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750108.pdf
BUILDING DEPARTMENT Applicant Fill USE PERMIT ZONE t` M L NUMBER 750108 F PERMIT APPLICATIOPI I Inside Heavy U.S. JGB ADDRE88 J3/A 9 76 0. 1_71 NAME (OR NAME OF BUSINESS) W/�-- . PERC381BLE ACTUAL MI Le 6 LOTVERAGE LOT COVAAGE _ , F' M"AILIMNBB - O PEA\fItl810LE ESEIG}(T _ PAOPOtlED k3k.16HTc .I TOTAL BLDG./;A 7 CIT ITYTELEPHONE NUMBER ACTUAL T AREA EQVIRED YARDS PROPOSED YARDS FRONT BIDE REAR FRONT HIDE REAR NAME■ / ...(/ LEGAL LIYf V'AItIANCE OR CON ITIONAL UHF. YE8 NO PERMIT NUMDER G1 2�.-•7 .. �i W ADDRESS /'O ��-••� / T, APP OVAL i, J_ E� � CITY HEA TELEP}lONE NUSTET ^r Gam( 3 7 EXISTING STREET R/W ....FT. DEFICIENCY THIS PROPERTY '(Oj / b.....FT. ✓ � Ja� NAME ir�� S J/ COMP. PLAN ST. R/W (LL/.....FT. . S � REMARKS Driveway slopes not to exceed those h O ADDRESS indicated on Standard Dw>? No. 103 w �? 3E�A�jL2 A y CHEC BY e C Cl'1'Y TELE�JP/HONE NUMBER I /-'' /� ('• .C.�/J STATE LICENSE NUMBER CITY LICENSE NUMBER METFJj, SIZE //n BERVI�Cf' SIZE I / /7 CLEARANCE I CHEC D Y I p' / F" Legal Description of Property (Show Below or Attach Four Copies) REMARKS ter. ^P 06-r,�%d&6 /©r •' ie /J(NNNEUTIION7�//.',J !� V f /y (' A? 7-W 13C) / C� //J t° .f -..j,2.1 , 7Z .5 TYPO VERIFIE[1 _BY I y` 7.94 e T / ( S•A'L'L%Orc.'.i +4 4 Ar lt. IJ'�tE PEItC. TEST PERMIT NUMBER a � I °^1 pi rP4 rs . REMARKS m p � �� sea C'u• I IrNI�EI 6&uA;0 VII -196 +1 FIRE E TY F CONSTR� CT10N STREET IMPROVED- I//:�tIjj.. i I rJ ( ry OU/Z YES ❑ NO - SPECIAL INSPECTOR REQUIRED O OUP ❑ YES NO (OCCUPANCY �j �j� IXI RESIDENTIAL GLINEAS LAN C1iECK D BY 1`H ' I/VI NEW 1—• `/ THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX NON-RESIDENTIAL ❑ SIGN 1r'j SHOULD BE CODED 31.04. ❑ ADD RETAINING WAIT' REMARKS / �'f2� PENCE 5oc)E s '977 C./C.i�L/G l IBJ f EXCAVATE ALTER EXCAVATE ❑ OR FILL ...........Ft.) -I REPAIR ❑ INAPPRE-AfOVE ❑ POOL 1' �r�) P��++//��)//�J 51re 1MPOVEWWT &„'-A-+�- 1��•�+r✓^[,f�' NUMBER OF STORIES NUMBER OF L 1 i 1 5 ` ) ` r-_' DWELLING O UNITS NATURE OF WORKTOS-ByE' �DONE . �••'�' '��Gey /lh1 '. ( t Valuation .an Caeck No./.�.�... ........ Fee�7 Receipt No. O n, PROPOSED USE PLUMBING NY�`fY (,-m • '/ aPLOT PLAN (Indicate Building setback., abutting streets) la HEAT & GAS LINE 9 FENCE �SIGN 1• RETAINING WALL N Iv SWIMMING POOL = DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL �ico;uc� a7 ,cam TOTAL AMOUNT DUE 4 5-0 I 1 hereby acknowledge that I have rend 161s application; that the In• -Ala �( e formation given Is correct; and that I am the owner, or the duly author - (zed agent of the owner. I agree to comply with city and state laws regu• ATTENTION APPLICATION APPROVAL luting conetruetlon; and In doing the work authorized thereby, no Dereon will be employed In violation of the Labor Code of the Slate of Washington THIS rEnbIIT This application Is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES ONLY THE signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac - .hall be completed 1. nicely days; EIOVED-IN BUILDINGS Shull be corn• knowledged in space provided. pleled In six months.) SIGNATURE (OWNER Oft AGENT) DATE BIONE INSPECTION DEPARTMENT DIRECT R'S eIONAT RE / M/J�� t� ss .-sv... ' ..Ctr se-.: <'f�7r •� .17 CITY OF '(�I%7M(7+�4 _ _ N TE: Applicant abject to Plan Check Fee EDDIONDS DAME %j �' S ` 775-2525 This 1'rnmlt t• ark In bo gene an Drirate DroperlY ONLY. Any eon.lructlon On the public deal" (curbs, eldewalk., driveways' FILE marquee" etc.) will reeuire separate permission. r BUILDING DEPARTMENT AppulnlltFm Z° E I'' 'y` r ! v PERMIT APPLICATION Inside Heavy Lin NAME (Olt NAME OF BUSINESS) MAiTif ADO EBB TELOP11111111 NUMBEN NAME 1• i p ADDRESS �-� ADDRESS V/ `� a r L•-! �C,(� GPJ t'm U» NNIP74 EPT. APPROVAL F A f PERMISSIBLE ,e ACTUAL E LOT COVERAGE LOT COVEjAGE C TY �" MBER _ • tlV STREET It' EXISTING STREET R/W .(:l f.!...FT. DEFICIENCY THIS PROPERTY PERMISSIBLE HEIGIIT PROPOSED HEIGHT , I i ACTUAL LOT AREA - TOTAL BLDG. AREA 1 i ,r /' Ii WO SPECIAL INSPECTOR REQUIRED GROUP REQUIRED YARDS PROED YARDS FRONT SIDE REAR FRONT BIDE REAR , 27 LEGAL LOT VARIANCE OR CON!.) TIONAL USE D YES (] NO PERMIT NUMBER �1. '�1 .0r r r•♦ i;c41. (''rI• V/ `� a r L•-! �C,(� GPJ t'm U» NNIP74 EPT. APPROVAL F A f / PLA ELEP GNI+ N Iy.t .t.1 A •- E � I C TY �" MBER _ • tlV STREET It' EXISTING STREET R/W .(:l f.!...FT. DEFICIENCY THIS PROPERTY } p "I I i �.� -..-YES .0r r r•♦ i;c41. (''rI• V/ `� a r L•-! �C,(� GPJ t'm U» NNIP74 EPT. APPROVAL 7 , / PLA ELEP GNI+ N Iy.t .t.1 A •- I_1% C TY �" MBER _ • tlV STREET It' EXISTING STREET R/W .(:l f.!...FT. DEFICIENCY THIS PROPERTY } p "I �.� -..-YES NAME r,., „-r R/W �4,�....FT. ...Q.....FT. /.�`j . r, COA[P. PLAN 'T- tt) , 7200 %J r •6t�� REMARKS 'C."1Af: 1 i SPECIAL INSPECTOR REQUIRED GROUP p :: ADDRESS t'?'. V'.:t'�'! ;:.lpl�(?S P.O'i: t: C' '.s•Y.CC: •�l� ;': n 1�r:t t:, ri r<1 e'i•:: r..1 .-7.,1 lil.tn. e7n. 1(1'1 GAS: ❑ kl ;j (OCCUPANCY �' CHEC ED HY , PLAN CHECKED BY F CITY TE NUMBER El NON-RESIDENTIAL ❑ 8I6N �/,-' OF EDMONDS. LOCAL SALES TAX SHOULD BE 31.04. /� {•�L,t' V �(%������3✓6��:.I%G /{PH(ONE �i METER SIZE BERV3CN� 812E CLEARANCE ADD RETAINING REMARKS CHEC D gyY!ryy�1 m DEMOLISH WALL STATE LICENSE NUMBER CITY LICENSE NUMBER I I I ElALTER EXCAVATE FENCE GG�PF O &Q. /% L G �� REMARKS Jlir�� I id i OR FILL .......... x..........Ft.) r REPAIR E]INBPAfOVE ❑ SWIM POOL 6 7''L 1 L. II_S r f�iJV� �'1 C"Il.�� �1•� j �L C:+�%�i Legal Desotlptlon of Property (dhow Below or Attach Four Copies) i / -• �J"�.f J/� / �n / .^./ r^.• S-, .'a S� TYPE CONNECTION VERIFIED BY ,,.1'., 'L.) I DWELLING ^ f ) I o , J �;� 5 l•j . ! UNITS , T R nt NATURE OF WORK TO BE DONE / y� / _ lip Valuation Fee III 2 % - -it IW W Plan Check ND.44` .0r r r•♦ i;c41. (''rI• �`IUia�:�ir`i70Lj0 7 , FIRE ZONrTYYF,,_OF CONI9TR//UCTION(� STREET IAfPROVED I_1% �.� -..-YES ❑ NO SPECIAL INSPECTOR REQUIRED GROUP RESIDENTIAL GAS: ❑ [3 YES -.O NO (OCCUPANCY Q NEW LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY '. El NON-RESIDENTIAL ❑ 8I6N �/,-' OF EDMONDS. LOCAL SALES TAX SHOULD BE 31.04. ADD RETAINING REMARKS CODED DEMOLISH WALL ElALTER EXCAVATE FENCE GG�PF O &Q. rr�� I270 ' OR FILL .......... x..........Ft.) REPAIR E]INBPAfOVE ❑ SWIM POOL 6 7''L 1 L. II_S r f�iJV� �'1 C"Il.�� �1•� j �L C:+�%�i NUMBER OF STORIES NUA[BER OF ,,.1'., 'L.) I DWELLING ^ f ) UNITS NATURE OF WORK TO BE DONE / y� Valuation Fee Receipt No. f Plan Check ND.44` % } O -BUILDING--r. ,. _. ,�I/- ,r i�r,_ �:"'F^-�',• ..,j a, PROPOSED USE PLUMB _ a PLOT PLAN (Indicate Building setbacks, abutting streets) IIEAT.,A GAS LINE 1 � T— ..... _ _ �•,• _ _ _ _ _ FENCE SIGN _ WALL NVRETAINING `i SWIMMING POOL I DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR PILL L TOTAL AMOUNT DUE ' L hereby acknowledge that I have read this application; that the In. formation given is correct; and that I sm the owner, or the duly author- i Ized agent of the owner. I agree to comply with city and elate law. regu. ATTENTION APPLICATION APPROVAL !¢ting construction; and In doing the work authorized thereby, no person ) will be employed In violation of the Labor Code of the State of Washington TIUS PERMIT This application is not a permit until relating to Workmen's Compensation Insurances. AUTHORIZE signed by the Building Official Or his Dep- ' NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TS ILE WORK NOTED uty; and Pees are paid, and receipt is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pleted In elx months.) —NATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRECTOR'S SIGNATURE DEPARTMENT CITY OF NOTE A Y t C 1, t t Pt C1 k F EDDfONDB DATE pp call It iec o an Iec ee 775-2525 Thi a Permit r, cork to be done on private property ONLY. Any construction on the public domain (curbs, sidewalk., drle'elvaye, marquees, etc.) will require separate permle.ion. INSPECTOR Plumbing (Portia!) (Rough) Frame f ' Furnace & Fuel Line Final