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750001.pdfBUILDING DEPARTMENT Applicant FLU USE P ZONE — NUMBIER i 60001 '- PERMIT APPLICATION Inside Heavy Lines G ADDRESS NAME (OR NAME OF BUSINESS) (J V v �`"• YEttD1 OHVI En II ^o ,4 ACTUAL )AT COVERAOI �- V, _ LOT COVESYA°E Or// ' C y{1 1' tY ;d MAILING ADDRESS P 0 ,/5 ox. z 6 �fJ \ O 1 PERMISSIBLE HEIGHT ! 1'1tOYOdED RETORT 5D CI TY TEHONENUMBER ACIUA;JOTvOTA EA�70,+ % L REQUIRED YARDS PROPOSED YA RUS ' NAME FRONT BIDE FRONT SIDE nEAR ppREAR I.EOAL LOT AR ANCE OIi CONDITIONAL US 0 YF.S ❑ NO PERMIT NUMBER � j U ADDRESS yF U PLANNI E APP�t-�VrAA�L 1•C -3 C CITY TELEPHONE NUMBER I STREET R/1V EXISTING STREET R/A. O}.�"1'. DEFICIENCY THIS PROPERTY O 1 NA.h E [[ //,, //��t COMP. PLAN ST. R/141/.69T. .....11...FT. / E tv {— ��/' %t'L /�l j.//✓ — '�J\ t/L^� L�'� �_t').�' N REMARKS Driveway slopes not to exceed those l 3 11 ADDIIE85 6. ��L indicated on Standard DwR. No. 103 ` -, f6 CHECKED BY A CITY TELEPHONE NUMBER i ✓�\"/�/c/ 4,10 t) /� I 2 2- � 3_5'Z3 METER SERVICE SIZE CLEARANCE STATE LICENSE NUMBER CITY LICENSE NUMBER SIZE 3 I� I I p} 3 / .2 REMAR18 Vi Legal Deecrlplton of Property (Show Below or Attach Four Copies) 411 L -?�-4I TYPE CONNECTIONVERIFIt B 0 ,A -f:4 1V EFI ! PERC. TEST ER a S Mrd TT E u. ,3 t.t rr6AJ Z`2/4c7'J ` REMARKS N O I FIRE ' TYPE OF CONSTRUCTION BTRE T IMPROVED I I I �ZONE YE I �B NO / r� —/V (❑ SPECIAL INSPECTOR EpUIRED OCCUPANCYrGROUP RESIDENTIAL ❑ CAS LINE YES ']O [3-L. d �/ ® NEW Lf—, PLAN CHECKE DY; THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL 11 DS. LOC TA% �HOULD ❑ ADD RETAINING IDI BE CODED 31.p48ALE5 EMAR DEMOLISH ❑ O ALTER EXCAVATE FENCE OR FILL G.........z.......... Ft.) '. REPAIR INSP.PRE-MOVE SWIM ]NBP. � POOL Sd.� JZ- �/ f/ �C »/�S (J !/ N L�rJ // � NUMBER OF STORIESI NUMBER OF o DWELLING UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. Plan Check No..................... Z [O� BUILDING�,.6 4 -%q PROPOSED USE PLUMBING U HEAT A GAS LINE Pod PLOT PLAN (Indicate Building setbacks, abutting streets) 9 FENCE SIGN I tRETAINING WALL N SWIMMING POOL DEMOLITION PRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- �f- formatlon given le correct; and that. 1 am the owner, or the duly author, ,."Iagent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL Latins coostructlon; and In doing the work authorized thereby, no Person Will be employed In violation of the Labor Code of the Slate of Washington THUS PERMIT This application is not a permit until relating to Workmen•e Compensation Iaeuranee. AUTRORI ZES signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- shall be completed In ninety days; 31OVED-IN BUILDINGS shall be conn• ledged f provided. plated In elz months.) OR AGENT) DATE SIGNED INSPECTION DEPARTMENT ROAT_ / �7L�OWNER CITY OF EDI/fONDB ATE NOTE: Applicant Subject to Plan Check Fee 775-2525 This P—nit r-erscork to be done on private properly ONLY. Any constructionan the public domain (curbs, eldewalke, drivaw"s, FILE moryuers. etc.) w'lll r"ulre sepontle permission. z_...._ -- -- t LIPPMANN -- STOESERt �� ,4! , CORPORATION GEN_1,�, "LO •ACTORS N+� '� .��- i I P.O. BOX 276 -,, LYNNWOOD, WASHINGTON 98036 TELEPHO4E�(208f 1753603 r T �' r tl ° t! 6 d '!`;.� I iS �•.�' 4° f r4if �a 3" 5 I SITE PLAN1 m ' !iL� .�§�` 5 .: turd r J''7''•>4 7 t t e11 - ikr� �i a in ON , ; Y*i? 4,i 1//34 3 .8v fMl V'ktX^ • `f�hyYi` .;1i7 4f1. /J t 2 99 /6 Foot 99 z ckTOP q ( of TY OF EDM NDS ENGINEERING DEP114 �r�. / $5.4.6. Examin.^•dbv'_:�------- �I , Ar /oo S 13 etXtarks I II RECEIVED L0 -f I 13L�CI� I- C�S�AR JE,NS0nJ, D,EC 17 13th i I SEI�TTLE SUt3uR't�AN TRAc-rS CITY 0y�E0CA0fiC9, I � 6Y 11N] GT I ST Ii v e. EST , E D NI Or N p Sld IA i NUMBER OF STORIES NUMBER OF `.: DWELLING ('_:�' t' UNITS I BUILDING DEPARTMENT Applicant Flit zorErE � - `� PERMIT �R 7. NATURE OF WORK TO BE DONE Valuation Fee Receipt No. ' Iedo3eLln¢BG PERMIT APPLICATIO ADDRESS / � l G�.ti.C. �±%uN/�- � { j ` BUILDING )"'�/ NAME (OR NAME OF BUSINESS) _ • •_,;/ , , ; „y' �y ,� �'. �;, - i) ✓ v:C� !J PEItT1INd SLE ACTUAL LOT COVERAGES LOT COVE AOEn PROPOSED UBE 0 M PLOT PLAN (Indicate Building Setback., abutting st—le) 1 1000��- PLUMBING BEAT A GAS LINE PENCE 1 / J MAILING AlIRRESS"`,,/,^ _) PERMISSIBLE IIEIOHT-2 ROPOHEU liEIOHT / r •/, ,� •'\ / --LOT ` TOTAL; LD Ai1.EA ''d { SIGN O CITY ACTUAL TE P ONE N BER ,'�• j I ' )� v/w�Uur) Z j . �= REQUIRED YAI1Utl PROPOSED YARDS FRONT SIDE HE i I SWIMMING POOL ! NAME Ff20NT SIDE REAR DEMOLITION OR CONDITIONAL V8 LOT ERRMIT PRE -MOVE INSPECTION yADDRESS Iw N �. 1'Eb � NO PERMIT NUMBER 0 YES. EXCAVATION OR FILL wi VAL PLAN/7!)¢r E �AtP l 2'; /[`� �•� I hereby acknowledge that I have read this application; that the In- p. CITY TELEPHONE NUMBER < STREET R/W / �y / DEFICIENCY THIS PROPERTY EXISTING STREET A/WV.. 1``. +, , Ized agent of the owner. I agree to Comply with city and state lawn regu- lating construction; and In doing the Work authorized thereby, no pe non ATTENTION APPLICATION APPROVAL NAME ( / _ Jl/�T. COMP. PLAN 8T. R/♦VZ.14Y.:PT. .....t.�...FT. THIS PERMIT This application is not a permit until ,'lating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DE.IfOlATIONS which .h.11 be completed In ninety day.; MOVED -IN BUILDINGS shall be cam- pleled In .Ix month..) AUTHORIZERONLY TH WORK NOTED �. /r �U/f%iCN/y J {J�JcT`2 L ()EQ RDMARKB D.,ivewav slones not to exceno th"."-'. O INSPECTION DEPARTMENT CITY OF EMIONDS 775.2525 DIRE OR_ 8 SIGNATURE !/ DATE Of ADDRESS i). /]y)( %y inrlScatG'r on Standard Dwlr. 11o. 103 CHECKED HY Any cunrt... It , an thn public domain (curbs, sidewalk.. driveways, marquee. rtr.) w9a require .eparatr p.... INSPECTOR CITY TELEPHONE NUMBER 1 I [+ i1 22-5-- �SZi' METER SIZE SERVICE SIZE ARA I I J CHEOKED >�Y KED STATE LICENSE NUMBER CITY LICENSE NUMBER `j / // .223 REMA Legal D'scrlptIon or Property tehow Below or Attach Four Copies) /3 L. cc /C f / E TYPE CONNECTION YERIFI Bx rr AA A 11 PERC. TEST (•:/ PERMIT NUMBER y. ril 7' -1 G_ 67 A. ! t.l %'/SA,.) ? 2NC/ , REMARKS O 1 O ki i FIRE ZONE TYPE OF CONBTRU i STREET IMPROVED -I_� - -- YES ❑ NO i SPECIAL INSPECTOR REQUIRED N RESIDENTIAL LINE GAS IOC ❑ YES Q'NO NEW LAN CHECK PLAN IIY J TMIS SITE IS THE CITY ❑ NON-RESIDENTIAL SIGN ❑ '/ ) OF EDMONDS. SALES TAX 1/;/L/' SHOULD BE CODED 1.04. j 1 ❑ ADD ❑ ❑ RETAINING ../fir.-k..� _ REMAR j F] DEMOLISH ALTER EXCAVATE ❑ FENCE �• .. /':l / / �� •. ❑ OnFILL(........ .x .......... Ft.) ❑ REPAIR PRE -MOVE swim ❑ INBP ❑ POOL ./ f,: L':i ) ) r� ,f i�'1..-•//v'�j'I-: t/: :�� l 4 NUMBER OF STORIES NUMBER OF DWELLING ('_:�' t' UNITS I NATURE OF WORK TO BE DONE Valuation Fee Receipt No. ' Plan Check N. ....... ......... { BUILDING )"'�/ PROPOSED UBE 0 M PLOT PLAN (Indicate Building Setback., abutting st—le) 1 1000��- PLUMBING BEAT A GAS LINE PENCE / J SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE /[`� �•� I hereby acknowledge that I have read this application; that the In- forinalion given le correct; and that I am the owner, or the duly author- Ized agent of the owner. I agree to Comply with city and state lawn regu- lating construction; and In doing the Work authorized thereby, no pe non ATTENTION APPLICATION APPROVAL will beemployed In violation of the Labor Code or the Stale Of Washington THIS PERMIT This application is not a permit until ,'lating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DE.IfOlATIONS which .h.11 be completed In ninety day.; MOVED -IN BUILDINGS shall be cam- pleled In .Ix month..) AUTHORIZERONLY TH WORK NOTED Signed by the Building Official Or h18 Dep - uty, and fees are paid, and receipt is ac Itllowledged in'spaee provided. SIONATU ItE (OWNER Ofi AGENT) DATE SIGNED - ` !: NOTE: Applicant Subject to Plan Check Fee INSPECTION DEPARTMENT CITY OF EMIONDS 775.2525 DIRE OR_ 8 SIGNATURE !/ DATE ' This1'ermlt -vers work In 11n done on Vrl\'ale Properly ONLY. Any cunrt... It , an thn public domain (curbs, sidewalk.. driveways, marquee. rtr.) w9a require .eparatr p.... INSPECTOR a H d