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740545.pdfNUMBER OF STORIES NUMBER OF s� DWELLING G)L. UNITS NATURE OF WORK TO HE DONE J r / q DCE516.V el,, cd.!? Plan Che,k Nn ..................... 66 Valuation Fee Recrlpt No. I p BUILDING 4 PROP09 D USE PLUMBING 6 a PLOT LAN (ntllcnte Building eetbn abutting Streets) T PLAN n HEAT A OAS LINE �•�'� /e �I �efje-� - 51. OTW - ` 4 BUILDING DEPARTMENT Applicant Fill USE PERMIT 740545 ZOO NUMBER + t ' N PERMIT APPLICATION Ltaldo Heavy Linea JOB Iy/ v ADDRESS {• ;eAh (OR NAME OF 6� % ACTUAL ! PEROT LOT COVERAGE LOT COVEIiAOE LOT COVERAIBLEGE j 0 r Avl 7 O / I D 07 p' { AILING ADDRESS ^ / PER EIOIIT ) PROPOSED HEIGHT / � ,ti I hereby acknowledge that I have read this application; that the in. • O TOTAL B EA .. Q CIT 7 7 TELEPHONE NUMEER � � � �� �t Mingconstruction; and In doing the work authorised thereby, no person I ��- t g EQ D YARDB PROPOSED YARDB } relating to Workmen's Compensation Insurance. .ems^ NAME I / O1/j. y BIDE REAR FRONT 8IDE REAR , 'fI I r i and fees are aid, and receipt Is ac - uty p p /'��J/�], 0\ /f9 R./ t� r7t/ k 17--- LOT - VARIANCE OR CONDITIONAL U E, pielcd In six months.) �' W ) ADDI© YES ❑ NO PERMIT NUMBER INSPECTION / 17S// 7p/. ,5,0 _ / PLANN DE . APY VAL _ AT / C O 'L4 CITY TELEPHONE NUMBER / CC� 6TRBET R/N Al� �, ?e 7(O_ gq�U EXISTING STREET ."P...A... DEFICIENCY THIS PROPERTY O N NAME ATE Q. ST. R/WI:�.O..4. / Q— ` 775-2525 COI.IP. PLAN . This ? n oh REMARKS Driveway slopes not to exceed those FILE marquees, els.) will tegw- separate permission. a ADDRESS + %/ r %ems �2 indicated on Standard Dw . No. 103 FEB H BY w ! •/i/G �nP CITY C CITY TELEP�jHONE NUMBER t J (, _I01 7 /4& IZ6j� yy gd MET�n. 8!'LE 8ERV1C ` SIZE CLEARANCE CH D Y STATE LICE BE .. M..It CITY LICENSE NVMBER I I //i I at a,�3 9 27 aEMAltxe < i Legal Deacrlptlon a[ Yr perly ( how Belowor Attach Four Copies) F U ry/ / %j,P OF' r }� TYPE CONNECTION I T �. PERC. E 1' PER I NUMBER M REMARKS G7 O I /` / FIRE ZONE TYPEOOFCONBTIIUCTION eTR ET IMPROVED 1 �J� Lo+. S%IG/ZQaN) /J S n C +e ,y_ '7% I e p NO 17—A-1 SPECIAL INSPEC'TO`R/REQUIRED OCCUPANCY GROUP I GA 8 ❑ YES L4"Ve ® RESIDENTIAL El ED IN THE CITY ® NEW LINE PLAN CI1EC IIY THIS SITE 15 LOCATED LOCAL SALES TAX -, NON-RESIDENTIAL ❑ afcN OF EDMONDS. SHOULD BE CODED 3104 ADD ❑ RETAINING [ WAIT' 8 DEMOLISH FENCE ALTER [:]EXCAVATE OR FILL, (.......... x..........pY.) E REPAIR PRE -MOVE INSP. SWIM POOL A��y I �.y� '` 7-7r 1 '% P t��S1/ u NUMBER OF STORIES NUMBER OF s� DWELLING G)L. UNITS NATURE OF WORK TO HE DONE J r / q DCE516.V el,, cd.!? Plan Che,k Nn ..................... 66 Valuation Fee Recrlpt No. I p BUILDING 4 PROP09 D USE PLUMBING 6 a PLOT LAN (ntllcnte Building eetbn abutting Streets) T PLAN n HEAT A OAS LINE �•�'� /e �I �efje-� FENCE 51. SIGN RETAINING WALL N I SWIMMING POOL DE11(OLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the in. forrentan given Is correct; and that I are the owner, or the duly author- ircd agent of the owner. I agree to comply with city and elate law. regu- ATTENTION APPLICATION APPROVAL ' Mingconstruction; and In doing the work authorised thereby, no person will be employed to 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. AUTIIONZE8 signed by the Building Official or his Dep - NOTE: Permit Limit One Year ' (Except DEMOLITIONS Which ONLY THE WORK NOTED and fees are aid, and receipt Is ac - uty p p shall be completed In ninety days; MOVED -IN BUILDINGS shall be core. knowledged in space provided. pielcd In six months.) ) 81GNAT tE (OWNER OR E ) DATE B 6NED INSPECTION R '8 S1G ATU _ / DEPARTMENT ,n / -- O CITY OFD EDMONDS ATE NOTE: Applicant SRGjecf t° Plan Check Fee / Q— 775-2525 This ...on the public domain (..,be, sidewalks, Mv..•sy., FILE marquees, els.) will tegw- separate permission. 1 1 APPLICATION APPROVAL I This application is not a permit until i signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. I DIRE ' OR'S SIONATURE I DATE . I INSPECTOR - O CITYACTU j 'J TELEPHONE N MHER L T AREA TOTAL BLIj .1. f)E�. �1./ Cf(.J t r formation given Is correct; and that I am the owner, or the duty author- ised agent or the owner. I agree to comply with city and state laws roan- : (�• �. ! •' ^ ° 11-i -7� •. ( i�jtJ �... I i FRONT SIDE REAR FRONT BIDE AUTHORIZES BUILDING DEPARTMENT Applicant Fill I USE � PERMIT' - zONE - NUMBER r . I ADDItE88 LP• -GAL LOT VARIANCE OR CONDITIONAL U8E 0 YES ❑ NO PERMIT NUMBER �„-� "•7 :0 LIBWo Iienvy Lincs PERMIT APPLICATION -j—dyj ADDRESS r.i._J....,.1 -'� '•/'/"'Y(,C.•,),'. --it:.f. _ PL NM DE . APPROVAL 7 ATE. CITY OF NAME (OR NAME OF BUBINF88) ' / ; PEIlM1B8IE ACTUAL //,,,, LOT COVERAGLfs ,� fir/ LOT COVERAGE -!''j' . CITY _1 ,�.•. !�� /) l'2. i r%�%f..•� _ _ r STREET ,,(( ��jj It{V EXISTING STREET DEFICIENCY THIS PROPERTY _: lJl�f /+ NAME - ) f ' I f r• COMP. PLAN 8T. R/W �'. V.L.LF'1'. •-�i•,• r�••FT• P•, MAILING ADDRE08 j, PEI5118818LE HEIGHT PROPOSED HEIGHT [O REMARKS ;. •'1 t Y rivewav slopes not to.e.xceed ADDRESS .yi •T},,. G EAr F APPLICATION APPROVAL I This application is not a permit until i signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. I DIRE ' OR'S SIONATURE I DATE . I INSPECTOR - O CITYACTU j 'J TELEPHONE N MHER L T AREA TOTAL BLIj .1. f)E�. �1./ Cf(.J t r formation given Is correct; and that I am the owner, or the duty author- ised agent or the owner. I agree to comply with city and state laws roan- : (�• �. ! ( E REQUIRED YARDS PROPOSLD YARUH REAR NAME _.._.. � r• �oti4r'r„i'! L�i.r::. FRONT SIDE REAR FRONT BIDE AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED r ADDItE88 LP• -GAL LOT VARIANCE OR CONDITIONAL U8E 0 YES ❑ NO PERMIT NUMBER �„-� "•7 :0 SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION i •/ _ PL NM DE . APPROVAL 7 ATE. CITY OF TELEPHONE NUMBER !{ NOTE: Applicant Subject to Plan Check Fee CITY _1 ,�.•. !�� /) l'2. i r%�%f..•� _ _ r STREET ,,(( ��jj It{V EXISTING STREET DEFICIENCY THIS PROPERTY Any eq nmetlen on lho public d.m.ln (curb., ld—alk., driveway., NAME - ) f ' I f r• COMP. PLAN 8T. R/W �'. V.L.LF'1'. •-�i•,• r�••FT• n;:;) •li():iy`%'�: REMARKS ;. •'1 t Y rivewav slopes not to.e.xceed ADDRESS .yi •T},,. c, on Standard f1`:a. Ho. 1�� J 'ICED BY CITY TELEPHONE NUMIIER .. Iw 1{ RIM, i' r• 1 �� �1 �' t...��) 7 O t7 , ( l% ,r �r' '• ,, �! - Jr/ (•' METER SIZE SERVICE SIZE CLEARANCE CIiEC ED BY STATE LICENSE NUMBER CITY LICENSE NUMBER! I / I REMARKS Legal Description of Property (Show Below or Attach Four Copies) /' v : lCY'• 'r N /+/J r ,•� F' I_. r9 % S , �t!• . -Z /. TYPE CONNECTION i VERIF D BY ~ A4-/nur.1• s'i'r7- WO :`.nl�'1' I a f PERhIITtNU HER PER0. TEST PER Pok a. / /C) ;`iit A, I ` /) -'/I"I 1 .Cs/i) : r r L-�(�. / !) Iw S REMARKS � '.�r•r.J•)�i/. �.�:7?. c'.c; li? l`, t"•cF3t" i0 . r?ill` FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED ',� •., /',_r, L-197-- - .'r �r /(JO/ea r:>,i _n; j')_ I /J Ip"YES 13 NO / SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP El RESIDENTIAL El GAS LINE ❑ YES [(-linI .i •;i I If NEW PLAN CHECJFED IIY THIS SITE 15 LOCATED IN THE CITY NON-RESIDENTIAL eicN />, {' EDMONDS. LOCAL SALES TAX �;',r !..�' 31.04. ADD❑ 'n�'L.-'••i�� SH BE CODED SH REMARKS E]RETAINING DEMOLISH WALL _( . FENCE : ... .. ) ALTER [:]EXCAVATE OR FILL .......... x ......... Ft.) El REPAIR PRE -MOVE El SWIM INSP. POOL _ <! t:':/ /tel '! G,•%,/'%J /� .�-�� 1 jib VI' ! L I::,C:!f�•t1i- NUMHER OF STORIES NUMBER OF ,�•%••1 r -�-NT//! r�I/_;J///J/'%/✓-'!_.Jf%C:� I UNITE :)i'..)/r�/`.i ;�/- 1!/{/i//C :. F•,;,'rr- A�L:I����r NATURE OF WORK TO BE DONE Valenti- Fee Reeclpt S Plan Check No ............ ....... zJ BUILDING L PROPOSED USE .. J PLUMBING y' = O PLOT PLAN (Indicate Buildmg,eitb�ey�nhu ing elreete) J HEAT k GAS LINE c 1 ,j FENCE :/��•%Cf.L 'a.If1✓1- SIGN RETAINING. WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL APPLICATION APPROVAL I This application is not a permit until i signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. I DIRE ' OR'S SIONATURE I DATE . I INSPECTOR - TOTAL AMOUNT DILE I hereby acknowledge that 1 have read this application; that the In. formation given Is correct; and that I am the owner, or the duty author- ised agent or the owner. I agree to comply with city and state laws roan- ATTENTION lating construction; and In dolog the work authorised thereby, no person x•111 be employed In violation or the Labor Code of the State of Wsahleston THIS PERMIT relating to Workmen's Compeneathm Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED .hall be completed In Meetly days; 11IOVED-IN BUILDINGS shall be com. pleted In six months.) - SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION I DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee 775-2525 This 1'ennll rovere work I. be dune on Prlvnte Property ONLY. Any eq nmetlen on lho public d.m.ln (curb., ld—alk., driveway., marquee., etc.) velli rrnmre .e"Acate Permle.lon. APPLICATION APPROVAL I This application is not a permit until i signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. I DIRE ' OR'S SIONATURE I DATE . I INSPECTOR - 1:7 fi -�L4(y5-qb- RECORD OF INSDEC'Vlol'dS Date passed .0undation 3lumbing (Partial) 7 (Rough} —7 FrameFurnace & Fuel Lines -7 �@I— Final 5AAA(W,