750095.pdfPERMIT APPLICATION I Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
m FRAMONT .ONSTRNCTION COMPANY
MAILING ADDRESS
3 7531 - 242nd Place S.W.
CITY I TELEPHONE NUMBER
Edmonds Washington 775-2268
NAME
aVj ADDRESS
JOB
ADDRESS
U
PERMISSIBLE
LOT COVERAGE /)�
T COVAAGE
GAS
Q�
PERMISSIBLE PERMISSIBLE HEIOII
itOPOSED HEIGHT
% HEIGHT
Y PHOP08ED UBE
TOTAL B���§A
Q0CJE/�
/ACT/
REQUIRED YARDS
-PROPOSED YARDSYARDtl P OPOSED YARDS
FRONT SIDE REAR
FRONT REAR
gt_r
' D
LEGAL LOT AR ANCE OR C NDITION
M YES [3 NO PERMIT NUMBER
1 LLJ—VI — I ULJL 1 771 I
Legal Description of Properly (Show Below or Attletr Four Caples)
see attached
U
^t RESIDENTIAL
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PLA NIN E APPR AL TE:
GAS
CITY TELEPHONE NUMBER
NEW
as
I
Y PHOP08ED UBE
STREET R/\V
EXISTING STREET R/ti( 5��^y^. 'r. DEFiCIENCY//THIS PROPERTY
C
X.
NAME
D
COMP. PLAN 8T. R/RT.:T ...'.l......PT.
N
ADD ❑
RETAINING
WALL
11A' Driveway slopes not to exceed thosecc
z
w
ADDRESS
indicated on Standard Dog. No. 103
FENC
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c
REPAIR ❑ INSP-MOVE
CHC ED Y
SWIM
POOL
q' CITY
TELEPHONE NUMBER
I
U
N
I.IETEf�IZE SERVICE 812E CLEARANCE
PP
1.1
CHE $Y�
STATE LICENSE NUMBER
1 CITY LICENSE NUMBER ,��
I
I I
DEMOLITION
1 LLJ—VI — I ULJL 1 771 I
Legal Description of Properly (Show Below or Attletr Four Caples)
see attached
1-14 _/v I W Zt s ❑ NG
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
0 YES UIL I 1 d t
PLAN CH THIS THIS SITE IS LOCATED IN THE CITY
U. .. OF EDMONDS. LOCAL SALES TAX
F
Plan Check N. .....................
BUILDING
^t RESIDENTIAL
GAS
I j1' 1
NEW
_^J
Y PHOP08ED UBE
LINE
_�,
NON-RESIDENTIAL
D
SIGN
ADD ❑
RETAINING
WALL
El
DEMOLISH
E
ALTER ❑ EXCAVATE
ORFILL
❑
FENC
s........_Ft.)
1
REPAIR ❑ INSP-MOVE
❑
SWIM
POOL
VUA1DEli OF' BTORlE9 NUMBER OF
RETAINING WALL
DWELLING
N
_
UNITS
SWIMMING POOL
VATURE OF WORK TO BE DONE
DEMOLITION
Single Family Residence
1-14 _/v I W Zt s ❑ NG
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
0 YES UIL I 1 d t
PLAN CH THIS THIS SITE IS LOCATED IN THE CITY
U. .. OF EDMONDS. LOCAL SALES TAX
F
Plan Check N. .....................
BUILDING
I j1' 1
O
O,.IZ_
Y PHOP08ED UBE
PLUMBING
_�,
PLOT PLANa (Indie¢to HUIIdln6 setbacks, abutting Streets)
HEAT A OAS LINE
U6
tl
b
7
FENCE
1
SIGN
RETAINING WALL
N
_
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
ref (J
formation given Is correct; and that I am the owner, or the duly aulhmr
lied agent of the owner. I agree to comply with city and state law. rogu-
ATTENTION
APPLICATION APPROVAL
toting conetructloa; and In doing the work fluthorl:ad thereby. no person
will be employed In violation of the Labor Code of the Slate of Washington
TIU8 PERMIT
This application is not a permit until
relatlag to Workmen's Compensation Imurance.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (EYcept DEMOLITIONS which
ONLY THE
ut and fees are paid, and receipt is ac -
_
.hall be completed In ninety day.; 1§ SD -IN BUILDINGS Shall be in.
lfnowledged in space provided.
plcld n sl. months.
IONATU E (OWNER Oft3' DATE 16NED
INSPECTION
DEPARTMENT
I E R' 8I AT
CITY OF
/
'
ED1110ND8
DATE
NOTE: Applicant Subject to Plan Cbeck ee
775-2525
Thle Permit cavrre work to he done nn private properly ONLY.
Any eonetruetz on the public domain (curb., eld—rilk., drl-ways,
n�nrnorr•e, rtr.l win n ulr ernnrNo p—uhcon.
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