCAVATE ❑ FEN Cz HEAT & GAS LINE ❑ ORFILL � .......... Ft.) REPAIR ❑ INSPhfOVE ❑ Smid POOL IUMBEII OF STORIES NUMBER OF SIGN 21 DWELLING J RETAINING WALL UNITS N PERMIT NUMBER FRONT BIDE REAR FRONT SIDE REAR I� ti LEGAL, LOT VARIANCE OR CONDITIONAL USE 0 YES ❑ NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W O 1. EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............F'r. ............FT. ki REMARKS RW b W 11 ICHECKED BY METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY a II REMARKS < TYPE CONNECTION I VERIFIED BY I IT TEST PERMIT NUMBER y. i ri F.Tf n RKA m I YES I7 NO SPECIAL INSPECTOR REQUIRED IOCCUPANCY GROUP Q YES ❑ NO PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX V eluntlon Check N [Plan BUILDING (,o� PROPOSED USE 5= PLUMBING � I PLOT PLAN (Indic.(. Building setbacks, nb.ttlRg .tract.) HEAT & GAS LINE � I FENCE I SIGN 21 J RETAINING WALL N SWIMMING POOL DEMOLITION I PRE -MOVE INSPECTION EXCAVATION On FILL �n TOTAL AMOUNT DILE 1 hereby acknowledge that I have read this application; that the In. V�V formation given le correct; and that I are the owner, or the duly author. Teed agent of the owner. I agree to comply with city and state laws regu. ATTENTION APPLICATION APPROVAL (.ting construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DE31OLITIONS which ONLY TILE WORK NOTED uty; and fees are paid, and receipt Is Be shall he completed In ninety days; MOVED -IN BUILDINGS shall be com- knowle ged in space provided. pleted In six months.) I f I' .n N TURE OWNER Olt AGENT) DATE 830NED INSPECTION DEPARTMENT DI R• 820 �,j� � 8` U Z�fi" ;—q M .'! ( V/ / / � CITY OF ED51OND9 DATE NOTE: Applicant Subject to Plan Check Fee --— 775.2525 Tills We It co— work to be done an Prlvate Property ONLY. ' Any construed.m on lir. public d.maln (curbs, eld..alk., dcl-."s. FILE marquees, etc.) will require separate permission. 1--- BUILDING DEPARTMENT IApp]PERMIT APPLICATIONdNAME(OR NAME O i BUSINEae) MANGCSTY,. TELEP ONE NAME NADDRESS CtTY TELEPHONE NUMBER NAME moF ADDRESS UU C CITY TELEPHONE NUMBER �9erlptlan Of Property (dhow Selow or RESIDENTIAL F� LINE ❑ NEW COMP. PLAN ST. R/W ............FT. ............FT. I REMARKS ❑ NON-RESIDENTIAL ❑ BICN USE PERMIT -)0 ZONE NUMBER 1 I CHECKED BY REMARKS RETAINING ALL NTNG ]? C TI ❑ DEMOLISH ADDRESS T'.C. J + ALTER ❑ ORCFILLE ❑ FEN X..........ILl, Pk:ltelltldlDLE p ACTUAL %p{/y� IAT COVERAGE LOT COVEeeAGE .I I O Pwim OOL DUMBER OF STORIES NUMBER OF PLOT PLAN (Indicate setbacks. abutting streets) lBBuilding PERMISSIBLE HEIGHT PROPOSED HEIGHT DWELLING lJ FENCE TOTAL BLDG. AREA 7 UNITS I NATURE OF WORK TO EE DON ACTUAL LOT AREA RETAINING WALL E5, i REQUIRED YARDS PROPOSED YARDS . N FRONT SIDE REAR FRONT SIDE REAR SWIMMING POOL I DEMOLITION LEGAL. LOT VARIANCE OR CONDIT)ONAL U8E 1 PRE -MOVE INSPECTION PERMIT NUMBER I YES NO j EXCAVATION OR FILL i+. 1--- BUILDING DEPARTMENT IApp]PERMIT APPLICATIONdNAME(OR NAME O i BUSINEae) MANGCSTY,. TELEP ONE NAME NADDRESS CtTY TELEPHONE NUMBER NAME moF ADDRESS UU C CITY TELEPHONE NUMBER �9erlptlan Of Property (dhow Selow or PLANNING DEPT. APPROVAL RESIDENTIAL F� LINE ❑ NEW COMP. PLAN ST. R/W ............FT. ............FT. I REMARKS ❑ NON-RESIDENTIAL ❑ BICN \� ADD I CHECKED BY REMARKS RETAINING ALL NTNG ]? C TI ❑ DEMOLISH ❑ ALTER ❑ ORCFILLE ❑ FEN X..........ILl, REPAIR ❑ INSP. O Pwim OOL DUMBER OF STORIES NUMBER OF PLOT PLAN (Indicate setbacks. abutting streets) lBBuilding DWELLING lJ FENCE UNITS I NATURE OF WORK TO EE DON RETAINING WALL PLANNING DEPT. APPROVAL DATE: STREET R/W- i EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY I COMP. PLAN ST. R/W ............FT. ............FT. I REMARKS CHECKED BY METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY REMARKS ]? C TI VERIFIED BY F7 V/1 I I P VLJUWI MT AS REMARKS r.r<r. - I "" - SPECIAL INSPECTOR Rk 0 YES Ej NO O 1 E I . �I 1 I td � STREET IMPROVED 0 YES 0 NO GROUP -ATED IN THE CITY ;I LOCAL SALES TAX ED 31.04. 1 Fee I Plan Check No-;--...... BUILDING L c PROPOSED USE PLUMBING HEAT & GAS LINE PLOT PLAN (Indicate setbacks. abutting streets) lBBuilding lJ FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby ncknowledgo that I 4nva rend this appllcatian; that the In- t' formation given Is correct; and that I am the owner, or the duly author- Ired agent or the owner. I agree to comply with city and state laws "go- ATTENTION APPLICATION APPROVAL Idling construction; and In doing the worst authorised thereby, no person will be employed In violation of the Labor Code of the State of Washington THIS FERh11T This application is not a permit until relating to Workmen's Compensation Insurance, AUTHORIZE" signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Exeept DRMOLITIONN which ONI.Y TILE WORK NOTED uty; and fees are paid, and receipt is ac shall be completed In ninety days; MOVED -IN BUILDINGS shot] be cam- 1(nOWledged in apace prOVided. pleled In six months.) 816NATUItE IONNEit, Oli AGENT) DATE 81GNED / INSPECTION DEPARTMENT DIRECTOR'S SIGNATURE .. / .AI , ' 1 - OF CIT Y OF ,' EDAVON Dw NOTE: Applicant Subject to Plan Cbeek Fee ?� 7 5 This Permit covers work to be done on private properly ONLY. Any conslrurtlnn an tha public domaln (,tube, sidewalks, driveways, INSPECTOR marquees, etc.) will require epared. Permission. I