750078.pdfD'P 1'R AL 5TH"'
PLANNINGSTREET
R/W
EXISTING STREET 71/16�......... DEFICIENCY THIS PROPERTY
�*�COMP PLAN BT R/YYW/4( •{'.••or-�'
BUILDING DEPARTMENT Applicant Fill
ZUSE
a
E75007a
NUMBER
+
PERMIT APPLICATION Inside heavy Lines
Nw�,Nl
JOB
ADDRESS i
NAME (OR NAME OF BUSINLSHI
4�r•
D
NAME
i
PEACTUAL. //��
ItMItleIBLE LOT COVEItAOE K-
IQT COVERAGES ?fir' L
V ' /G
stA1LiN6 ADDRESS it 1
/�
< o n 1 r A S l r✓ EPHONE NU� 1/
CITY
L
NAME
�j
W ADDRESS
;
S>R1
PROPOSED IIEIGHT
i'E)LNlIBBIBLE.\HEIGHT � �
ACTUAL. L"T REA L TOTAL BLDG. AREA z
/, / v AREA
S
a'
REQUIRED YAKDS PROPOSED YARUH
FRONT SIDE FRONT BIDE REAR
LEGAL. LOT VARIANCE Oli CONDITIONAL UBE
14 YES ❑ NO PERMIT NUMBER
D'P 1'R AL 5TH"'
PLANNINGSTREET
R/W
EXISTING STREET 71/16�......... DEFICIENCY THIS PROPERTY
�*�COMP PLAN BT R/YYW/4( •{'.••or-�'
REMARKS Driveway slopes not to exceed those
indicated on Standard Dwg. No. 103
CITY
Nw�,Nl
TELEPHONE
NUMBER
REMARKS
/)// lz_Mit 6 h-'-r17-1J (. s
TYPE CONNECTION
PER--`-
NAME
REMARKS
FIRE ZONE
TYPE OF CONS IMPROVED
HEAT & GAS LINE
S>R1
m c
OCCUPANCY GROUP
ADDltEtlB
PLAN CHECKED Y THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
(yl.In�fl.� /,t•-�� SHOULD BE CODED 31.04.
,nXMAk?
�; � �� �,✓ s,;�- /ivs�G-SCJ%a%%r
PENCE
yVc
CITY
SIGN
TELEPHONE NUMBER
F
RETAINING WALL
I
O
iBWIMMIN6
POOL
STATE LICENSE NUMBER
C ITY
LICENBL NUMBER
Lz3 -oi
- iropi7st9
I
EXCAVATION OR FILL
Legh Deecriptlon o[ Perly (tl q11 Below or Attach Four Copies)
1. nnT:> 4
- .F PRtUF_
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
O
'
formation given Ie correct: and that I am the owner, or the duly author.
Ixed agent of theowner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL '
Jailor construction; and In doing the work authorl..d thereby, no person
a
'
11111 be employed In violation of the Labor Code of the Slate of Washington
THIS PERMIT
This application Is not a permit until
relnting to Workmen'a Compematian Iaa-ce.
AUTHORIZES
signed by the Building Official or his Dep -
O
ONLY THE
WORK NOTED
.1
shall he completed In ninety days: MOVED -IN BUILDINGS Shall be Cont-
knowledged In space provided.
O
pleted In .1. man Uta.)
'1 '
a
INSPECTION
IRE T '8 �JGN�TUREB1aNA
DEPARTMENT
-
RESIDENTIAL
El LI E
CITY OF
---y
® NEW
NOTE: out Su151r1t to Plan Check Fce
EDDfOND3
r
NON-RESIDENTIAL
❑ SIGN
This Permlt r rork to be done on private properly ONLY.
ADD
WAL.AI.INING
Any construction on lite public domain (curb., sidewalks, driveway.,
FILE
❑ DEMOLISH
Li
ALTER
AVATE
❑
❑ ORCFILL
(ENC=. ...)
REP.\IR
❑ INSP. OVE
SWI❑ POOLL
NUMBER OF STORIES I NUMBER OF
DWELLING
I
UNITS
D'P 1'R AL 5TH"'
PLANNINGSTREET
R/W
EXISTING STREET 71/16�......... DEFICIENCY THIS PROPERTY
�*�COMP PLAN BT R/YYW/4( •{'.••or-�'
REMARKS Driveway slopes not to exceed those
indicated on Standard Dwg. No. 103
METER SIZE SElt ICE SIZECLE' ANC
Nw�,Nl
I
REMARKS
/)// lz_Mit 6 h-'-r17-1J (. s
TYPE CONNECTION
PER--`-
TIM.
P�tIr�t//AIIILU//At11LIAAAIL��I�INUMBER
REMARKS
FIRE ZONE
TYPE OF CONS IMPROVED
HEAT & GAS LINE
,S,TRREEET
u -..S ❑ NO
SPECIAL INSPECTOR RREQUIRED
OCCUPANCY GROUP
YES �.NO
PLAN CHECKED Y THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
(yl.In�fl.� /,t•-�� SHOULD BE CODED 31.04.
,nXMAk?
�; � �� �,✓ s,;�- /ivs�G-SCJ%a%%r
NATURE OF WORK TO EE DON
vy�y ,t
! t VAAj
Pion Check No .....................
Valuation Fee Receipt Na.
I
. / .!J -
BUILDING
l.�
i PROPOSED USE
PLUMBING
O
aPLOT
PLAN (Indicate Building Setbacks, abutting Street.)
HEAT & GAS LINE
�n V
D
PENCE
SIGN
RETAINING WALL
I
iBWIMMIN6
POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I
—,17 7 —
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given Ie correct: and that I am the owner, or the duly author.
Ixed agent of theowner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL '
Jailor construction; and In doing the work authorl..d thereby, no person
'
11111 be employed In violation of the Labor Code of the Slate of Washington
THIS PERMIT
This application Is not a permit until
relnting to Workmen'a Compematian Iaa-ce.
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 Cont-
knowledged In space provided.
pleted In .1. man Uta.)
'1 '
DATE SIGNED
(OLYNEIt Olt AGENT)/
INSPECTION
IRE T '8 �JGN�TUREB1aNA
DEPARTMENT
-
CITY OF
---y
NOTE: out Su151r1t to Plan Check Fce
EDDfOND3
r
775-2525
This Permlt r rork to be done on private properly ONLY.
Any construction on lite public domain (curb., sidewalks, driveway.,
FILE
marquees, etc.) will r"ulre Separate permission.
T.
BUILDING DEPARTMENT Applicant Flu ZOINE NUMell `t
1
PERMIT APPLICATION Inside Ileavy Lines
NAME (OR NAME OF BUSINESS)
WAILING ADDRESS
' CITY TE P O E NUMHEfF—
4 <-1
NAME
WADDRESS
F
70
ADDRESS
PERMISSIBLE ^
LOT COVERAGES
ACTUAL
I.OT COV&OE
...n'
PERMISSIBLE HEIGHT
PROPOSED HEIGHT
❑ YES D,�t6'
��
ACTUAL LOT AREA`S
TOTAL BLDG. AREA
�t 1 nn 'N
ra �
R IRED YARDS
PROPOSED YARDS
FRONT SIDE REAR
FRONT SIDE REAR
S 7 L: i$
'7 i5 F
LEGAL LOT VAIUANCE OR CONDITIONAL USE
@ YES NO PERMIT NUMBER
VPLANNING DEPT. A PR YAL RATE:
21
CITY I TELEPHONE NUMBER
`> A n'j t
C1C'i ADDRESS
r C CITY T
F
7.
O
0 STATE LICENSD NUMBER C
Legal Description of Properly ( ow Below or
'r.
C
n
O
W
a
STRE-T R/W / i1
EXISTING STREET R/pt',cI ---. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/tanik-a, .{::..�..FT. [�
REMARKS Driver:ay slopes not to ezceecl those
0
inei(:ated on Standard r!wrr,. No. 103 x
- - Id
FA
—N I OYES [3 NO
{
RESIDENTIAL
FI
❑ YES D,�t6'
I / ��--j
O NEN
STRE-T R/W / i1
EXISTING STREET R/pt',cI ---. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/tanik-a, .{::..�..FT. [�
REMARKS Driver:ay slopes not to ezceecl those
0
inei(:ated on Standard r!wrr,. No. 103 x
- - Id
FA
SIGNATURE (OWNER OR AGENT)SIGNED INSPECTION DIRECTOR'S IONATURE , -
DEPARTMENT
IDA TE - CITY OF
ED51OND8 DATE
NOTE: Applicant Subject to Platt Check Fee � r
TSIs Pe mit coven work to be done on private property ONLY. 775.2525
Any Construction on Ilia Public domain (curbs, sldewalkn, driveways,
marquees, etc.) will require separate permission. INSPECTOR
—N I OYES [3 NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
RESIDENTIAL
GAS
❑ YES D,�t6'
I / ��--j
O NEN
LINE
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
SIGN
f ;`T OF EDMONDS. LOCAL SALES TAX
t�/.i�K
ADD
RETAINING
,; ,� .r,.f�c.�'�
'
SHOULD BE CODED 31.04.
❑ DEMOLISH El WALL
(I
❑ EXCAVATE
ALTER
E]FENCE
!" (�Gi
❑ OR FILL (.....................Ft.)
REPAIR PRE -MOVE SWIM
❑ INSP. ❑ POOL
i.%!I/��!`(-•; J-
_,,t
i,/ iI /'I .l Ji'.'Y—: //V S/ /4G/J;j/�)`
NUMBER OF BTOni ES NU51DER OF
DWELLING
C UNITS
NATURE OF WORK TO DE DONE/n
Valuation
Fee Receipt Na
Plan Check No .....................
�
[Or
BUILDING
W PROPOSED USE
PLUMBING
aPLOT
PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAD LINE
p o
=--
10
PENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
-.
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
---rte --
A1110DNT DUE
I hereby acknowledge that I have read this application; that the In•�:'
-..--
formation given le correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state lawn regu-TTENTIONAPPLICATION
APPROVAL
lating eoaetnctloa; and m doing tha work ¢ulhorizad Ulereby,no person
r
will be employed In violation of the Labor Code of the State of WeehmgtonINS
PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
UTHORIZES
Signed by the Building Official or his Dep -
Permit Limit One Year (Except DEsfOL1T10N8 whichORN
ONLY TIIENOTE:
NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be Som-
' pleted In six months )
knowledged in space provided.
SIGNATURE (OWNER OR AGENT)SIGNED INSPECTION DIRECTOR'S IONATURE , -
DEPARTMENT
IDA TE - CITY OF
ED51OND8 DATE
NOTE: Applicant Subject to Platt Check Fee � r
TSIs Pe mit coven work to be done on private property ONLY. 775.2525
Any Construction on Ilia Public domain (curbs, sldewalkn, driveways,
marquees, etc.) will require separate permission. INSPECTOR
JO
a71 A:!
t.
s:
I
'
�y
v
r
r
•75007
RECORD OF INSPECTIONS
Date Passed
i
Foundation T -
Plumung (Partial)
(Rough)
;,. 4�,-z�-7��„ --
Frame r^ ,
Lined �'�``
{
Furnace & Fuel
Final
__ �
(�,rr
C
I
i-