740644.pdf\
BUILDING DEPARTMENT I Applicant FJW
ZONE CCS NUMBER 740644
PERMIT APPLICATION
Inside Heavy JOB
ADDRESS
NAME (OR NAME OF BUSINESS)
/l u/J Dq ERMIed18LE yy ACTUr//�L'�`��'1.•LOTCOVERAGE It LOTSgEM61AILINOADDRESS �PERMIdBIBLE HElOIIT� r-tPItOPOek.DF�lFITON81 NUMHEACTUAL LOT AREA r �� CC TOTAL IILDO/R/T1E�
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Legal DDeesc-ript_ion of Properly (Show Below or Attach - tApwe)
A
All that portion of South 2 acres of
w N 1/2, SE 1/4 SE 1/4, SE 1/4
Section 30 township 27 N.
® YES ❑ NO PERMIT NUMUEIt A]) X — — / M '
EXISTING STREET R/W ............FT.
DEFICIENCY TH18 PROPERTY
COMP. PLAN ST. R/W ............FT.
............FT.
REMARKS
❑PLANS
CHECKED BY
[gj.IDE.TLk1
METER SIZE I SERVICE SIZE
I CLEARANCE
I CHECKED BY
N-RESIDENTIAL 1.0SIGN
REMARKS 1
N/a
S/CvAJ I 0 YES
REQUIRED(OCCUPANCY GROUP
THIS SITE IS LOCATED IN TI
OF EDMONDS. LOCAL SAL
NATUREOF WORK TO HE DONE ,,r
,�
6
��.3
Valuation
17
❑GAS
❑PLANS
NEW
[gj.IDE.TLk1
LINE
N-RESIDENTIAL 1.0SIGN
ADD
1
DEMOLISH
❑
VA�ININC
REMA]
[O
4 PROPOSED USE
ALTER
-VAE
❑
FE......
PLUMBING
❑
.-X-FILL
....•'Ft.)_
El
REPAIR
❑
INSPPRE-A[OVE
❑
awl
POOL
_
;UMBER OF STORIES
NUMBER OF
FENCE
/
DWELLING
UNITS
/SLC—
SIGN
N/a
S/CvAJ I 0 YES
REQUIRED(OCCUPANCY GROUP
THIS SITE IS LOCATED IN TI
OF EDMONDS. LOCAL SAL
NATUREOF WORK TO HE DONE ,,r
,�
6
��.3
Valuation
17
--� Femay^ Receipt No.
.Si '✓ '"� 4''(L�/j�
Plan Check No.
V
BUILDING
[O
4 PROPOSED USE
a
PLUMBING
U
ZPLOT PLAN (Indicate Building setbacks, abutting street.)
HEAT & GAS LINE
tl
FENCE
SIGN
n O V
RETAINING WALL
N
SWIMMING POOL
I
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
�t s
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
•formation
-
given Is correct; and that I sun the owner, or the duly author,
1
Iced agent of the owner. I agree to comply with city and state laws regu•
ATTENTION
APPLICATION APPROVAL
lating construelton; and In doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTIIORIZE8
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONN which
ONLY THE
WORK NOTED
uty, and fees are paid, and receipt is ac•+,..
l� -----"
shall be completed In ninety days; MOVED -IN BUILDINGS shall be cons.
knOWledged in space provided.
pleted In six months.)
d10NATl E(OWNI AGENT
���
DATE SIGNED
INSPECTION
DEPARTMENT
DlRECTOR'S,BIONAT .
r
CITY OF
EDMONDS
NOTE; Applica.t S.bject to Plan Check Fee
—
_
775.2525
This Pe It corrro work to be done on Drlvale property ONLY.
Any eonstruetlon oil the Dudomain (eurbe, aldewalks, drll'ewaya
s.. FI
lblle
,.,rocrrx, rir..rill rr•,nllrr nrlan,lr prrnilnnlan.