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740641.pdfI USE PERMIT BUILDING DEPARTMENT Applicant FIA ZONE NUMBER 74064 i �_--- PERMIT APPLICATION Inside Heavy Lines JOB ADDRESS 21703 -97th West NAME (OR NAME OF 8Ue1NEee1 PERMISSIBLE 7. ACTUAL % Michael Rooney LOT COVERAGE LOT COVERAGE MAILING ADDRESSZ PERMISSIBLE HEIGHT PROPOSED HEIGHT a 21703 -97th West O CITY -1 TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA Z Edmonds Washington I 778-0968 REQUIRED YARDS I•ROPOSED YARDS I! G 7 i FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED i FRONT SIDE REAR FRONT HIDE. REAR I I YES [J NO NAME i RESIDENTIAL LEGAVAILIANCE Olt CONDITIONAL USE L LOT Q YES [I NO I ADDRESS 0 YEPERMIT NUMBER 8 NO V.N PLAN CHECKED BY .N� PLANNINO DEPT. APPROVAL DATE: I� U C 1 ❑ ADD CITY TELEPHONE NUMBER RETAINING REMARKS SHOULD BE CODED 31.44. STREET R/W p l ALTER EXCAVATE ❑ FENCE EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY ❑ ORFILL........... Ft.) NAMEi COMP. PLAN 8T. R/W ............FT. ............FT. REPAIR ❑ 1 PRE -MOVE ❑ POOL BWIbI ! 1 NUMBER OF STORIESNP. UM"EROF REMARKS 't M ADDRESS Z i NATURE OF WORK TO BE DONE W Fee Receipt No. Comp I i ante Inspection CHECKED BY Plan Check N. ..................... CITY TELEPHONE NUMBER O I METER SIZE SERVICE SIZE CLEARANCE BUILDING CHECKED BY O cd [O 4 PROPOSED USE STATE LICENSE NUMBER CITY LICENSE NUMBER I ttlF�� 1 REMARKS PLOT PLAN (Indicate Building setbacks, abutting streets) BEAT A GAS LINE Legal Description of Property (Show Below W Attach Four Coples) z) Int •5. black 3- Rnhfart E. Thomas #16. TYPE CONNECTION VERIFIED BY SIGN I — RETAINING WALL O N BWIBSMINO POOL PERC. TEST PERMIT NUMBER DEMOLITION W ! j I ,y+ + EXCAVATION OR FILL n - REMARKS P TION 25.00 I TOTAL AMOUNT DUE W O G 7 i FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED i I I YES [J NO !I SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL GAS E] LINE Q YES [I NO I E] NEW V.N PLAN CHECKED BY THIS SITE 15 LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX -• ❑ ADD RETAINING REMARKS SHOULD BE CODED 31.44. DEMOLISH WALL ALTER EXCAVATE ❑ FENCE ❑ ORFILL........... Ft.) REPAIR ❑ 1 PRE -MOVE ❑ POOL BWIbI ! 1 NUMBER OF STORIESNP. UM"EROF DWELLING UNITS i NATURE OF WORK TO BE DONE Valuation Fee Receipt No. Comp I i ante Inspection Plan Check N. ..................... BUILDING [O 4 PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) BEAT A GAS LINE z) FENCE SIGN — RETAINING WALL N BWIBSMINO POOL DEMOLITION ! j PRE•MOVE INSPECTION EXCAVATION OR FILL - P TION 25.00 TOTAL AMOUNT DUE 25.00 I hereby acknowledge that I have recd this application; that the In- the owner, or the duly auth- formation given Is correct; and that I am or Ized ¢gent oI the owner. I agree to comply with city and .tale ]awe reg.- ATTENTION APPLICATION APPROVAL Lila. construction: and In doing the work authorized thereby, no person x•111 be employed In violation of the Labor Code of the State of Waahlogton T11118 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 nEMOLITION8 which ONLY TILE WORK NOTED uty; and fees are paid, and receipt is ac - .hall be completed In ninety days; BIOVED-IN BUILDINGS shell be com. ]fnowledged in space provided. pleted In six months.) SIGNATURE (OWNER OR AGENT)DATE SIGNED INSPECTION DI TOR'S GNAT E t./f DEPARTMENT yy/ Metro Escrow, Inc. 12-23-74 /``� ''�(��'f (..', t.,, _. %G'• CITY OF EDAIONDS Dw NOTE: Applicant Subject to Plan Check Fee 775.2525 !!! This 1'ennit c ark to be done an private property ONLY., Any constructions on the public domain (curb., sidewalks, driveways, FILEi marquee., etc.) will require separate permission. b is lelA= ❑ YES ❑ NO inessesselesseffessessesseeff C(J IUCTION STREET IMPROVED �I YES NO I' OCCUPANCY GROUP 1: THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX I SHOULD BE CODED 31.04, Valuatlon Fee Receipt No. -, OInD I i 011CO r1.,PE_- EDbiONDEi fY RESIDENTIAL AS SNL NEW 1 NON-RESIDENTIAL ❑ SIGN ADD KING PLUMBING ElDEMOLISH � PLOT PLAN (Indicate Building setbacks, abutting streets) yALL ALTER PERMIT f' a ❑ 1�.----1.Inside BUILDING DEPARTMENT Applicant JIM ZONE t LENC=.......... Ft.) REPAIR ❑ Heavy Lines PERMIT APPLICATION aon swim POOL 1 NUMBER OF ADDRESS 11 -M3 -_;71h WestHSt DWELLING DEMOLITION NAME (OR NAME OF BUSINESS) PERM18SIBLE "' ACTUAL q e ( t gATURE OF WORR TO BE DONE ' •' „} �...., ,.; `J LOT COVERAGE LOT COVERAGE I r r•tion ,0i-Ii'l1W1;,L I VSFtL,1101'1'7� MAILING ADDRESS PERMISSIBLE HEIGHT PROPOSED HEIGHT 1 • t� ' I I I hereby acknowledge that I have rend this application; that the In- O CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL IILDO. AREA me 7I;3 -'U: vv REQUIRED YARDS PROPOSED YARDN APPLICATION APPROVAL fating construction; and (n doing the work authorized thereby, ¢o Dereon NAME FRONT SIDE REAR FRONT SIDE REAR will be employed In violation of the Labor Cade of the State of Washington i.. I This application is not a permit until relating to Workmen`s Compensation Insurance. LEGAL LOT VARIANCE OR CONDITIONAL USE signed by the Building Official or his Dep. I NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED HADDRESS ❑ NO PERMIT NUMBER shall be completed In ninety days; MOVED -IN BUILDINGS shot) be cam- } knowledged in space provided. pleted In six months.) EYES PLANNING DEPT. APPROVAL DATE: lIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION CITY TELEPHONE NUMBER ' DEPARTMENT - I STREET R/W E%IBTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY t1 NAME COMP. PLAN ST. R/W ............ Fr. ............FT. REMARKS IIIADDRESS W CHECKED BY CITY TELEPHONE NUMDER F O I METER SIZE SERVICE SIZE CLEARANCE CHECKED BY V STATE LICENSE NUMBER I CITY LICENSE NUMBER I I I ({dq F REhL 6 Legal DoscrlpUon 11 Property (Show Below or Attach Four Copies) T/Q I r.+ hi -le ' Rnhi?r't E. Tho:^Iasi %/16. 'i 42 TY EICONNECTIO14 s 1 VERIFIED BY I ❑ YES ❑ NO inessesselesseffessessesseeff C(J IUCTION STREET IMPROVED �I YES NO I' OCCUPANCY GROUP 1: THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX I SHOULD BE CODED 31.04, Valuatlon Fee Receipt No. -, OInD I i 011CO r1.,PE_- EDbiONDEi fY RESIDENTIAL AS SNL NEW IE] NON-RESIDENTIAL ❑ SIGN ADD KING PLUMBING ElDEMOLISH � PLOT PLAN (Indicate Building setbacks, abutting streets) yALL ALTER ❑ ❑ ORFULLEXCAVATE LENC=.......... Ft.) REPAIR ❑ IN PAIOVE ❑ swim POOL 1UAfBER OF STORIES NUMBER OF BtVIMMIN6 POOL DWELLING DEMOLITION UNITS PRE -MOVE INSPECTION gATURE OF WORR TO BE DONE EXCAVATION OR FILL I r r•tion ,0i-Ii'l1W1;,L I VSFtL,1101'1'7� ❑ YES ❑ NO inessesselesseffessessesseeff C(J IUCTION STREET IMPROVED �I YES NO I' OCCUPANCY GROUP 1: THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX I SHOULD BE CODED 31.04, Valuatlon Fee Receipt No. -, OInD I i 011CO r1.,PE_- EDbiONDEi Pian Cheek No ..................... I BUILDING PROPOSED USE PLUMBING � PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT @ GAS LINE FENCE SIGN RETAINING WALL BtVIMMIN6 POOL � DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL ,0i-Ii'l1W1;,L I VSFtL,1101'1'7� :r ) TOTAL AMOUNT DUE-� • t� I hereby acknowledge that I have rend this application; that the In- formation given Is correct; and that I am the owner, or the duly author. Ized agent of the owner. [ agree to eomD1Y with city and stain ,awe rasa- ATTENTION APPLICATION APPROVAL fating construction; and (n doing the work authorized thereby, ¢o Dereon will be employed In violation of the Labor Cade of the State 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 DEMOLITIONS which ONLY TILE WORK NOTED uty: and fees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shot) be cam- knowledged in space provided. pleted In six months.) lIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION D[R OR's tl ATU ;•T - I DEPARTMENT CITY OF q DATE NOTE: Applicant Subject to Plan Check Fee Thle Permit caeca work to be done on PA-te property ONLY. 775"2525 , Any construction not Pohl lc domain Icurbs, eldewdke, driveways, INSPECTOR marquees, etc.) w'lll require separate permlmlon. I