750126.pdfNATURE OtF1WORK,A\TtO HE DONE `
\^J(((l7 1 CS- 1 \\�`'�A.) l�lh'i,L• Plan Check No .....................
Valuation
Fee
Receipt Na.
-2)
BUILDING
1'\
USE PERMIT
ZOO NUMBER 750126
.I
�w BUILD 1 N G DEPARTMENT
Applicant Fill
I
C� �) /�
✓ /J(/t /
PERMIT APPLICATION
Inslde Heavy Linos
,OB
ADDRESS 1 //� /. ,� �./�/..
G
(O
E (OR NAME OF BUSINESS)
AOCTUAL
SJ
/1
-teLy`v ��1-�,1'� `'- r 11J
PERM IBBIBLE
LOT COVERAGE W -'n LOT COVESYAOE DIS
{
f
�
^\C7
iLIN6 ADDRESS
! -AT [, d
PERhIISBIDLF. HEIGHT PROPOSED HEIOH�
ttir^
- \7 Z D
BGG
TOTAL BLDG. AREA
O
TELEPHONE NUMBER
CITY
ACTUAL LOT AREA ,
(7 St.
1
11
`-, L (3
REQU ED YARDS PROPOSED YAItUH
FRONT BIDE REAR
p,
NAMd
FRONT 81—DE REAR
f
as
(4 J EXCAVATION OR FILL
��.:�y2
LEGAL LOTAIiIANCL Otc r a0NA N
NO PERMIT NUMBER
W
ADDRESS
@ YFm ❑
PL ANNINO DEPT. YYItOV AL
U
tormntlon 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 elate laws regu- ATTENTION
Inting Conet"Cuon; and In doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the stale of Washington THIS PERMIT
TELEPHONE NUMBER
relatlag to Workmen's Compensation Ibsurauce. AUTHORIZES
ONLY THE
NOTE: Permit limit One Year (Except DEMOLITIONS whlch WORK NOTED
.hallbe completed In ty days; ITOYED-IN BUILDINGS shall be com-
plete 1 1n six months.)
INSPECTION
81ONA URE OWNER GE T) DEPARTMENT DATE SIGNED
R i
signed by the Building Official or his Dep -
Uty; and fees are paid, and receipt is aC-
knowledged in space provided.
a
CITY
7 I,.i,. 'ir•� Z' ( I CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Cheek Pee 775-2525
STREET It
EXI9TING STREET R/W � . DEFICIENCY THIS PROPERTY
i
ATE
]FILE
This Permit e. work to be dune un prlt'ule property ONLY.
Any constructlan on the public data (curbs, efdC.Zk., driveways,
mureures, etc.) will reaWre eenarate permiselon.
i
CCC
NAMEr�
>,ovz
COMP. PLAN BT. R/ ..........FT. ,.(.l....FT.
REMARKS Driveway slopes not to exceed those
w
C
ADDRESS
indicated on.Standard Dwg. No. 103
:
W
tEj
CKECKE BY
E
C
F
CITY
TELEPHONE NUMBER
G
I
METER SIZE SERVICE SIZE
CLEARANCE
KED Y
O
STATE LICENSE NUM HER
CITY LICENSE NUMBER
I
I
.Z 2
REEMAI H8 ,
Legal Description of Property (Shaw Below or Attach Four Copies)
7)
<�� -•Z_ ��� C -r •ti.1-v() -�
P CONNECTI0
E if BY
z
PERC. T
NUMBER
i
+ i
I
nW
REh1ARK9
!
u'
I
W
�
FIRE ZONE TYPE OF CONS AUCTION STRE T IQIPROVED
I
V
;d
a
_
� r� YES Ej NO
SPECIAL INSPECTOR
REQUIREDOCCUPANCY
GROUP
YES (0130
' /
� •j'
GAS
RESIDENTIAL E]]LINE
❑
PL CHEC D Y
SITE I LOCATED IN THE CITY
NEW
THIS
OF EDMONDS. LOCAL SALES TAX
El NON-RESIDENTIAL ❑ SIGN
{�{./ HO LD BE CODED 31.04.
ADD TI.DEMOLISH ❑ WARNING
MARX
❑ ALTER E:]OREXCAVATE r7(FENCE
.II_........Ft.)
REPAIR [:1IN rE.MOVE O POOL SWIM
V �^•"`",
NUhIBER OF STORIES NUMBER OF
DWELLING
UNITS
-
NATURE OtF1WORK,A\TtO HE DONE `
\^J(((l7 1 CS- 1 \\�`'�A.) l�lh'i,L• Plan Check No .....................
Valuation
Fee
Receipt Na.
-2)
BUILDING
L PIRW-008ED UUSE
PLUMBING
TIJ
G
PLOT P AN (IndlcnteBuliding setbacks, nbu ting streets) HEAT & GAB LINE
FENCE
I
I 1
SIGN
SJ
ey
a RETAINING WALL
STgK SWIMMING POOL
i y
DEMOLITION
.
�ry(7 PRE -MOVE INSPECTION
N
'
(4 J EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
APPLICATION APPROVAL
This application is not a permit until
tormntlon 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 elate laws regu- ATTENTION
Inting Conet"Cuon; and In doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the stale of Washington THIS PERMIT
relatlag to Workmen's Compensation Ibsurauce. AUTHORIZES
ONLY THE
NOTE: Permit limit One Year (Except DEMOLITIONS whlch WORK NOTED
.hallbe completed In ty days; ITOYED-IN BUILDINGS shall be com-
plete 1 1n six months.)
INSPECTION
81ONA URE OWNER GE T) DEPARTMENT DATE SIGNED
R i
signed by the Building Official or his Dep -
Uty; and fees are paid, and receipt is aC-
knowledged in space provided.
D SIGNATUR
7 I,.i,. 'ir•� Z' ( I CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Cheek Pee 775-2525
t
------
ATE
]FILE
This Permit e. work to be dune un prlt'ule property ONLY.
Any constructlan on the public data (curbs, efdC.Zk., driveways,
mureures, etc.) will reaWre eenarate permiselon.
i
I
BUILDING DEPARTMENT
u� PERMIT 5, 1 -'
ZONE / NUMBER � wl.- 1)
!
PERMIT APPLICATION
I Iitipe Beatty LmeB
GB /-
ADDRESS
l7 l
NAME OF HUBlNEBB)
! 1 r, fT
NAME (OR
i'_.r� (_nJ
PEItMleelBLE ACTUAL
IAT COVERAGE �4 LOT COVESYAGE �1/`
y
I.v: ,•+N
AILING ADDRESS
V •
;Cr,
I{j
PERMISSIBLE HE[at T PROPOSED ISEIOHT
TELEPHONE
NUMDEA
ACTUAL LOT AH A TOTAL BLDG. AREA
E7
I
{
CITY
i"� v to .:}:, 4:•�
1 - Z 1 ( `�
REQUIRED YARDS PROPOSED YARDS
_ 1
FRONT SIDE REAR FRONT SIDE: RF.AA
t
NAME
:� `� ' ate,,)
�
LEGAL LOT VARIANCE OR CON ITIONAL 8E
W
ADDRESS
p YES ❑ NO PERMIT NUMBER
N
PLANNING DEPT. -APPROVAL
CITY TELEPHONE
NUMBER
1 -
1
I
STREET R/W
�•� LT. DEFICIENCY THIS PROPERTY
EXISTING STREET R/W .......
NAME
11 �
COEiP, PLAN BT. R/ r.J/f �•�. J-.1...FT.
,
., v_ bCyVQ•'
REMARKSIl.•d ,/Lyl �i�C�I1 i?$ (lilt to ('\(.ficel l,ll(.1 �: ('
w
1
I
ADDRESS
,�
lrllit t'r1 ;,FOCI ., •+ rf:l ti Cid Ncl nl•: 1':. 1�0. 71.i
t
O
�
CHECKS, BY
e
C
E•
CITY TELEPHO
£ NUMBER
� te�r�GllZYtt�)il \11 f711dG�_F�1)nl
I ► i , I
''
VI
NUMBER
CITY LICENSE NUMBER'Pj
METER SIZE SERVICE 814E CLEARANCE
I
C KD EBY
I J
pt
�
STATE LICENSE
I I
i
Legat Description of Properly (Show Below or
Attach Four Copies)
/!
.%j
1-'7111111-
/,-�, •rte,_. C?t, 4 n„w�l-1 oV s -TYPE
CONNECTION E E BY
I
'i
P��
,
T
PEItC. TEST PERMIT NUMBER
y.
'
D I'
m
W
� 7
Liv U
REAtARK9
1
.7
FIRE ZONE TYPE CONSTRUCTION STREET IMPROVED
_
1
I .
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
I
,
0 RESIDENTIAL
6A8'
LINE
❑ YES
NEW
PLL6.tj CHECrVl) BY THIS SITE IS LOCATED IN THE CITY -
'
❑ NON-RESIDENTIAL
SIGN
/
�Ii //A, BE CODED 3104.SALES TAX
ADD
KING
SHOULD
I MA'f� /
R
•. .
❑ DEAIOLIB[i ❑ WALL
/ ,,J C /
FENCE
/RK
%[- (- .(" %KX!'4 !V/✓'.,
��-�-f
j�--'
ALTER EXCAVATE
.
❑ OR FILL (......_..X_ ........
. • I
I,�If
//
,
-�
REPAIR ❑ PRE•MOV£ SWIM
INSP. POOL
•f I4
.Gr---� l •W7 �L % -
_ /
�" (J
-
NUMBER OF STORIES NUMBER OF
_J
` DWELLING I
�{ y�'G.�QW'L>-(, I UNITS `
NATURE F WORKtT BE DONE
tOI�.
Valuation
Fee Receipt
No.
'
` `\ ✓
Plan Check No....___...._.....
BUILDING
•�` µ (o :J. Q ae
/� r- :l u
/ tl
1
1
q
,q
PROPOSED USE
PLUMBING
rti�J O
'
U
aPLOT
PLAN (Indieato Building setbacks, ¢butting streets)
HEAT & GAS LINE
5
7r _7
FENCE
(
SIGN
^•--
{ ��
RETAINING WALL
'
a
SWIMMING POOL
1
DEDfOLITION
'
j t.'(
PRE -MOVE INSPECTION
�
'I
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read t61e application; that urs In-
formation given is correct: and that I am the owner, or the duly author-
ised agent of the owner. I agree to comply with city and state laws regu.
ATTENTION
APPLICATION APPROVAL
'
latingconstruction; and In doing the work authorised thereby, no person
I
will be employed In violation of the Labor Code of the State of Washington
TRIS PERMIT
This application is not a permit until
relating to Workmen's Comptnsathat Insurance.
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-
ahall'be completed In ninety days: MOVED -IN BUILDINGS shall be coin.
Imowledged In space provided.
j
pleled In six months.) `•• 1
, -) ".--
SIGNATURE (OWNER OR AGENT)DATE BlONED
i
INSPECTION
DfRECTO WSIGNATU -
i
DEPARTMENT
...
F''
CITY OF
. , J.G•;:!..i'.t�-�t.L.._:
.-..__.
EDMONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
IT. I'ermll a•¢vere wa rk 1¢ br done ¢n private property ONLY.
Any construction ¢n ihs public domoln (curb', sidewalks, driveway.,
marquees, etc.) w111 rr,.re veI.-ut. perndselsn•
775.2525
INSPECTOR
- yr
1
i
1