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750064.pdfBUILDING DEPARTMENT DOE 1 PERMIT �-t-, Applicant Fill ZONE •� C',— �y � NUMBER ' ^ /,]��6c'� PERMIT APPLICATION I Inside, Heavy Linos JQH LJ Y 1 ADDRESS NAME OSINESS) RESIDENTIAL Belt Homes PERMISSIBLE ACTUAL LOT COVERA.0 ! lc LOT COVE AGE ©k / MAILING ADDRESS PERMISSIBLE HEIOIIT PROPOSED g-- 9808-215tlORNAMF.hF SBU.W• �D i U _ TOTALU. B C CITY TELEPHONE NUMBER ACTVA,I,,LIe RA /4�� ;j• Edmonds, Washington PLAN CH REQUIRED YAR 8 PAOPOeED YARDS BIDE REAR NAME FRONT EAR rFRONT ❑ �B+/17DE LEGAL LO'P VARIANCE On CONU T10NAL UBE F ADDRESS YES ❑ NO PERMIT NUMBER x PLltNN DEPT. APF DATE: aftim a CITY TELEPHONE NUMBER < I STREETIl/\V [�/" , EMA e EXISTING STREET R/W� ....FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN ST. R/ ..FT. ....I`r. Thomas E. Beit REMAfiKS Driveway slop6e not to exceed those It AD — indicated on Standard Dwg No 103 h CHE,C1trED BY CITY TELEPHONE NUMBER E EX AVATF Washington I 776-2829 fia`t1SD NIX, It?lNG t�f Edmonds, SIZE CARAN CH 11 MER 1111I SERVICE LE G STATE LICENSE NUDIHEIi CITY LICENSE NUMBER ' � I IFY✓'" 223-01-4937 REMARxa _ Legal D1111IPtlon 11 Property (Show Below or Attach Four Copley) TYPE CONNECTION VDY Lot #1 - Elm View Addition Div. B. INSP. �B E�n�i' I POOLl/� PEIIC. TEST iIOI: vBER NUMBER OF STORIES NUMBER OF REMARKS DE.SOLITION O a DWELLING PRE -MOVE INSPECTION FIRE ZONE I TYPE OF CONSTRUCTION I STR'5PW IMPROVEL RESIDENTIAL ❑ GA8 LINE U rte' K Uri BY i -'r ) D r NEW 56 3 / L/ra= [o L PROPOSED USE PLAN CH ,Z.v THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ SIGN ` G OF EDM ONDS. LOCAL SALES TAX BE CODED 31.04. ADD PLOT) PLAN Building setbacks, abutting street.) /(Indicate [�/" , EMA e HOULD ❑ DEMOLISH ❑ WAL.I.INING — E EX AVATF NCE / ,�yG /7r1�, Pc-�'/y�3L //7j ALTER ❑ ORCITILSWI ❑ `E z..........Ft.) REPAIR ❑ INSP. El I POOLl/� �CG✓J/ ( CIT /J '� U/" SI' //dl�i.7"C•�7st/f NUMBER OF STORIES NUMBER OF DE.SOLITION � DWELLING PRE -MOVE INSPECTION I a Basement UNITS I NATURE OF WORK TO BE DONE TOTAL AMOUNT DUE I hereby acknowledge that I have rend this aPPllcntlon; that the In- I /7 ValtmUon Fee Receipt f I'Inn Check No ..................... New Residence BUILDING 56 3 / L/ra= [o L PROPOSED USE ,Z.v PLUMBING rl+ G BEAT A GAB LINE PLOT) PLAN Building setbacks, abutting street.) /(Indicate rr% � FENCE — 1 SIGN RETAINING WALL SWIMMING POOL DE.SOLITION � PRE -MOVE INSPECTION EXCAVATION OR FILL ' 9 d J TOTAL AMOUNT DUE I hereby acknowledge that I have rend this aPPllcntlon; that the In- I /7 formation given Is correct; and that I om the owner• or the duly author- Wd agent or the owner. I agree to comply with city and state Tawe resu- ATTENTION APPLICATION APPROVAL Wing construetlon; and In doing the work authorized thereby, no person will be employed In violation or the Labor Code of the Slate of Washington THIS PERMIT This application Is not a perinit 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 ac- — -- .hall be completed In nioely day.; SIOVED-1N BUILDINGS shall be com. knowledged in space provided. pleted in alx monlita.) SIGNATURE (O NER Olt AGENT) DATE SIGNED INSPECTION DIRE '8 1014ATUR DEPARTMENT CITY OF EDMONDS Fce NOTE: Applicant Subject to Plan Cbcck 77S`2S2S — This Permlt raven work to be done on private Properly ONLY. Any tenni rue(len nn it.. public domain (carbo, eldnenikn, drh'ewaye' FILE ran^.•e, rl r.l .,111 rrnni r,• •rp-." 1'rtnll.nlnn. nl� �a i 7— E,c lu D 0 srip� qI r7 5-/0 D G V900 9L I i I 7 USE PERMIT ER BUILDING DEPARTMENT AppLeantFllZONE NUMBl -7500645n��64 PERMIT APPLICATION I Inside Heavy Lines NAME (OR NAME OF ...WEBS) JAMES A. DALTON N MAILING ADDREBS 3 17309 -72nd Ave. West O immLEPHONE NUMBER pO E C cU C JOB ADDRESS 17309 -72nd ® RESIDENTIAL El LINE NEN PROPOSED REPORT ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS PROPOSED YARDS FRONT SIDE REAR FRONT SIDE REAR ❑ NON-RESIDENTIAL ❑ SIGN ADD O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAB LINE REMAININGL ❑❑ DEMOLISH I ❑ ALTER ❑ EXCAVATE ORFILL ❑ PENCE ,x..........Ft.) REPAIR ❑ PRE -MOVE O POOL LUMBER OF STORIES NUMBER OF SWIMMING POOL DWELLING PRE -MOVE INSPECTION UNITS JOB ADDRESS 17309 -72nd Avenue West PERMISSIBLE LOT COVERAGE ACTUAL LOT COVERAGE PERMISSIBLE HEIGHT PROPOSED REPORT ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS PROPOSED YARDS FRONT SIDE REAR FRONT SIDE REAR LEGA1. LOTVARIANCE M VF.R n NO OR CONDITIONAL USP. PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS (] YES ❑ NO YES 0 NO D5. LOCAL NATUBE OF WORK TO BE DONE Valuation Fac Receipt NI COMPLIANCE INSPECTION Plan Check No .... _............... BUILDING [0 4 PROPOSED UBE 'Vy PLUMBING O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAB LINE B O FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 25.00 25.00 TOTAL AMOUNT DUE I hereby acknowledse that I hnve reaA this apDllcntlon; that the In- APPLICATION APPROVAL This application is not a permit unt formationgiven le ecel"t; and that I am the owner, or the duly arl teed agent of the owner. I agree to comply with city and elate laws regu- ATTENTION latingconstruction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his De ONLY THE NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED .hall be completed in pasty days; MOVED -IN BUILDINGS shall be com- utyi and fees are paid, and receipt is of knowledged in space provided. pletcd In elx months.) SIGNATURE IONNEli OR AGENT) DATE SIGNED INSPECTION DEPARTMENT Forest Park Mortgage 12-26-75 CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee 775-2525 .. DIR OR'B NATO DATE T FILE This Permit savers work to bo done on private Property ONLY. Any construction On the public domain {curbs, sidewalks, driveways, marquees, etc.) 'VIII require separate permis.lon, I O 1+ PERC. TEST V It M D \ FIRE ZONE I T P• F/ O ST I ❑ LINE 1:1BRESIDENTIAL NEW ❑ NON-RESIDENTIAL ❑ SIGN ADD ❑ DEMOLISH ❑ RETAININGA 0 ALTER EXCAVATE ❑ PEN Cz.••••••.•Ft•) ❑ [: 6, El REPAIR ❑ INSPMOVE ❑ °NE PERMIT MBI¢' - TUAIBER OF STORIESNUMBEfi OF PLUMBING DWELLING B U I L D I N G DEPARTMENT]PHONE UNITS ;ATURE OF WORK TO BE DONE aPLOT PLAN (Indicate Building eetbackil, abutting streets) HEAT & GAS LINE r-rl"Dl I A' Irr I tJ"PFCT I ON PERMIT APPLICATION Heavyinea 4 NAME (OR NAME OF BUSINESS)17)09-72nd. ADDRE88 AVF)n UCl WO St SIGN •i l}„�I, ) I;• )/�.LT�)I IIAT PERMISSIBLE ACTUAL COVERAGE LOT COVE4AOE N MAILING ADDRESS ',f). i-, I PE1011SBIBLE HEIGHT PROPOSED HEIGHT O E ' I 1+ i f 2rid i%yo. ost O CITY ACTUAL LOT AREA TOTAL BLDG. AREA DEMOLITION .i (-dr,ond„ Washtn:ltonREQUIRED YARDS PROPOSED YARDSNAME EXCAVATION OR FILL FRONT BIDE REAR FRONT SIDE REAMADUREtltl TOTAL AMOUNT DUE LEGAL LOT VARIANCE Olt CONDITIONAL USE that I hereby acknowledge that I have rend this application; that the In- (gYES formntlon given Is correct; and that I am the owner, or the author. 0 NO PERAIIT NUMBER Ized agent of the owner. I agree to comply with city and elate Tawe regu- ATTENTION APPLICATION APPROVAL laling construction; and In doing the work authorized thereby, no person PLANNING DEPT. APPROVAL DATk1:ICITY will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. , R/W 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 - STREET EXISTING STREET R/W ............FT. DEFICIENCY TRIS PROPERTY] knowledged in space provided. Ph"d In efx month',' NAME�W DATE SIGNED COMP. PLAN ST. R/W ............FT. ............FT, DIR OR's GNATU ff ;,ar'.orYga_{:, F,)roSP k l -:'.h - T, ���r f"Z((ll//tCG i REMARKS DAT NOTE: Applicant Subject to Plan Cluck Fee I O 1+ PERC. TEST V It M D \ FIRE ZONE I T P• F/ O ST YES [3 NO I ❑ LINE 1:1BRESIDENTIAL NEW ❑ NON-RESIDENTIAL ❑ SIGN ADD ❑ DEMOLISH ❑ RETAININGA 0 ALTER EXCAVATE ❑ PEN Cz.••••••.•Ft•) ❑ [: 6, El REPAIR ❑ INSPMOVE ❑ swim POOL TUAIBER OF STORIESNUMBEfi OF PLUMBING DWELLING V UNITS ;ATURE OF WORK TO BE DONE aPLOT PLAN (Indicate Building eetbackil, abutting streets) HEAT & GAS LINE r-rl"Dl I A' Irr I tJ"PFCT I ON YES [3 NO .,. •. r 1 J Plan Check Nn ..................... r No. 1 I t I 1 1 I i I � I , i i I VERIFIED BY PERMIT NUMBER R� S T S ROVED NO OCCUPANCYOU THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. BUILDING Valuation Fee Recelnt .,. •. r 1 J Plan Check Nn ..................... I BUILDING [: 6, PROPOSED USE PLUMBING V aPLOT PLAN (Indicate Building eetbackil, abutting streets) HEAT & GAS LINE 4 FENCE SIGN RETAINING WALL N ' SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE that I hereby acknowledge that I have rend this application; that the In- formntlon given Is correct; and that I am the owner, or the author. Ized agent of the owner. I agree to comply with city and elate Tawe regu- ATTENTION APPLICATION APPROVAL laling construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate 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 THE WORK NOTED uty; and fees are paid, and receipt is ac - shall he completed In ninety days; MOVED -IN BUILDINGS shall be cam. knowledged in space provided. Ph"d In efx month',' tlIONATU1tE (OWNER Oft AGENT) DATE SIGNED INSPECTION DEPARTMENT DIR OR's GNATU ff ;,ar'.orYga_{:, F,)roSP k l -:'.h - T, ���r f"Z((ll//tCG i CITY OF EDAfONDB DAT NOTE: Applicant Subject to Plan Cluck Fee 775-2525 This Permit coven work to be done on privets praperty ONLY. Any construction on the public domain (curbs, eldewnlks, driveways. INSPECTOR marquees, etc.) will leglure eepsnxt. permission. I 7z' a a r,l , x � �s �r��� I