750076.pdfI
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USE PERMIT S j
ZONE "UMBER
BUILDING DEPARTMENT Applic9ADD
750016 t
PERMIT APPLICATION Inside HeaF.es
A A / /7-/ /—/ l� i
NAME (OR NAME OF BUeiNEB8)
PEItM1tldI8LE % ACTUAL
LOT COVEAOE ! +,
t-k C;- n
IAT COVERAGE -�y//
M
M 3L[NG DRE88
PERM1tl81BLE HElOIIT D PROPOSED It yI6HT 1 i
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TAL DL O. A A
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TELEPHONE NUMBER
S
ACTU O A f 7 r• � (� � i� E
CITY
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REV ViRED YARDS OPOBhU YAADB 0• { 1
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FRONT tlIDE FRONT BIDE
NAME
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LEGAL LOT VARIAN Cy M GOND
PERMIT NUMBER
A rae
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YES NO
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CITY TELEPHONE NUMBER
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STREET B/W
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EXIBTIN6 BTAEET R/W ..........FT. DEFICIENCY THIS PROPS TY I
NAME
COMP PLAN ST R/W ! FT v......FT. t ..
c �1
REMARKS Driveway slopes not to exceed t11—
elQ ADDRESS
indicated on Standard Dwg. No. 103 w
UC
BY
TELEPHONE NUMBER-
ICHECHFyD
C CITY
7
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ER()
METER d[ZESERVICE SIZE CLAAhE
CHECKED BY
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
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REMARK.
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Legal Description of Ytaperly (Show Below or Attach Four Copies)
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..._ ...rTA-TC�`!=
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TYPE CONNECTION I VERIF3ED=�
7.
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PERC. TEST PERMIT NUMBER
� 1
REMARKS
W11210C. QEQiD.
UWKGROUND
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t
FIRE
TYPE iONe RUCTION STREET IDIPROVED
I
I I�YEs 0 NO
SPECIAL IN.PEC—tc
REVUIVED
OCCUPANCY °ROUP
NO
1
RESIDENTIAL
GAB
❑ yINE
❑ YES
PLAN CHECKS IIY THIS SITE IS LOCATED IN THE CITY
LOCAL SALES TAX
NEW
NON-RESIDENTIAL
SIGN
j OF EDMONDS.
/ SHOULD BE CODED 31.04.
ElADD
WALL NTNG
REt�Mt�A�yR-�K�e
❑ ❑
DEMOLISH
ALTER EXCAVATE FENCE
OR FILL (........_s.......... Ft.)PRE.
1 .
swim
❑ REPAIR ❑ NSPMOVE ❑ POOL
NUMBER OF 8TOIt1ES NUaiDER OF
4
{ DWELLING �
I
IUNITS
NATURE OF WORK TO BE DONE
Valuation Fee Receipt
Plan Check No..
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V
BUILDING %20,00 , 00 1
'!. PROPOSED USE
1
PLUMBING i� J
aP OT PLAN (Indlcnle Buliding aMb cks, abuttln6 streets)
HEAT & 6A9 LINE
= 1^1✓ \ >�C ♦r-�
FENCE -
SIGN
tRETAINING
WALL
SWIMMING POOL i
DEMOLITION II
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PRE-MOVE INSPECTION
EXCAVATION OR FILL
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.I
ht
TOTAL AMOUNT DUE s btr/�
I hereby nekpowiedgo that I have rend this application; that the In-
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formaon g!ven le correct; and that I am the owner, or the duly author- APPLICATION APPROVAL
I agree to comply with city and stale laws regu- ATTENTION
Iced agent of the owner.
laling construction; and In doing the work authorlxed thereby, no person
of the Labor Cade of the Stale of Washington THIS PERMIT This application is not a permit until
will be employed 1. violation
relating to Workmen'. Carol, ensatkm Insurance.
AUTHORIZES signed by the Building Official or his Dep-
ONLY THE
uty; and fees are paid, and receipt is aC-
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
knowledged in space provided.
ehall be completed In alnely days; MOVED-IN BUILDINGS shall be wan-
�_-.--`---`-♦
pleled In six months.)
INSPECTION DIREC 'B 816NAT
DEPARTMENT
-
OF
SIGNAT IOWNE1t.OR ADEN ) - DATE 816NEU
1
CITY
DATE
_IkOTE:
EDMONDB –7
3 J/O v/ �J
Applicant Subject to Plan Check Fee
775-2525
This Permit a cork la be done oa Drlyute Property ONLY.
sidewalks, driyew'ars,
FILE
i
Any construed.. na the public domain (c..be,
mlvquees, rle.l x'111 require eclimate perinlsslon.
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psnnuT
ZONE NUMBER (�
BUILDING DEPARTMENT Applicant Fla
Inside Heavy Lines
PERMIT APPLICATION
.IG
ADDRESS .} N' /l , L. 1q 'f1r
NAME (OR NAME OF BUSINESS) f
,4-\L`�-C
pF:itM ItlB BLE ^' ACT Al,
LOT COVE SYAOE
j.. ,• t 1
DR{CnJn
LOT COVERAGES
`
FFI MISINBLE HEIGRT POSED it EIGHT
MA1L_INOA�
+, T t ,-�OTAL
(�. ^1
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ACT ¢,1 OT -ARE ., _. - L O.IA A
O �
CITY
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1-�-- �r i- '-1 7 O
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T 1 POdF.D YARDS ,
REQVIRED YAR /
R.E,A+ 1
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FRONT dIUF REAR FRONT
NAME
ter• ��i
F \1 t `—�'\
V
) VARIANCE M CONDITIO A E''1-'-
LEGA LOTx-O PERMITNU0
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� YEB O r+ - 1
PLANNING DEPT. AP •SGV _ DAT j
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O CIT/
E EPHONE NUMBER
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RTREETR/{Y
EXISTING STREET R/W .... .....FT• DEFICIENCYTHIS PROPE TY
NAME �,�:. .)-'
! , ti.
COMP. PLAN ST. R/W .......FT. ..M......FT. W
„ -=
RFIMARKB7rive•::av ,clonev; not to exceed those �
m ADDRESS
;,li.cei.'tca on"tan,larcl 1Tri;. 170- 103 W I'
E
BY '
THONU
ELEPNE MBER
G CITY
ICHECKED
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`1tt�(.rt`IyYlit`-
E
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METER dl'LEI SBRVICE SIZE
CLEARANCE
HY i
V STATE LICENSE NUMBER CITY LICENSE NUMBER
ICHECKED
I
I
REbtARK8
Legal Doecrlptlon of Property (Show Below or Attach Your Coplee)
�i
t
TYPE O f N CTION VERIFIED==,
vrts7A�G
'
'PERMIT
P ( T NUMBER
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al
REV
Mr—
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FIRE Zt TY O T ON STREET IMPROVED
NO
SPECIAL INSPECTORS REQ C P Y GRgI1P
G
O/N4O
CAS
DRESIDENTIAL ❑ LINE
❑ YEe
PLAN CHECKED BY� T IT I$ IN THE CITY
NEW
ElNON-RESIDENTIAL El
J✓� OF D 0 L SALES TAX
SHO UL 6
SIGN(
ADDElbi❑ RETAINING
WALL
.04.
REMARKS -/
n`,jw,.�
DEOLiSFI
IJ/'�
ALTER ❑ ORCPILL E (ENCx..........Ft.7
REPAIR ❑ PRE -MOVE ❑ SWIM
INSP. POOL
I
NUMBER OF STORIES NUMBER OF
I
DWELLING
I
I I
UNITE
NATURE OF WORK TO BE DONE
—
Il^(��/� Valuation
Plan Cheek Nn.i..r...-.'k:-
Fee
Receipt Na..,
BUILDING _�/�" �(J D�
%�J- r•��
W PROPOSED USE
PLUMBING
� `_ _-•
r'
PLOT PLAN (Indlesto Stlllding &etb¢cke, abnttln6 ¢tracts)
HEAT & 6A9 LINE
- —
_..f�;-. ><� '� �(�� i.=-.�
FENCE
SIGN
RETAINING WALL
I
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
1
EXCAVATION OR FILL
TOTAL AniOUNT DUE
2
I hereby acknowledge that I have read this application; that the In-
'
formation given Is correct; and that I ane the owner, or the duly author•
lzed agent of the owner. I agree to comply with city and stat¢ laws regu•
ATTENTION
APPLICATION APPROVAL
I
lating construction; and In doing the work authorized thereby, no person
to violation of the Labor Cade of the State of Washington TIHa PERMIT
This application is not a permit until
will be employed
relating to Workmen's Compensation I¢surance.
AUTHORIZER
Signed by the Building Official or his Dep-
oN1.Y THE
uty; and fees are paid, and receipt is no
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORKNOTED
be
knowledged in space provided.
&hall be completed In ninety days; MOVED -IN BUILDINGS shall nam-
plOcd to elx months.)
SIGNATURE (OWNER. OR AGENT) DATE SIGNED
INSPECTION
EPA
DRTMENT
DIRECTO 'B SIONATURE� •! - -- -
__-
I
A.
.' — ,,• ,`e.r
CITY OF
EDMONDS
DATE _ I
_
NOTE: Applicant Subject to Plats Check Fee
775-2525
Tilts Penni[ covers work to by done on private property ONLY.
Any constructlan on lila public domain (curbs, eld.walks, drly—y.,
INSPECTOR
marquees, etc.) n'lll'require separate perminelon.
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r
THAT.PORTION OF THE'NORTHWEST QUARTER OF THE'-NORTHWEST'QUARTER OF;:., 4 '
THE NORTHEAST QUARTER OF SECTION 36, TOWNSHIP 27 NORTH; RANGE 3 £A9T-eq -f
W.M., IN SNOHOMISH COUNTY, WASHINGTON DESCRIBED AS'FOLiOWS i
' COMMENCING AIV THE SOUTHWEST CORNER OF SAID SUBDIVISION; THENCE
SOLKH 9905014411 "PAST ALONG THE SOUTH 'LINE THEREOF 200:00 FqT•; THENCE'• ����
NORTH 0019144" WEST PARALLEL WITH THE WEST LINE OF $Aib SUBD11LlSI0N
S�
40.00 FEET TO THE NORTH MARGIN OF -SR 104 AS SHOWN 'ON .WASHINGTON`.T E' , { :d
'HIGHWAY MAP RECORDED IN - VOLUME B OF.HIGHWAY PLATS, 'PAGE..94).- LNDER►Cil'*AR'S'•I
FILE NO'. 2146474 SNOHOMISH CO4,NTY:WASHINGTON'AND THE TRUE POINT, OF Y.
BEGINNING; THENCE NORTH 89°50144.".WEST ALONG SAID NAR'fH'i4;kkG•'I t1'`13"B9:'it, '
TO A POINT OF CURVATURE OF A FOOT RADIU5 CURVE TO. THE RYCIHt; THENC
460' E•:. •':rJ
ALONG SAID CURVE 37.1.4 FEET T0; A POINT 40 FEET NOPTHERLY•FROM HIGHWAY'
ENGINEER'S'STATION 110+14 AS SHOWN ON SAID MAP; THENCE.NORM; 42®2,5:!5!"
20.52 FEET'.TO A POINT, 40 FEET EASTERLY ,AT. RIGHT' AN0I.ES FROM THS 100 FM' 141REt
W. LINE SURVEY ALT STATION 10+56' AS SHOWN'ON SALD'MAP; THENCE NORTH •004.9!:4ft'�:,
WEST ALONG THE EASTERLY MARGIN OF � 100TH�AVE. W 98.66 FEET TO THE •NORTH7;'
LINE OF THE SOUTH 155 FEET OF SAID.SUBDIVI5ION; THENCE .NORTH 89°50,'44" lIFST
ALONG SAID NORTH LINE 2.50 'FEET TO.'.i'HE•EAST MARGIN:;pF SAID .100TH':AUE,' Ht
As.EsrABLISHED .BY DEED RECORDED UNDER SNOHOML6H.COUNTP'.'AUDITORES F'1L
Nt). 2157756; THENCE NORTH..O°.19' 4,4'1. WEST -.ALONG • SAID. EAST. MARGIN -;,70 04?FEhY}k
TO THE NORTH' LINE OF THE SOUTk 225 FEET OF THE 9011TH HALF+ OF 'THtY..NOR HWI!
c; QUARTER OF THE. NORTHWEST QUARTER-, OF:: .NORTHEAST QUARTER OF 01D, SE"...
THENCE SOUTH B9"90'44w-EAST At,QN;'►.-MRTH';LINE 462.50 E'Ei=T TO A':POl!tT
+��q-YlliL�kJ AEARS,_NOR H 0°19'44" WEST' .RnM'THE' TRUE POINT-'OR.BEt.INNING,
E TRUE
1�HENCE SOUTHTH; POINT OF BEG,iNN4NG. i
7sUo7�o
RECORD OF INSPECTIONS
Date Passed
Foundation _7V
Plumbing (Partial)
(Rough) _.
Frame
Furnace & Fuel Lines
Final /D -Lt -QST_