750033.pdfE-.lJ,?7,0
NAME
WADDREBB
NEW
ADD
ALTER
F
El
aITECITY
PHONE NU
NAME
PLAN CHECKED BY THIS SITE IS LOC ED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
E5l
DEMOLISH
EXCAVATE
0 ADDRESS
❑
OR FILL
`V
C CITY
TELEPHONE Nt
Z
I
O
❑
V STATE LICENSE NUaIBER
CITY LICENSE':
Legal D .... 1ptlon of Property 18bow Below or Attach Four C
attached.
BUILDING DEPARTMENT
NUMDER OF
EO
Y
Applicant FDI
ZONE �J
NUMBER
/50033
W
O
PERMIT APPLICATION
Inside Heavy Linos
ADDRESS
A
V
W
.i
FENCE
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rx
I
I
UNITS
SIGN
/J
tRETAINING
WALL
NAME (OR NAME OF BUSINESS)
/J
PERMI881 E -7,LOT
ACTUAL
SWIMMING POOL
-
( ,(,/l
�QIE% !rl Pdsey/
LOT COVDRAOP•.
COVE�AOE
V
PRE -MOVE INSPECTION
MAILING
/
D//�C�
PERA78BIHLE HEIGHT
PROPOSED HEIGHT
Oy
7Pz•
�I
1
O ___- ,mer
s•wunvm vrtuws w
ACTUAL LOT AREA
TOTAL HLDO. AREA
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
E-.lJ,?7,0
NAME
WADDREBB
NEW
ADD
ALTER
F
El
aITECITY
PHONE NU
NAME
PLAN CHECKED BY THIS SITE IS LOC ED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
E5l
DEMOLISH
EXCAVATE
0 ADDRESS
❑
OR FILL
`V
C CITY
TELEPHONE Nt
Z
I
O
❑
V STATE LICENSE NUaIBER
CITY LICENSE':
Legal D .... 1ptlon of Property 18bow Below or Attach Four C
attached.
;UMBER OF STORIES
NUMDER OF
EO
Y
PLOT PLAN (Indicate Building setback., abutting streets)
W
O
DWELLING
a
V
W
.i
FENCE
FRONT HIDE REAR FRONT BIDE REAR
LEGAL LOT VARIANCE OR CONDITIONAL USE
0 YES [3NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET R/W
EXISTING STREET R/W ............PT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............PT.
REMARKS
NO
I
No.
NEW
ADD
ALTER
RESIDENTIAL
NON-RESIDENTIAL
El
C'A8
LINE
SIGN
RETAININO
WALT
FENCE
I] YES 0/110
I .O-�/
PLAN CHECKED BY THIS SITE IS LOC ED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
,t
Fence requirements - section 12. 14.040
DEMOLISH
EXCAVATE
❑
OR FILL
(.......... z .......... Ft.)
l.O.I
4 PROPOSED USE
REPAIR
❑
INS.
El
PWIBT
OOL
attached.
;UMBER OF STORIES
NUMDER OF
V
PLOT PLAN (Indicate Building setback., abutting streets)
HEAT a: GAS LINE
DWELLING
9
O
FENCE
J��yCC//
rx
I
I
UNITS
SIGN
I
No.
Plan Check No .....................
BUILDING
l.O.I
4 PROPOSED USE
-
PLUMBING
-
V
PLOT PLAN (Indicate Building setback., abutting streets)
HEAT a: GAS LINE
9
O
FENCE
J��yCC//
rx
I
I
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
V
PRE -MOVE INSPECTION
EXCAVATION OR FILL
�I
1
Gd
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
I
formationm given Is correct; and that I athe owner. or the duly author -
Iced agent of the owner. I agree to comply with city and stale laws regu-
ATTENTION
APPLICATION APPROVAL
toting c,n,ticlloa; and let doing Ill. work sutharlred thereby, no person
will be employed In vlolatkm of the Labor Code of the Slate of Washington
THIS PERMIT
This application Is not a pernitit 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 THE
WORK NOTED
uty; and fees are paid, and receipt is ae-
y�--••-'"---
11I
shall be completed In ninety days; MOVED -IN BUILDINGS shall be cam-
Wledged 1 ce provided.
1
pleled in eta months.)
"
SIONAT (OSVNE OR NT) DATE SIGNED
INSPECTION
D1 E TO SIGN U
DEPARTMENT
CITY OF
EDMONDS
ATs,
NOTE: Applicant Subject to Plan Check Fee
—
775-2525
—
This Permitvrm r ork In 11 done oa private property ONLY.
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in
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