750073.pdff!
i PERMIT �JUD7
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BUILDING D E P ART M E N T Applicant Fill°
NUMBER J3
PERMIT APPLICATION Inside Heavy Linea GH 9/(1 9 zo
AUDREBB / /�I� / -' r "- � � •
N B lOR NAME OF BUSINESS) ACT/UAVLI/Ki
ry� PKIiMt C)VER�rW LOT COVE, AGE
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ATRIG I ' , L I LOT COVERAOEe K
lC
MAlPROPOSED HEIOH�' O I t
I.l O A(U/nDyR�EBB pE1iM 3BtlIBLE IfEIG11T'C f
P X �
O N tn1O 7� AQFCUA'L LIT Aq-RIRE D YItUtl TOTAL I1L/DG
PHONE NUMBEIL
CITY T7LE/u. IJAC)VRSSEE `D �
NAME
YRDS lk
6A 0 RONREqUHBEARFRONT ti
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REAR
/'G /✓ /" ,/�� �� I.F.6A1• LOT VAItcIYA�NCL OR CONDITIONAL USE
ADDRESS YES NO FEI{MIT NUMBER
S
'LANNINo U P y'.♦�-P OVAL TE'
CITY TELEPHONE NUMBER
/STREET
H'i0/lJt/ �At
EX BT N/G STREET R,0/4.0,. DEFICIENCY THIS PROPERTY t7
NAME COMP. PLAN ST.
�6 kp REMARKS CF'
�ATKta Driveway slopes not to exceed those d
¢i A DREBB
)�j+ e kap indicated on Standard Dw . No. 103w
c Pr O • y`� � � CHECHED BY I 1
C CITY '1✓p-/ TTEELEP'H/ONE NUMBER
O �`/ rAl /II _JO
T 4 �r+ O METER SIZE SERVICE SIZE CARANCE CH C ED BY
Cd
V STATN LICENSE ....ER ` CITY LICENSE NUMBER I //� LEI I --
o?oi REMARKS
Legal Description of Property (Show Below or Attach Four Copies) ,yl// n/
a jY
w TYP�l E CONN•EC1 T.IION�� {[ERf_F� D Y !
7. PIV '�fIC �111tt�/111,11..11111I
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N PERC. TEST PER¢ I' UASHEA W i
WREMARKS to
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FIRE 'LONE TYPE OF CONSTRUCTION I BTREE IMSPROVED !,
NO �
SPECIAL INSPECTOR REQUIREDOCC
UPANCY GROUP
GAS 0 YES [•LI "0 I CC
HE
❑ LINE PLAN CHECK `D DY THIS SITE IS LOCATED IN THE CITY
IEI NEW 1' OF EDMONDS. LOCAL SALES TAX
7^� NON-RESIDENTIAL ❑ SIGN ^ )L-- HOULD BE CODED 31.04.
❑ ADD RETAINING MAR
DEMOLISH LiWAIL /
ALTER EXCAVATE FENCE �� lG/�7 /7i[ `i i.� J r1;.f'/ U6 L �9 7.3
OR FILL (....................
Ft.7
PRE-MOVE SWIM
❑ REPAIR ❑ INSP. El POOL <���J'"G-"t=T ✓� o�Si�— //U1iL-Ct7'�ah�
NUMBER OF STORIES I NUMSBER OF
DWELLING
UNITS /
NATURE OF RK Trr77O'' 'BID,� DO�`7fy� n( �y Vnluntlon Pee Receipt No,
,-,A�� �\ lgsa LC/ .s-(ie J Plan Check No.....................
A BUILDING
W PROPOSED USE _ �`�'m -
PLUMBING .y 0 +—
�fi
PLOT PLAN (Indlcato Building setbacks, abutting Lrcela) HEAT A GAS LINE C✓
FENCE )I
SIGN
t RETAINING -ALL
—
N
SWIMMING POOL
DEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL C
TOTAL AI IOUNT DUE / -�iJ/ r� � 9771
1 hereby acknowledge that I have recd this eppilcnllon; that the In- U V
formation Riven le correct; mid that I are the owner, or the duly author-
Ized agent of the owner. I OR... to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL
laling construction; and In doing the work authorised thereby, no person
will be employed In vlolaRon of Ne Let or Code of the slate of Washington THIS PERMIT This application is not a permit until
relating to Workmen's Compensation Insurance. AUTHORIZES algned by the Building Official or his Dep-
ONLYTHE
uty; and fees are paid, and receipt is nc-
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
shell be completed In ninety days; MOVED-IN BUILDINGS eh.11 be cone- knowledged in apace provided. _
plsled In st. months.)
ATURE (OR'NER OR AGENT) DATE SIGNED INSPECTION Ht' We B ATURE
DEPARTMENT
I�/7 S CITY OF
EDl1fOND8 DATE
NOTE: Applicant Sub cl to Plan Check Fee L�
775-2525
Tile Permit c ark to be done an prlvutn properly ONLY.
Any censlructimt no the public domnln (curb., sidewalks, d I—ey., FILE
marquee., rte.) will r".he ..[,mate permluion. ,
JATURE OF WORK TO DE DONE I
cy.r
I�yI
W PROPOSED USE
� PLOT PLAN (Indlcnto Building Setbacks, abutting elrot[e)
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES ;�-NO -_ f
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMON DS. LOCAL SALES TAX
`+i'�:-i + �'• SHOULD BE CODED 31.04.
REMARK
Plan Check Na .....................
BUILDING
PLUMBING
HEAT A GAS LINE
PENCE
TOTAL AMOUNT DUE
_..
RETAINING WALL
_. .
NEW
❑
1
❑
BUILDING DEPARTMENT Applicant FLU
USE PERMIT �'�"•('r' 1
ZONE Ci - NUMBER
ADD
El
DEMOLISH
❑
yALLKING
ALTER
PERMIT APPLICATION
Inside Iioaty Linos
JOB
ADDRFJ38 I
FENCE
DEPARTMENT
❑
EDMONDS
........... Ft.)
NAME (Oft NAME OF DUB1NE88)/'
REPAIR
� ,•% f -C. l_ �� �'•
/t�-� /r� C% T '!,
INSP.'
ElPOOL
i
IUMBER OF STORIES
NUMBER ON
PERMIBH1DLE % ACT AL
DWELLING
1
UNITS
VERA
IAT C0VERA0,-+_� LOT COIGE •E-
1
MAILINO ADDRESS '
,' J •_I G)
PERMISSIBLE HEIGHT J PROPOSED HEIGHT
I
);
a
C1 Y
TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL BLDG.
% /
r)
/ ! - /'• �'�' � �
Y
REQUIRED YARDS PROPOSED YARDS
P.
NAME'v
FRONT HIDE REAR FRONT BIDE REAR
q
j
J
N
I• �•�
ADDRESS
LEGAL LOT VAIIIA NCER OCONITIONAL UeE-
0 YES I] NO PERMIT NUMBER
1
PLANNING DEPT. P tOVAL DATE:
ti
I .'
i
CITY
TELEPHONE NUMBER
i+U K — / 5_7
—
._
dTRE ET R/LY
EXI8TiN0 eTREET R/tQ- .i'i.L`Ir2'. DEFICIENCY THIS PROPERTY
NAME
// /
COMP. PLAN ST. R/w_ -,A&-.FT. JFT.
a
14
I c. /,' i' I I J /. M :,
REMARKS
'.I ;lot to PyXce :Ct tt)O;iC
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V
I
11
C
AD HEBB
:'`!1 �rhr�J rt.` 10
W
TELEPHONE NUMBER
''�``//r)T:"-1C).1
., ,, 1: Jr��
Jl. t -T f -w_/ %.-.
"t"..
CHECKED BY
C
gF
CITY
:'- l i ✓ / '. I() r ,`
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i I /"! i_ ��) "
1
METERIZE SERVICE 812E
CLEARANCE
CHECKED BY
STATE LICENSE NUMBER
CITY LICENSL•' NUMBER
I
I
I
I
REMARKS
Legal Description of Properly (dhow Below or Attach Four Copies)
TYPE CONNECTION
V RiFIED pY
PEIi
BERCd
I
TPER
`'NU,
al
se
�
; I
I
a
FIRE ZONE TYPE OF CONS N I iPROVED
JATURE OF WORK TO DE DONE I
cy.r
I�yI
W PROPOSED USE
� PLOT PLAN (Indlcnto Building Setbacks, abutting elrot[e)
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES ;�-NO -_ f
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMON DS. LOCAL SALES TAX
`+i'�:-i + �'• SHOULD BE CODED 31.04.
REMARK
Plan Check Na .....................
BUILDING
PLUMBING
HEAT A GAS LINE
PENCE
TOTAL AMOUNT DUE
I hereby acknowledge that I hove read this application; that the In.
RETAINING WALL
N
NEW
❑
NON-RESIDENTIAL
❑
IG,
❑
ADD
El
DEMOLISH
❑
yALLKING
ALTER
TE
OA FILL
F-]
FENCE
DEPARTMENT
❑
EDMONDS
........... Ft.)
REPAIR
775-2525
INSP.'
ElPOOL
Any construction on the publla domain (curb., sidewalk., driveways,
IUMBER OF STORIES
NUMBER ON
DWELLING
1
UNITS
JATURE OF WORK TO DE DONE I
cy.r
I�yI
W PROPOSED USE
� PLOT PLAN (Indlcnto Building Setbacks, abutting elrot[e)
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES ;�-NO -_ f
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMON DS. LOCAL SALES TAX
`+i'�:-i + �'• SHOULD BE CODED 31.04.
REMARK
Plan Check Na .....................
BUILDING
PLUMBING
HEAT A GAS LINE
PENCE
N
Fee
'"//1
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
DIRECTOR'S SIGNATURE 1
DATE
INSPECTOR
TOTAL AMOUNT DUE
I hereby acknowledge that I hove read this application; that the In.
RETAINING WALL
N
Ixed agent of the owner. i agree to comply with city and elate Iowa regu•
SWIMMING POOL
lating Con. Motion; and In doing the work authorised thereby, no ycreon
DEMOLITION
Will be employed 1n vlolnllon o[ the Lobar Code of the elate of Wmhinglon
PRE•MOVE INSPECTION
relating to Workmen's Compensation Insurance,
EXCAVATION On FILL
N
Fee
'"//1
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
DIRECTOR'S SIGNATURE 1
DATE
INSPECTOR
TOTAL AMOUNT DUE
I hereby acknowledge that I hove read this application; that the In.
formationgiven Ia correct; and that I am the owner, or the duly author-
Ixed agent of the owner. i agree to comply with city and elate Iowa regu•
ATTENTION
lating Con. Motion; and In doing the work authorised thereby, no ycreon
Will be employed 1n vlolnllon o[ the Lobar Code of the elate of Wmhinglon
THIS PERMIT
relating to Workmen's Compensation Insurance,
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
K'ORII NOTED
shall be completed In ninety days; MOVED -IN DU1LUIhiOB shall be tom.
pitted In six month.,)
IIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
_
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject io Plan Check Fee
775-2525
7h1. Permit coven work to W done an peh•uM nroi'erly ONLY.
Any construction on the publla domain (curb., sidewalk., driveways,
mnryuee., etc.) a'III reyulre separate nerma.lan.
N
Fee
'"//1
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
DIRECTOR'S SIGNATURE 1
DATE
INSPECTOR