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740552.pdfE .l: C Plan Check N. ............ _....... DUILDING RESIDENTIAL ' LINE NUMBER 740552 ' BUILDING DEPARTMENT Applicant ZONE ❑ BION PLUMBING r d ADD ❑ DEMOLISH PERMIT APPLICATION inaldo Heavy Linos ion ' ❑ ALTER ADDRESS S j /�0 El( O NAME (OR NAME O IIUB e) v 0( t ^ BIR E ACTUAL (,., L.�fV ' LOT COVERAGE LOT COVERAGE LOT'ItCO A 1 O rz. ) p' MAILING ADDRESS _— �t PERAf IBBIHLE HEIGHT PROP08ED HEIGHT ❑ �� L l ,[ry' 1^TELEPH/ONE TOTAL BLDG. AREA Y SWI I POOL CITY l NUMRhR ACTUAL LOT AREA NUMBER OF �/f /) I,a D`�Yt {��/ D S 7 2 Cc —� YARDS PROPOSED YARDS j (f EXCAVATION OR FILL REQUIRED REAR i TOTAL AMOUNT DUE NAME FRONT 8IDII REAR FRONT SIDE UNITS LEGAL LOT VARIANCE OR CONDITIONAL USE ' W ADDRESS ❑ YES 0 NO PERMIT NUMBER F ATTENTION PLANNING DEPT. APPROVAL DATE: ..U.. conetructfpn; and In doing tho work authorized thereby, no Person E .l: C STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKB 0 YES [3 NO DYES [3NO OCCUPANCY GROUP THIS SITE 15 LOCATED IN THE CITY OF EOMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. Valuation Foe I Recel �Q aid .-{�-LMi^,{'y 1. '.� Plan Check N. ............ _....... DUILDING RESIDENTIAL ' LINE NEW JZ ElNON-RESIDENTIAL ❑ BION PLUMBING r d ADD ❑ DEMOLISH [—]RETAINING WALL ' ❑ ALTER EXAVATCE E El( O FENCEf ❑ ORCFILL J' .x_.......n.) RETAINING WALL ❑ REPAIR ❑ INBPAfOVF. O SWI I POOL SWIMMING POOL NUMBER OF STORIES NUMBER OF DEMOLITION PRE -MOVE INSPECTION DWELLING EXCAVATION OR FILL '— TOTAL AMOUNT DUE J LSO UNITS r STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKB 0 YES [3 NO DYES [3NO OCCUPANCY GROUP THIS SITE 15 LOCATED IN THE CITY OF EOMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. Valuation Foe I Recel �Q aid .-{�-LMi^,{'y 1. '.� Plan Check N. ............ _....... DUILDING ' PROPOSED USE PLUMBING r d U PLOT PLAN (Indicate Building setbacks, abutting at roots) HEAT k GAS LINE O FENCEf SIGN J' RETAINING WALL 1 N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL '— TOTAL AMOUNT DUE J LSO I hereby acknowledge that I have read this application; that the In. r tormatlon given le correct; and that I om the owner, or the duly author• Ized agent or the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL ..U.. conetructfpn; and In doing tho work authorized thereby, no Person will be employ 11 In vlot- hm o1 the Labor Coda of the Stale of Washington TIDE PERMIT This application is not a permit until relating to Workmen'. Compensation Insurance. AUTHORIZE& signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In ninety day.; MOVED -IN HULL INGS Shall be aa.- knowledged in apace provided. plated In six months.) . SIGN UR -(OWNER OR'7CpE T) DATE SIGNED INSPECTION DIRECTOR'q NA DEPARTMENT G CITY OF EDMONDS DATE _ %O -•7 NOTE: Applicant Subject to Plan Cheek Fee 775-2525 1 Till. Perntlt coven work to be done on private property ONLY. Any construction on lite public domain (curbs, sidewalks, drl ro .Y.' FILE marquees, etc.) will requh. separate permission. v Plan Check No ..................... I�I fi. PROPOSED USE PERC. TEST PE UAS R O O U HEAT & GAS LINE PERMIT 'TV / 21 ) FENCE BUILDING DEPARTMENT Applicant Fin ZONE MBR REMARKS W di PERMIT APPLICATION I InBldo Heavy Lines A013 DDRESS RETAINING WALL E NAME (OR NAME OF YI ), h `n PERMISSIBLE ACTUAL % LOT COVERAGE LOT COVERAOF. I , SWIMMING POOL Z Z MAi1.ING A➢DR/ESB tl ! PERMISSIBLE HEIGHT PROPOSED HEIGHT Q —NUMBER TOTAL BLUO. AREA �J CITY T7ELEHPONE / J (r — :' !� ,' ( ACTUAL LOT AREA ., REQUIRED YARDS PROPOSED YA ROB FRONT BIDE REAR 'I ,• ❑ NAME FRONT HIDE REAR PRE -MOVE INSPECTION LEGAL LOT VARIANCE Oil CONDITIONAL USE -� OCCUPANCY GROUP ADDRESS RESIDENTIAL El YES NO PERMIT NUMBER p ❑ S 0 No PLANCHECKED BY I THIS SITE IS LOCATED IN THE CITY NEN NON-RESIDENTIAL PLANNING DEPT. APPROVAL DATE: TOTAL AMOUNT DUE , O I hereby acknowledge that I have [end this application; that the In_ CITY TELEPHONE NUMBER BSCN STREET A/tV p ❑ DEMOLISH ❑ WAIIINING EXIBTIN6 STREET R/W ........ ... FT. DEFICIENCY THIS PROPERTY APPLICATION APPROVAL ALTER E:] NAME _ ❑ COMP. PLAN ST. R/W ............FT. ............FT. will beemployed In vlolatlon of uta Labor Code of las State of Waahlogton THIS PERMIT REPAIR /-_. PN E-h[OVE REMARKS SWINT , NOTE: Permit Limit One Year (Except DEMOLITIONS which F9DD3tES8 uty, and fees are paid, and receipt is Be - b W POOL ktlowledged in apace provided. NUMBER OF STORIES BY E SIGN'ATUR(ONNER OR'AGENT) DATE SIGNED CICHECKED CITY TELEPHONE NUMBER DWELLING /JTt,JGcL i VMETER I SIZE I SERVICE 822E I CLEARANCE I CHECKED BY I ., v Plan Check No ..................... I�I fi. PROPOSED USE PERC. TEST PE UAS R O O U HEAT & GAS LINE PLOT PLAN (Indicate Building setbacks, abutting strata) 21 FENCE REMARKS W di RETAINING WALL E N SWIMMING POOL FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVI �J I YES NO ❑ PRE -MOVE INSPECTION SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL E] IAS LINE ❑ S 0 No PLANCHECKED BY I THIS SITE IS LOCATED IN THE CITY NEN NON-RESIDENTIAL F TOTAL AMOUNT DUE EDMUNDS. LOCAL SALES TAX I hereby acknowledge that I have [end this application; that the In_ BSCN SHOULD BE CODED 31.04. SH ADD ❑ DEMOLISH ❑ WAIIINING REMARKS APPLICATION APPROVAL ALTER E:] EXCAVATE OR FILL ❑ FENCE (.......... x..........Ft.) will beemployed In vlolatlon of uta Labor Code of las State of Waahlogton THIS PERMIT REPAIR ❑ PN E-h[OVE ❑ SWINT NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TINOiII NOTEE D uty, and fees are paid, and receipt is Be - shall be completed In ninety days; MOVED -SN BUILDINGS shalt 6e cam• POOL ktlowledged in apace provided. NUMBER OF STORIES NUMBER OF E SIGN'ATUR(ONNER OR'AGENT) DATE SIGNED INSPECTION DEPARTMENT DIRECTOR'S et NATURE/_ !'lpy DWELLING /JTt,JGcL 1J CITY OF• UNITS EDMONDS D51 N -D DATE � /G —7 NATURE OP WORK TO BE DONE Vatuatlon I Fee Race v Plan Check No ..................... O BUILDING PROPOSED USE PLUMHIN6 O O U HEAT & GAS LINE PLOT PLAN (Indicate Building setbacks, abutting strata) 21 FENCE SIGN RETAINING WALL N SWIMMING POOL �J DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have [end this application; that the In_ tarmatlon given is correct; and that I am the owner, or the duly author- Ixed agent at the owner. I agraa to comply with City and elate laws regu- ATTENTION APPLICATION APPROVAL lating construction; and la doing the Work authorized thereby, no person will beemployed In vlolatlon of uta Labor Code of las State of Waahlogton 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 DEMOLITIONS which ONLY TINOiII NOTEE D uty, and fees are paid, and receipt is Be - shall be completed In ninety days; MOVED -SN BUILDINGS shalt 6e cam• ktlowledged in apace provided. plated In I.months.) E SIGN'ATUR(ONNER OR'AGENT) DATE SIGNED INSPECTION DEPARTMENT DIRECTOR'S et NATURE/_ !'lpy /JTt,JGcL 1J CITY OF• EDMONDS D51 N -D DATE � /G —7 NOTE: Applicant Subject to Plan Check Fee This Permit curers work to be done on privets properly ONLY. j Any construction on the public domain (curb., sidewalks, driveways. INSPECTOR morquees, eta.) will require separate pe.mleahm. Ti ic------ -7 C/0 S -S -Z RECORD OF INSPECTIONS Date Passed Foundation Plumbing (Partial) (Rough) Frame