750032.pdffICP
1
`
//L/9
I
PERMIT)
NDBS 750032
_
BUILDING DEPARTMENT Applicall
ZONE
°
Inside Heavy Lines APPLICATION
ADDRESS i� /�74'�'
—i
I
NAME (OR NAME OF BUBINESB)
PERMISSIBLE ACTUAL
S,
/( / {�����••••----n----
LOT COVERAGE `�''lu LOT COV&GE b dt
fd
p7
MA N6 ADDREBBL
PER.11188IBLE HEIGH j PROPOSED HF11�H'p
O
CITY
TELEPHONE NUMBS.A
L T AREA I TOTAL IILD6OOE !
�, ,j,L ,I,.I,,r d,d'a,.
✓ACTUAL
7�] 9�• J
nicqunmD YARDS PROOPOBE.YAHDS
FRONT SIDE REAR FRONT HIDE REAR
NAME
SL5 /0' s 2S' 10' 3b'
LEOAI. LOT VARIANCE OR CONDITIONAL USE
W
ADDREStl
AYES NO PERMIT NUMBER
'
PLANNING DEPT. YFIiOV•L1. p _D�T..%• I
i
{
O
CITY
TELEPHONE NUMBER
I
STREET R/W
EXISTING BTP.EET R/Wrry::.//` k`l'. DEFICIENCY THIS PROPERTY
NAME
G
ST. R/Wy.�lf.: : i'.
,
COMP, PLAN .....()..FT.
REMARKe Driveway slopes not to exceed those o
tC
AUDAEtld
indicated on Standard Dwg. No. 103
ED �8Y
CCHECI
CITY
TELEPHONE NUMBER
4�
I
L
METER SIZESERVICE SIZE CLEARANCE
C D BY
U
eTAT LLICENSE NUMBER
I CITY LICENSE NUMBER
�jT I /11
I
I %j bI
(�y �
O'��3 •` C,/— /SrYVp
REMARKS
Legal Description or Property (Show Below
or Attach Four Copies)
// ifL a;
TYPE CONNECT OT
VERIFIED
//MB
I
S �G'{'% trk•I '
PG• [' ' '
PERMIT/tl`N E R y.
UJ
I
w
W
REMARKS
q
q
i
I
.1
!
1
a07
a
FIRE ZONE TYPE OF CONSTRUCTION H•T�AEE IMPROVED
I Al I �Y EB NO
SPECIAL INSPECTOR UIRED OCCUPANCY GROUP
IY I NEW
RESIDENTIAL
awa
LINF.
❑ YES 0 IL.��
PLAN CHECKED DY THIS SITE IS LOCATED IN THE CITY
��^-^ / OFEDMONDS.LOCALSALES TAX
I
NON-RESIDENTIAJHSIGN
X7"I-G,.G�-'� SHOULD BE CODED 31.04.
,
❑ ADD RETAINING
❑ WAIT'
A
1
�
EDDEMOLISH
F1 EXCAVATE FENCE
ALTER ❑
OR FILL ❑ (.......... ........... M.)
PRE -SWIM
❑ REPAIR ❑ INSPM ❑ POOL
•�/
ibN `—rCi% /rte .,.�1
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee
Receipt No.
i
Al" v i / ` L/• F 'lOL C-
Plan Check No .....................
o
BUILDING
z/77 -SZ; QO
/ 79
i
PROPOSED USE
PLUMIIIN6
Cf'r
L
�
T PLAN (Indicate Hulldin6 setbacks, nbultln6 sUecle)
PLOT PLAN
HEAT &GAB LINE
�
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
•� pCl
'
1 hereby acknowledge that 1 have read this application; that the In-
formation given Is correct; and that I am the owner, or the duly author.
,zedagent of the owner. I agree to comply with city and elate laws teem•
ATTENTION
APPLICATION APPROVAL
hating construction; and In doing the work authorized thereby, no person
will be employed In violation or the Labor Coda of the State of Washington
TIRE PERMIT
This application is not a permit until
relallog to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit limit One Year (Except DE3101JTIONS which
ONLY THE
WORKNOTED
Utyi and fees are paid, and receipt is Be
shall be completed In ninety day.; MOVED -IN BUILDINGS shall be com•
knowledged in space provided.
pleted In elx months.)
SIGNAT iE (OtVNER OI{ A NT DATE SIGNED
INSPECTION
IRE R' BION TU
t�tL�• I- -: y - 75
DEPARTMENT
CITY OF
to Plan Clicck Fce
EDItIOND9
DATE
�`^
--
j
NOTE: Ahplfca)t Subject
775-2525
This Penult corm work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, drlveways,
FILE�
nturqueer, etc.) ,III require separate Permleslen.
I
'A
C -
=i 3:m M
1
PERMITtlntBFa 03,2
ZONE
BUILDING DEPARTMENT Applicant Flu
PERMIT APPLICATION Inside IleaYy Lines
JO
ADDRESS
x Y / UI,
�
NAME (OR NAME OF BUSINESS)
PERMI8BIHLE ACTUAL /
r+ /�
LOT COVERAGE ��—'� LOT COVERAGE b e
m
U1,11LING,ADDRESSV
r.O
PROPOSED HEIOH'� C
b r
PERJ31d81HLE HE16IfTARE
/'� k J
//;io
CITY'
TELEPHONE NUMBER
BLD AREA T z
ACTUAL L TOTAL .
ACTUAL � �a p�
/ 9'�-75
4'7;,l1 wood-
�/ 7
f/ �.
REQUIRED YAltUn PROPOSED YARDS
—SIDE
I
NAME,
F/-0NT 8IDE MOeNT REAR
REAR
O
LEGAL IAT VARIANCE OR CONDITIONAL U E
F
ADDRESS
YES 13 No PERn1IT NUMBER
PLANNING DE
f4
CITY
TELEPHONE NUMBER
c
I
STREET R/W ,� p
EXISTING STREET R/Wr... ... DEFICIENCY THIS PROPERTY
NAME
rr�
COMP. PLAN 8T. R/w�-.' .....�.FT•
REMARKS Drivowaf slopes not to exceed those
ADDREUB
indicated on Standard Dwq. No. 103 w
_;
CHECKER g1Y
CITY
TELEPHONE NUMBER
I I I b r/ t
i,
x
O
I
METER SI'LE
SERVICE SIZE
CLEARANCE
It
OIIIjjjEEE—D BY
I
Gl
STATE NUn1BER7
I CITY LICENSE NUMBEfL
/
/ q� JIf
)LICENSE
r� q
.�,Z3 %)�� 2y, f/
REMARKS
'JI�/`/�� <
�
1
Legal Description of Property (Show Delow or Altuch Four Copies)
I
I
TYPE CONNECTION
VERIFIED Y
_I
PE C\ _
PERMIT :RN MIT(
I�,
q
�
e
A
FIRE ZONE TYPO OF CONSTRUCTION T ROVED
No
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
r
�!
I '
Ij��1I RESIDENTIAL
GA9
❑ LINE
❑YE S U3.NO J,• / I
NEW
'r—
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
TAX
I
❑ NON-RESIDENTIALOF
ElsicN
EDMONDS. LOCAL SALES
�'. ; �.�._,� SHOULD BE CODED 37.04.
❑ ADD ❑ Li WAIL
`REMAHK6
U
DEMOLISH
❑�;
EXCAVATE FENCE
L �. -,
�!/✓L!//i f//�/.I�/' /J,'J %'�a:•'%%� I�,L�//J�
ALTER ❑ E] ....I...PI.)
OR FILL (..........X.
❑ PRE-MOVE El)NBP. BlVID1
REPAIR
❑ POOL
) ! ✓�/ ,'d/i/
I
NUMBER OF STOl;3E8 NUMB OF
DWELLING
UNITS
I
NATURE OF WORK TO BE DONE
Valuation
Fee
Receipt No.
A. A C 7/I. ci
Plan Check No.....................
I
O
BUILDING
7„`
PROP BED UBE
PLUMBING
C
PLOT PLAN (Indicate Building
%%se�tbcks b"Mg etrocis)
a
HEAT (& GAS LINE
r, �•J_
!
` )z \
FENCE
i
SIGN
1
RETAINING WALL
13WInfMIN6 POOL
DEMOLITION
i
PRE-MOVE INSPECTION
EXCAVATION OR FILL
i
TOTAL AMOUNT DUE
I hereby acknowledge that I have rend this nppllcntloa,; that tha in.
/...;
formation given Is correct: and that I am the owner, or th'o`duly author-
ized agent of the owner. I agree to comply with city and stale laws regu-
lating construction; and In doing the work authorized thereby, no person
—
will be employed In violation of the Labor Code of the stale 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 TI
WO NOTED
uty: and fees are paid, and receipt is ac-
shall be completed In bluely days; MOVED-IN BUILDINGS ebell be nom•
Imowledged in space provided.
pleted In six months.)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTOR'S SIGNAT�
DIRE U
- -'
I
DEPARTMENT
f'
,
CITY OF
Fee
DATE
-L')
NOTE: APplicuut Subject to Plat Check
775.2525
—
in
This Permit Severe work to be done an private proMrlY ONLY.
I
Any construction on the public damaln (curbs, sidewalk., drlrewers,
INSPECTOR
morpueee, etc.) will reaulre separate permission.
_
>,grrz r:
...Sa.9 . /.:. , ....,.. .Q
OF PLATS,' ,PAGE ' 47, RECORDS OF S
4'x x"1IASHINGTON
k� ,y >n. ��s�� 141�y�}+j ftt awri >•r �j d t � -
v���51�
£CEPTI,ONS 4 ter <
5yezr'ly taDELINOUENT,GEtJERAI:' TAXES FOR THE YEAR 1
�.�r�slfO�Fx``337 7.5,"PLU5' INTEREST.
,? GENCRAL' TAXES, FOR THE YEAR 1975 IN THE
s
�I'WHICH `CANtJOT BE PAID UNTIL ''FE BRUARY 15� s191
�-(TAX ACCOUNT NO548)000.-;-631-0200.'
RRK111111. a
a Z�2a LIENrAF PEAL ESTATE EXCISE SALES TAX,Uf
M , C ;Aq4
si � t}iP CCONTI NUE.D) s rrF7J a
/ -fc U
i
i
I
i
}
y
t
ii
i
i,
i,
7500 32
RECORD OF INSPECTIONS I
Date Passed
Foundation
Plumbing (Partial) Z -/ i -
(Rough) (9,
Frame
Furnace & Fuel Lines d_- �c%--
Final J -/Y - /6