740617.pdfUSE
BUILDING DEPARTMENTAppU.t Fin j NURMBER
7� U6 17
PERMIT APPLICATION Inside Heavy Lines
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NAME
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YE8 NO PERAtIT NUMUER C - �_�,t
CCITY
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PLA O U PT. A'ROVAL J T
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NAME
81'itEET R/IV 'f
EXISTING STREET R/Yl/' �{""f'.
DEFICIENCY THIS PROPERTY
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COMP. PLAN ST. R/KQ.{.W1.M
of ADDItE$B
ROht" Driveway slopes not to exceed those
ayL ,�!-
indicated on standard Dwg. No. 103
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N C11Y
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TELEPHONE NUMBER
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g _,�d�rioho�s
7TH _67a 9
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8TATE LICENSE NUMBER
CITY LICENSE NUMBER
ME{LL SERVICE SIZE
I CLEARANCE
ED B
I
Legal Description f Property (Show Below or
Attach Four Copies)
REMARKS
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TYPE CONNECTION
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REMARKS
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FIRE ZONE I TYPE OF CONSTRUCTION
« IMPROVED
TAL
'I
RESIDENTIAL GAS
Ej NO
SPECIAL INePECT�GUIRED OCCUPANCY GROUP
[I YES
❑ NEW
❑ LINE
O
PLAN
j'��
❑ NON-RESIDENTIAL ❑ s7oN
CHE E BY
THIS SITE 1 LOCATED IN THE CITY
OF EDMONDS.
j
i
1111 ADD
LOCAL SALES TAX
T-
DEMOLISH❑ WALL
❑
EMAR H LD BE CODED 31.D4.
ALTER OR EXCAVATE
❑FENCE
❑
�/ C�rJs/l/�C/W,
..
(-.........><..........n.)
❑
REPAIR ❑ PRE-MOVE SWIM
INHP. POOL
ER OF $TORLE9
NUMBNUMBER OF
...J�F7\T�C')�% /U VN SJTT�/.I��Y%Yr7�J ✓1'
/ I DWELLING /
/ UNITS
NATURE OF WORK TO HE DONE
i
�X,llilr ph 02� �ci vr�'�V YOON?
Valuation
Fee Receipt
Plan Check No.....................
Na.
L)n bfl, Sr�nnt e �ao
r
BUILDING
/
PLUMBING
.yiJYr1
O PLOT PLAN (Indicate Bulldl
/ / ��
6 eetbneke, abutting elreete)
HEAT & GAS LINE
5 a� LG I1 P N I
7
FENCE
SIGN
TRETAINING
WALL
N
SWIMMING POOL
'
DEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have read this appiketlon; that Me In.
formation given is
TOTAL AMOUNT DOE
_
/y7�
correct; sad that I am the .wast, or the duly nulhor•
Ized agent of th owner. I agree to
<V l 5'
comply with city and state laws rage.
lacing c00zMCUan; and in doing the work authorized thereby, no person
will be employed In vfol ak.
ATTENTION
APPLICATION APPROVAL
of the Labor Code of the State of Washington
relatlog to Workmen's Compensation In.uranoe.
TIDE I-ER511T
AUTHORIZER
This application 1s not a permit
NOTE: Permit Limit One Year (Escepl DEMOLITIONS
ONLY TlfE
until
signed by the Building Official or his Dep-
xhlcil
shall be completed In nicety day.; MOVED-IN BUILDINGS shall be cam•
pleted In elz months.)
WORK NOTED
Il and fees are paid, and receipt is ac-
81 NAAT01.1E, Olt A6
knowledged in space provided.
,(,ONNER T)DATE
L'V `v/'L(%j� �•yt
SIGNED
�<��
INSPECTION
DEPARTMENT
I ATU
CITY OF
<
NOTE: AQpliranf Subject 1e Plan Cbeck Fee
ED51ONDS
DATE
This 1•rrmlt r n work to Uo done on private properly ONLY.
Any constructionanthe public Jon
775-2525
1r�
1. (corks, Sidewalk
morItl etc.) 1111. reyalre lepar.lepe+rnssl%°'
---
.
FILE
I hereby acknowledge that I hove road this appllcntlen; that the fn•
uthor-
forms tlan given Is correct: and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and elate law, regu-
tion
TOTAL AMOUNT DUE
ATTENTION
I
/
APPLICATION APPROVAL
lett.. construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the elate of Washington
TIDE PERMIT
This application is not a permit until
BUILDING DEPARTMENT ppplicantFIB
ZUSE PERMITP
ONE NUMBER 7406 I 'l
IZS
signed by the Building Official or his Dep -
I '
NOTE: Permit limit One Year (Except DEMOLITIONS which
Shall be completed In ninety day,; MOVED -IN BUILDINGS shall be com•
PERMIT APPLICATION Ineldo Heavy Linos
—ADDRESSf
Pitted In six months,)
NAME
(OR NAME OF BUSINESS)
O
k:ItM IH"B E ACT AL
='C
INSPECTION
DEPARTMENT
CITY OFDATE
EDRIOND3
775-2525
DIR CT R'e BIGNATURE ,I,'
IAT COVERAOFS > LOT COVE AGE
�•--
AD A
-PERMISSIBLE ![EOi110POSE/EIGH
tz
�j
CITY TELEP ONE N MBEIi
A6rUA4 LOT AREA TOTAL D UO AREA
• ° A
L I
} %h� �•f
ItEQ I Eb YAItIIN PROPOSED YA RUtl
"1
I
FRONT SIDE REAR FRONT tl1DE REAR
NAME
/`.
'
G
AI. IAT VA 1. OCONDONAL 8E
LF.6ARIR ITI
y
ADDRESSG3
YEH NO PERMIT NUMBER C^ �1 C _ A
J Ot J T
v�
LAN INPT. Ai'ROVAL
Pa D -
,-'•.
'•
qu
CITY
TELEPHONE NUMBER
1
It/Wr'�
O
e
STREET
� /
EXISTING STREET R/W ,:/'f,{-}-1'. DEFICIENCY THIS PROPERTY
NAME_
���rr
PLAN 8T. R/Ntt'4F••��4T• ••••�'
i
COhfP.
REMARKS[irivewaV 51ores not to exceed those
yMj
td
ADDRESS „
� /Y
indicated on Standard [Mg. No. 103
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w ',
� � � v; GL/ •
C ECR Y
.
..i f
of
�� O( cl<-
CITYrr(.
TELEPk10 E NUMBER
V
��i_/�,r/YY
/
(� [n Jp� fJ
C3TY LICENSE NUMBER
METER el'LE
✓l�� I
SERVICE SIZE
�/
CLEARANCE
I I
ONE ED Y
j
STRIATE LICENBII NUM➢ER
pNI
REMARKIJ
Legal Deser)ptl; o[ Property (BhoW ueiow or Attach Four Copies)
f v
TYPE CONNECTION
0
F
I I / -/n. r i 1 ,rye.' •PERC.
EPER
U HER
�. i
O
T
W
FIRE ZONE
TYPE OF CONSTRUCTION BT
VED
a
r /
NO
SPECIAL INSPE�CTOOR
REQUIRED OCCUPANCY GROUP
�! RESIDENTIAL
GAS
❑ LINE
❑ YES
IIx E IN THE CITY
xew
PLAN CHE RE THIS SITE IS LOCATED
01EDTAX
(i
NON-RESIDENTIAL
eiaN
'y jz/� BE CODED 31,p45ALES
El ADDO RETAINING
WALL
E]
,y-,
(REM L
MA
DEMOLISH'
FENCE
CE...........Ft.)
ISI !_
ALTER EXCAVATE
EjOR FILL E (.....
PRE -MOVE SWIM
REPAIR r_1 INSP. POOL
--��II ( //
// / .... 1 / /A a '�I Z'7- aZ i'���'�
—NUMBER STORIES NUMBER OF
DWELLING /
I
/ UNITS
NATURfl OF WORK TO HE DONE
Valuation
Fee
Reeelpt No.
i . ,1', -r r; y-1 , • : / ,• ; )t . ' I: l rsrl r."ly
Plan Check N. ................. .
{
.
{lr./j/ /'i�� /:'r /.,-/:• yf.• 'jC Y'.'1, .-
BUILDING
�Oy
W
_c
PROPOSED USE 'j%,�
' v
'�:,
, �•!' , %
i i •'• % -
PLUMBING
Cl
PLOT P&A (Indlcnto B.Ilding Setback., abutting streets)
HEAT k GAS LINE
FENCE
1
,- '• r , .
SIGN
RETAINING WALL
) f
BWIMMING POOL
I
DEMOLITION
PRE -MOVE INSPECTION
I
-
EXCAVATION OR FILL
I hereby acknowledge that I hove road this appllcntlen; that the fn•
uthor-
forms tlan given Is correct: and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and elate law, regu-
tion
TOTAL AMOUNT DUE
ATTENTION
I
/
APPLICATION APPROVAL
lett.. construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the elate of Washington
TIDE PERMIT
This application is not a permit until
relating to Workmen's Compensatfsa Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit limit One Year (Except DEMOLITIONS which
Shall be completed In ninety day,; MOVED -IN BUILDINGS shall be com•
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is ac
knowledged in space provided.
Pitted In six months,)
S
HGNATUE (O[VNER OR AGENT) I DATE SIGNED
II
NOTE: Applicant SBGject to Plan Cheek Fee
INSPECTION
DEPARTMENT
CITY OFDATE
EDRIOND3
775-2525
DIR CT R'e BIGNATURE ,I,'
This I•ermlt envT work to be done on Private property ONLY.
Any construction on the public domain (curbs, sldew'elhs, drR•eweys,INSPECTOR
marquees, etc.) will regmre seperato Permisslon.
�•--
Im
vescription Of Properties:
Lot 1, consisting of Lots Is to 22 inclusive,
alley adjacent to, abutting
TOGETHER WITH all of the vacated all
on and adjoining such Lots 18 to 22,of each of Lots 1
AND TOGETHERthe
WITH westerly 30 feet
to 5 inclusive,
AND TOGETHER WITH that portion of south half of vacated
he easterly margin of Cecil
lying between t
Elwood Avenue
i Street and a line extended northerly at a point 30 feet
d ,
east of the easterly margin of such vacate
egresalleys and
AND SUBJECT To an easement for ingress,
utilities over and thd
across the southerly 20 feet of
westerly 30 feet of Lot 51
ALL IN vacated Block 19, of partially vacated Plat of the
First Addition to the City of Edmonds, according to the
plat thereof recorded in volume 2 of Plats, page 31l
Auditor of Snohomish County, Washinton.
records of the County Au g
Lot 2, consisting Of Lots 1 to 5 inclusive, except the
westerly 30 feet of each of such Lots I to 5,of vacated
V, TOGETHER WITH that portion of the south half
to, aon t 1
Elwood Avenue adjacent
su
thereof on the north, exceptbutting the westerlyand 30adjfeetoining of Loch
Lot 1, t,
AND TOGETHER WITH that portion of the west half of vacated
Sabin Street adjacent to, abutting on and adjoining such1
Lots I to 5 on the east,
AND TOGETHER WITH an easement for ingress, egress and utilities
over and across the westerly 20 f eet of lots 6 11 inclusive
and over and across the southerly 20 feet of theto westerly
30 feet of Lot 5,
ALL IN Block 19, First Addition to the City Of Edmonds,
o plat therf recorded in volume 2 of Plats,
accoding t,
pager31, records of theeoCounty Auditor of Snohomish
County, Washington.
-7'fo&j -7
RECORD OF INSPECTIONS
Date Passed
Foundation
Plur0ing IPurflal)
Frame
Furnace & Fuel _i
Final