Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
740596.pdf
NAME AD E11tl11 '— e� tl Dt CITY F 7 STATE LICENSE NUMBER 223 O! lZ69-2 Legal De.crlptlon of Property (Shop r 0 i a w TYPE OF CONSSTRUCTION IBTRE T IMPROVED I ..— -/ YES E2 NO IL AANU//IREDOCC7UPPANCY RESIDENTIAL GROUP I -/r FSI GAS LINE ARK G o,(/rT,�idG1"iaAJ pc',P/ �Ji3C/973 - BUILDIPG DEPARTMENT pp UNE PERMIT NUMBER PROP 9ED USE PERMIT APPLICATION Inside ean I .10"cf ADDRESS NON-RESIDENTIAL CSO V lOR NAME OF BUSINESS) T�,", PI•:RAl1tlNIDLE /J" ACTUAL LOT COVERAGE C') LOT COV ESYAOE Q •' / ( f FENCE C a)S71 Com, N Fsi1 .3 /�' o% ❑ AIL.. ADDRS PtOPONED �I ��H5T„ } � F ALTER Q/ "" �� I f O ER UN TELEPHONE NUER ACTUAL LOT REA TOTAL BLDG. AR • = FENCz ........Ft.) DEMOLITION Q 05 ' 1 O 1 rl r •LTJ •� 7 � 9 �D y RI•:yUIRED YAItUd PROPOBt U YAItDN REAR FRONT NIdUEt REAR ., SWIM POOL 4UA113ERIII STORIES NUMBER OF FRONT SIDE � NAME /s•�Gu O DWELLING I I hereby acknowledge that I have read this appllcntlan; that the In- F ADDREtlB formation elven Is correct; and that I am the owner, or the duly aulhor- LEGAL LOT VAR1A NCh OIi CON UITIONAL U8E © YES ❑ NO PERMIT NUMBER i' leld ¢Rent of the, owner. 1 agree to comply with city and elate law. regu• N APPLICATION APPROVAL _PLANSN APPR VAL �'� i`hTE' THIS PERMIT NAME AD E11tl11 '— e� tl Dt CITY F 7 STATE LICENSE NUMBER 223 O! lZ69-2 Legal De.crlptlon of Property (Shop r 0 i a w STREET A/W EX78TING STREETR/ �j�, �/�. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/{V!S/�f.1+✓+'.-••^D'PT' REMARlfs Driveway slopes not to exceed those indicated on Standard Dwg. No. Z03 if FIRE ZONE l-rTJ TYPE OF CONSSTRUCTION IBTRE T IMPROVED I ..— -/ YES E2 NO IL AANU//IREDOCC7UPPANCY RESIDENTIAL GROUP I -/r FSI GAS LINE ARK G o,(/rT,�idG1"iaAJ pc',P/ �Ji3C/973 - NEW BUILDING PROP 9ED USE PLUMBING ❑ NON-RESIDENTIAL CSO BION HEAT & GAS LINE ADD FENCE WAIS KING SIGN ❑ DEMOLISH ❑ N ALTER ❑ ORFILL ❑ FENCz ........Ft.) DEMOLITION REPAIR ❑ PRE-INSP. ❑ SWIM POOL 4UA113ERIII STORIES NUMBER OF /s•�Gu O DWELLING I I hereby acknowledge that I have read this appllcntlan; that the In- formation elven Is correct; and that I am the owner, or the duly aulhor- UNITS leld ¢Rent of the, owner. 1 agree to comply with city and elate law. regu• ATTENTION STREET A/W EX78TING STREETR/ �j�, �/�. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/{V!S/�f.1+✓+'.-••^D'PT' REMARlfs Driveway slopes not to exceed those indicated on Standard Dwg. No. Z03 if FIRE ZONE l-rTJ TYPE OF CONSSTRUCTION IBTRE T IMPROVED I ..— -/ YES E2 NO IL AANU//IREDOCC7UPPANCY SPECIAL INSPECTO I] YES NO GROUP I -/r FSI WCHECD BY THIS SIT ISLOCATED IN THE CITY TH ESITE IS . LOCAL SALES TAX �� °t / SHOULD BE CODED 31.04. ARK G o,(/rT,�idG1"iaAJ pc',P/ �Ji3C/973 - �)iR ryui TDy.J S1Tz:, 106pe<1 6� N/ATURE OF WORK TO DE DONE Valuation Fee Receipt No ,f�` ) Al e T &) F f. J lea's / Pion Check N. ..................... BUILDING PROP 9ED USE PLUMBING r� ✓ta-'x•� I J/� CSO PLOT PLAN U.—m9- setbacks, abutting etra.le) HEAT & GAS LINE 9• FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL /s•�Gu O TOTAL AMOUNT DUE I hereby acknowledge that I have read this appllcntlan; that the In- formation elven Is correct; and that I am the owner, or the duly aulhor- leld ¢Rent of the, owner. 1 agree to comply with city and elate law. regu• ATTENTION APPLICATION APPROVAL Milesconetructlen; and In doing the work suthorlxed thereby, no person the Labor Code of the State of Wa.hington THIS PERMIT This application is not a permit until will be employed In vlolaUon of relating to Workmen's Compen..tlou Iasuranas. AUTHORIZES Signed by the Building Official or his Dep - ONLY THE uty; and fees are paid, and receipt Is ac - NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED knowledged in space provided. shall be completed In ninety days: MOVED•IN BUILDINGS shall be com• pitted In six months.) INSPECTION DEPARTMENT D R'8 TURE C / iyGNATUjtE (O }'NE OR 6EN ) DATE !O 'D / JJ 7 /��yt/ CITY OF D TE EDNiOND8 NOTE: Applicant Subject to Plan Cbeck Fee 775-2525 This Permit rovers work le, ba done an privet. property ONLY. Any construction on the public domain (curbs, sidewalks, dfl—s rs, marqueer, ale.) will require ..parol. permission. FILE LO T 16 WOODVALS NORTH CO#IC Op LANDIN ,7. L4 SW 0 C CK PLAN 1281 fEt.Llv. 13 . 5pLi7, FoYr.R to FF. q30' p4r, 431,0 OAR • 1424's colic VvA L 14 co _DRIVE... L5 1 61.01 9 MIA 94', AF 80:E! AVE V\1- NOLAN CobjST -- C 0,,' 1 AIC, 2'1912 - 86= PL., W, -F-DMONDS, WN 774-1279 NEW ❑ LINn PLAN CHEC ED DY ' /.l' THIS SITE IS LOCATED IN THE CITY OF EDMONDS., LOCAL SALES TAX T,+ I NON-RESIDENTIAL _ '- / ' J SHOULD BE CODED 31.04: nnD REMARK ❑RETAINING DEMOLISH WALL �)) ALTER EXCAVATE ❑ FENCE F/ /% G �/=/.) i -%'.%✓Ci/ /U/.� %"(:'�f L ❑ OR FILL (..........x..........FL) ElPRE-bIOVE SWIM REPAIR ❑ INSP. POOL —J l i f', •T -C: �r,i r Tr)(- Ci /t✓ ���•t��r�./%0/-� I NUMBER OF STORIES NUMBER OF DWELLING I ..�j USE PERMIT ' BUILDING DEPARTMENT APPllenntFlll ONE ( - � NUMBER (....;;, Fee Receipt No. I l i1 ,L,) Plan Cheek N. ..................... PERMIT APPLICATIONI Inside Heavy Line ADDRESS T� � BUILDING i � 1O, 4 PROPOSED USE NAME (OR NAME OF BU81NE86) {J X� �%' ���" g` ' NJ PLUMBING i 7,-) RMBB L ^ ACTUAL LOPET CIOVERHANG LOT COVERAGE , PLOT PLAN (Indicate Bulidingecl eke, about streets) HEAT & Cn9 LINE0 MAILING A DRE68 _ PERAfIB818LE HEIGHT PROPOSED HEIGHT O % SIGN ' CITY pry, TELEPHONE NUMBER ACTUAL LOT ARE TOTAL BLDG. AR gg q Z { � `"' REQUIRED YARGS OPOBED YARDS POOL � NAME / FRONT BIDE REAR SIDE REAR 7J;; PRE -MOVE INSPECTIONEXCAVATION eFtROYNT OR FILL O LAG L LOT VARIANCI: OR CO DITIONAL UeE TOTAL AMOUNT DUEI W ADDRESS [j YES L] NO PERMIT NUMBER 11 formation given is correct; and that I am the owner, or the duly authorr- I H PLANNIN9 API'R At, ATTENTION APPLICATION APPROVAL toting construction; and In doing the worst authorized thereby, no Derean i CITY TELEPHONE NUMBER T O THIS PERMIT STREET R/!V EXISTING STREET R/ DEFICIENCY THIS PROPERTY 1 , relating to Workmen'. Compensation Insurance. AUTHORIZER signed by the Building Official or his Dep - NAME NOTE: Permit Limit One Year (Except DEMOLITIONS which _,p,� /'t CObIP. PLAN BT. R/W.JL.r�e.ar�•. ......PFI'. uty; and fees are paid, and receipt is Be e .hall be completed In ninety days; MOVED -IN BUILDINGS shall bcone. knowledged in space provided. I'� pleted In six months.) RBMAR5C8 SIGNATURE OWNER OR AGENT DATE B10N 'U ( ) INSPECTION DEPARTMENT DIRECTOR'S SIGNATURE ; -. l 1.)7 �vcway sZopeo not to exceed thane t r CITY Orf ADDR d8 indicated an Standclyd !7*of . No.103 CH ECI ED BY � ) NOTE: Applicant Subject to Plan Check Fre 775.2525 CITY TELEPHONE NUMBER 0 Any to n.lruethm on lie Public domain (curb., sidewalks, drivew.r., INSPECTOR marquee., etc.) will require separate Permission. CHE CI D BY O METER BtLE SERVICE SIZELEARAN 1 ' STATE LICENSE NUMBER CITY LICENSE NUMBER f r a i (i'• ! G._ �/ REMAfUid !p Legal Description of Property (Show Below or Attach Four Copies) _ F TYPE CONNECTION VERIFIED B .11JORTH C P R4 NUMBER el R to , i V FIRE ZONE TYPE OF CONSTRUCTION ETRE PROVED S _ ` I YE8 0 NO 7/ f rf - /✓ SPECIAL INSPECTOR REQUIREDOCCUPANCY GROUP RESIDENTIAL ❑ GA8 (:IYEB U1'NO •.••• • I NEW ❑ LINn PLAN CHEC ED DY ' /.l' THIS SITE IS LOCATED IN THE CITY OF EDMONDS., LOCAL SALES TAX ' NON-RESIDENTIAL In N '- / ' J SHOULD BE CODED 31.04: nnD REMARK ❑RETAINING DEMOLISH WALL �)) ALTER EXCAVATE ❑ FENCE F/ /% G �/=/.) i -%'.%✓Ci/ /U/.� %"(:'�f L ❑ OR FILL (..........x..........FL) ElPRE-bIOVE SWIM REPAIR ❑ INSP. POOL —J l i f', •T -C: �r,i r Tr)(- Ci /t✓ ���•t��r�./%0/-� I NUMBER OF STORIES NUMBER OF DWELLING I UNITS NATURE OF WORK TO DE DONE Valuation Fee Receipt No. I l i1 ,L,) Plan Cheek N. ..................... BUILDING 1O, 4 PROPOSED USE PLUMBING 1 N; /J F PLOT PLAN (Indicate Bulidingecl eke, about streets) HEAT & Cn9 LINE0 PPENCE SIGN RETAINING WALLSWIMMING POOL DEMOLITION 7J;; PRE -MOVE INSPECTIONEXCAVATION OR FILL TOTAL AMOUNT DUEI herebyacknowledge that I have read this application; that the In. formation given is correct; and that I am the owner, or the duly authorr- Izcd agent of the owner. I agree to comply with city and state laws "191, ATTENTION APPLICATION APPROVAL toting construction; and In doing the worst authorized thereby, no Derean will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a perinit until relating to Workmen'. Compensation Insurance. AUTHORIZER 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 Be e .hall be completed In ninety days; MOVED -IN BUILDINGS shall bcone. knowledged in space provided. pleted In six months.) SIGNATURE OWNER OR AGENT DATE B10N 'U ( ) INSPECTION DEPARTMENT DIRECTOR'S SIGNATURE ; -. l t r CITY Orf EDIIIONDS DATE_.__ ----- NOTE: Applicant Subject to Plan Check Fre 775.2525 Thin Permit foyers work In be done on private property ONLY. Any to n.lruethm on lie Public domain (curb., sidewalks, drivew.r., INSPECTOR marquee., etc.) will require separate Permission. 1