750112.pdfr--
BUILDING DEPARTMENT AppLcant Fill ONE S �� NUMBER 750112
PERMIT APPLICATION
Inside Heavy Meg o
ADDRESS
NAME (OR NAME OF 0A ea _ A f
HUBINE 8 e
PF:IIMItltlIBLg ACTUAL
T IAT COYERALOT COVE1kA0E
p� MAILIN�. JUS ! D
W PtM�dBIHL�[vUIIT Pl10POBED I�^it' `y_
ty d2�d / 9G S� N .o y-7
CITY TELyEPHONH NUMBER ACPUA— L,joT AD TOTAL �I O.?REA
REQVIRED YARD PRO F;D YARUB ^ I
ME FRONT s1UE REAR FRONT BIDE REAR
/S� .:ISS
L GAL LOT VARIANCE OR C D�7 i`oNAL UBE
ADDRESS YES [i NO PERMIT NUMBER
PLANNING OFT. A P VAL ATE:
qTELEPHONE. NUMBER S�
Q CITY � '
gTFtEET
R/W
EXISTING STREET R/W6..rt.�S.DFT. DEFICIENCY THIS PROPERTY 1
NAME '' // CObfP. PLAN ST. R/WC�?1&t 1T. .....:�Fr. .'
a[ �YOrn eS �n L REMARKS Drivewayslopes not to exceed those
' m ADDRESS p C
D 9 k�. indica A on Ctanrlarrl 11w1r_ Nn_ 103 DECN
/N CED Y
1TY/EPHONE NUMDFuR L
M,4 1,1576- /a,3Z�lu�rrrl f�(� �o el R1 �EAR'1l 1
METER BILE BERVICE 1ZE CLEARANCE
CH-
C BY
R7�lTE LICENSE
UMBER
,( c ✓I CITY LICENSE NUMBER 1 pk(7
HEWES
8 7 e
Legal Description of Property (Show Below or Attach Four Copies)
t
Se L /q yjL/St C.�1 tY 4/ 1 -e— TYPE CONNECTION VERIFIE BY
PERC. TEST I PERMIT E ',i
U S j
W REMARKS co 1�
7
O
E
a IFIRE Z E TYPE Y711 �l'ION STREET IMPROVED
LLvvyy .
0 YES ❑ NO
/0$
TOTAL AMOUNT DUE
Pian Check No.. .......... _.......
SUILDIN6
PLUMBING
SPECIAL INSPECTOR REQUIRED
*0
I OCCUPANC OR0 (� 1
HEAT & GAS LINE
RESIDENTIAL
❑
6A9
LINE
❑ YES
PLAN CHECXE HY
THIS
SITE IS LOCATED IN THE CITY
relating to Workman's Compensation Insurance.
NEW
NON-RESIDENTIAL
SIGN
ONLY THE
{5'ORFI NOTED
shall 6e c letsd In nicety days; MOVED -IN IIUILDINOg shall Ds ulm-
OF EDMONDS. LOCAL SALES TAX
pieted t 1 months.)
❑ ADD
UGNA I (OWNE}i EN DATE SIGNED
s1aN
RETAINING
REMARKS
SHOULD BE�CjODED 31.04.
DEMOLISH
DEMOLITION
WALL
, t ,0 y ��
•••���
��1"`--- UC I
NOT hplicatlt Subject to Plan beck Fee
EXCAVATE
EXCAVATION OR FILL
PENCE
AL (N i-.
I
Any connlruellon on the pubile demaln (cuPoe, aldewnikr, driveway.,
ALTER ❑
ORFILL
mareueen. etc,) will repulre neparnle perntlulon.
.............Ft.)
.
RSWIM
EPAIR
❑ INSPbIOVE
POOL
i
NUMBER OF STORIES NUMBER OF
1'
DWELLING
UNITS
i
4 PROPOSED USE
ay,
PLOT Building
TOTAL AMOUNT DUE
Pian Check No.. .......... _.......
SUILDIN6
PLUMBING
PLAN (Indicate setbacks, abutting streets)
forautuo given iscorrect; and that I ant the owner, or the author.
HEAT & GAS LINE
n
ATTENTION
lating construction; and In doing the Work authurtxed thereby, no person
Will be employed In vlolnllen of the Labor Code of the Stale of Washington
FENCE
relating to Workman's Compensation Insurance.
AUTHORIZES
SIGN
ONLY THE
{5'ORFI NOTED
shall 6e c letsd In nicety days; MOVED -IN IIUILDINOg shall Ds ulm-
RETAINING WALL
pieted t 1 months.)
UGNA I (OWNE}i EN DATE SIGNED
INSPECTION
8W7a16fIN6 POOL
DEMOLITION
CITY OF
PRE -MOVE INSPECTION
NOT hplicatlt Subject to Plan beck Fee
EXCAVATION OR FILL
Fee Receipt No.
//�
00 I
'1
V�l`75-61
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- j
knowledged in apace provided.
DIRE'd t IP)A' RE � �
%-
3 27----
i
FILE
1
TOTAL AMOUNT DUE
that
I hereby ,knowledge that I have reed this application; that tha In-
forautuo given iscorrect; and that I ant the owner, or the author.
Ixed agent of the owner. I agree to comply with city and elate laws regu-
ATTENTION
lating construction; and In doing the Work authurtxed thereby, no person
Will be employed In vlolnllen of the Labor Code of the Stale of Washington
71II9 PERMIT
relating to Workman's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
{5'ORFI NOTED
shall 6e c letsd In nicety days; MOVED -IN IIUILDINOg shall Ds ulm-
pieted t 1 months.)
UGNA I (OWNE}i EN DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
ED3IIONDB
NOT hplicatlt Subject to Plan beck Fee
775-2525
This Permll c ren Work to be done on private property ONLY.
Any connlruellon on the pubile demaln (cuPoe, aldewnikr, driveway.,
mareueen. etc,) will repulre neparnle perntlulon.
Fee Receipt No.
//�
00 I
'1
V�l`75-61
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- j
knowledged in apace provided.
DIRE'd t IP)A' RE � �
%-
3 27----
i
FILE
1
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91Jt: Avenue, W,
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91Jt: Avenue, W,
USE
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BUILDING DEPARTMENTw Applicant Fin ZONE � S ~� NUMBER 2 �
--:..� I 1
F-� 1
PERMIT APPLICATION Inside Heavy Linos
NAME (OR NAME OF BUSINESS)
I I
MAILING ADDRESS
CITY T LEPRONE NUMBER
pp NAME
kUj ADDREBE
JOB
ADDRESS ./z
Valuation
7
C,l 013c e:z —
W
I
PERMISSIBLE �"
ACTUAL /
i
LOT
tHEIGHT /
LOT COVEIIACE-y`
JjATE:
5
PERMISSIBLE
PROPOSED HEIGHT
CITY
-i)
G.t'77✓"A'
I
ACTUAL IAT AREA ;
TOTA..BL 0. AREA
pleted In six months.)
,AN CHECKED BY
I
REQUIRED YARUS
PROP ED YARDS
FRONT RREAR
IUE
FRONT SIDE
REAR
SLOT
// //yy[
COMP. FLAN ST. R/W1:.7.i0.3''r.
••-••EFT•
�I.6AL VAFt ANCE OFt CO DITIONAL USE
YFII ❑ NO PERMIT NUMBILR
SHOULD BE CODED 31.04.
F
Valuation
7
i
I
W
I
TYPE OAF{'' ONBTRU lON BTAEET IMPROVED
1
i
PLUMBING
PLA NNtrv6 DF)PT. API•rAL
JjATE:
5
I
THIS PERMIT
CITY
TELEPHONE NUMBER
G.t'77✓"A'
I
I
pleted In six months.)
,AN CHECKED BY
I
STREET R[W
EXIeTIN6 STREET R DEFICIENCY THIS PROPERTY
F
Valuation
Fee Receipt No.
i
I
W
I
TYPE OAF{'' ONBTRU lON BTAEET IMPROVED
1
i
PLUMBING
PLA NNtrv6 DF)PT. API•rAL
JjATE:
5
1 {
THIS PERMIT
CITY
TELEPHONE NUMBER
G.t'77✓"A'
YES
��//'
h(yo�-.�—
pleted In six months.)
,AN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
STREET R[W
EXIeTIN6 STREET R DEFICIENCY THIS PROPERTY
i
CITY OF
NAME
EDBIONDS
// //yy[
COMP. FLAN ST. R/W1:.7.i0.3''r.
••-••EFT•
' 1
kkk�III1 j
SHOULD BE CODED 31.04.
This !•,Omit c work to be done n privets properly ONLY.
' ..�\•
, /�' /7i Ce J._ 17 !✓
REMARKS
Ui,ivev,.-ay to
exce: sid tilos*c
o
ADDRESS
/o.
sloneo not
i o 5 andard II !. fir'.
103
in
w
�
^n 'l'ri.cated
!-�'
[jU,�'175 �ni•.;.1V� l:it
GHEGK D HY
1
'CITY
-• j \
TELEPHONE NUMBER
•✓E;
• �CE / /
TE S
METER BI' Vl I CI.h:ARA co
CHECR SY
STATE; LICENSI7 NUDSHER
LI ENS13 NUMBER
NUMB
CITY LICENSE NUDtBER
IT
1 ?/ /
.
/
Legal Dpecrlptlgn of Property (Show Below or Atlneh Copies)UJ
UVI 11
r
f•
/Fouur
J' 77-',,-7 1 /t IJ/sw_el If -,TYPE
CONNECTION I -
Y n
ij'j,,_ #- 10.3
EREBIDENTIAL GS
- NEW ❑ NON-RESIDENTIAL
I
ADD ❑ DEMOLISH❑ yAETIA•IMNG
ALTER ❑ OROFILLTE ❑ PEN x .......... Ft.)
REPAIR ❑ INSPMOVE El POOL
iuDIBCR OF STORIES NUMBER OF
DWELLING
UNITS
"� '� `•" "�""
Plan Check No..
Valuation
Fee Receipt No.
i
I
W
:MARKS
RE Z NE
TYPE OAF{'' ONBTRU lON BTAEET IMPROVED
1
i
PLUMBING
r/�El
YES E] NO
/
THIS PERMIT
ECIAL INSPECTOR REQUIRED OCUPANOY OROUP _
Y 1
AUTHORIZES
NOTE: Permit limit One Year (Except DEMOLITIONS which
YES
��//'
h(yo�-.�—
pleted In six months.)
,AN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
"
I
i
CITY OF
OF EDMONDS. LOCAL SALES TAX
EDBIONDS
i% NOTE: Applicant Subject to Plan Check Fee
SHOULD BE CODED 31.04.
This !•,Omit c work to be done n privets properly ONLY.
{
:MAL,.
K1ocIC
marquees, rtc.) will require sepeente permission.
1
"� '� `•" "�""
Plan Check No..
Valuation
Fee Receipt No.
i
I
I hereby acknowledge that I have read this application; that the In-
.......... ........
BUILDING(
/ T
[1 T
v //
/ /
'� / S 0
PLUMBING
cats Building setbacks, abutting streets) HEAT & GAB LINE
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
/
THIS PERMIT
relating to Workmen's Compensation insurance.
AUTHORIZES
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shell be completed In nicety day.; DIOVED-IN BUILDINGS shall be com-
pleted In six months.)
31ONATO RE (OWNER OR AGENT) DATE SIGNED
INSPECTION
"
I
DEPARTMENT
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- t
knowledged in space provided.
DIKED OR's SON�(T/S)RE
DATE
9 '_77 � L -
INSPECTOR
f'
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given Is correct; and that I abe the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and elatelaws regu.
ATTENTION
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen's Compensation insurance.
AUTHORIZES
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shell be completed In nicety day.; DIOVED-IN BUILDINGS shall be com-
pleted In six months.)
31ONATO RE (OWNER OR AGENT) DATE SIGNED
INSPECTION
"
I
DEPARTMENT
CITY OF
EDBIONDS
i% NOTE: Applicant Subject to Plan Check Fee
775-252$
This !•,Omit c work to be done n privets properly ONLY.
Any e...... Linn on the public domain leurbe,sidewalks, driveways,
marquees, rtc.) will require sepeente permission.
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- t
knowledged in space provided.
DIKED OR's SON�(T/S)RE
DATE
9 '_77 � L -
INSPECTOR
f'