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750172.pdf�1 �^ BUILDING DEPARTMENT Applicant Fm PERMIT Z°"E B G NUMBER 750172 PERMIT APPLICATION inside IleaYy Lines Ta / ADDRESS NAME (OR NAME OF BUBINESB) I-� ' :Il 11Ntl ACTUAL qq , .�A,tty /Y 6/�%��! 1.aT covanaoE LOT COVE3tAGE 'E m AL O ADDRE06O 1'Flla INtl1BLF. HEIGHT PROPOSED 3iEIGHT �. ACC IA OT ARK TOTAL BLDG. AREA x — O . S 9 Itt:gUiilED YARDS PROPOSED YARDS 4 F, NAME FRONT HIDI•: REAR FRONT BIDE REAR t U I.N. A I, EUT Alt ANCE Olt CONDITIONAL UBE yH ADDRESS Yt:H NO PF:ItM IT NUMDER U 'I,A N NO DEPT. A PRp AL —DA T 5 CITY U MII -. t NTREFT R/W G \Jy� EXISTING HTRFFIT R/W ............FT. DEFICIENCY THIS PROPERTY NAL! _ .. COMP. PLAN ST. R/W ............Fr. ............FT. REMARKS as A.-I...rc-F 1 t W i I CHECKED BY TU:`1 N ' UMII R MILTER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY STATE LICENSE NUMBERC1T�i10ENtl' N MBEIf IE 2 23 O 2. 9v ^ s` I REMARKS Legal Description of Property (tllww Blow or Attach Four Copies) 1 I TYPE CONNECTION VERIFIED BY -,% PERC. TEST I PERMIT NUMBER y. REMARKS M < I J FIRE ZONE 17,YPEl OtiFl CdONL / vp�I//1•�� TREET IMPROVED �E8 i p NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GiToup 'As 0 YES �NO ?j ItFBtUENTIAI. 0 LINE PLAN CHECKED Y OFI EDMONIS D5.0 LOCAL SALES TAX D NF:W/B,{ ® NON•RF.SIDFNTIAL ❑ BION /\ ADD SHOULD BE CODED 31.04. ❑ DrMo11811 WALL REMARKS �(�(/� Dir-��•��/� AI.TFR ❑ OIL FILL EXCAVATE ❑ FENCE ..........M.) )t�� //,,�//11t•J��V/'31/r"J O�F �eI1V(7�1r • �-�/ Ej REPAIR ❑ PRE LOVE ❑ POOL &, , W O l�-1� I eL V I1 I NUA1lll:lt OF HTORIEN NUMBER OF DWELLING UNITS NA Olr WO 'f DANE Valuation Fee Receipt No. Plan Check No... .................. z BUILDING PROPOSED USE PLUMBING O 1'1.0•, PLAN 0.111cnlo Dullding setback., abutting streets) HEAT A GAS LINE n FENCE If SIGN 1 RETAINING WALL If SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION I EXCAVATION OR FILL1 I 1 I hereby acknowledge that I have read tate application; that the In- TOTAL AMOUNT DUE /2 mven Is CorrJ (.,all.. giect; and that I am the owner, or the duly author. Ized ¢Rent of the owner. I agree to Comply with city and slate law, regu- ATTENTION APPLICATION APPROVAL laling tonetMe"On; and In doing the work autleorized thereby, no person will be employed In and or the Labor Code of the State of Washington TIUS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES ONLY Tsigned by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED Sty; and fees are paid, and receipt Is ac - shall be completed In ninety days; IIOVED-IN BUILDINGS shall be com- Imowledged in space provided. 1 pleted In six months.) dIONATUItE (O O GE DAT L-�6 D INSPECTION DIRECTO 01aN - ' DEPARTMENT V - ✓% CITY OF DATE EDMONDS NOTE: Applicant Subject to Plan Check Fee _ a 775-2525 Tide1'ennit r.—work to be done an DrWnte property ONLY. Any construellon on the public domain (curbs, sidewalk,, dl—y.. marquees, etc.) will req Wr.....rate permission. FILE 1 a TYPE Oj`_F 'CA,ON//BTRUCTIO [� �y)/8,�,r/,R/�E�.$J{T IM1IPROVED IjC't tel(.. /�6,/ ••.1 Si/"'7 ❑ NO SPECIAL INBPECTOH REQUIRED I OCCUPANL'Z,G UP' E] YES VNO -2. PLAN CHECKED qY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX 0 IiEeIDENTIAL ❑ LA. INE dLL lJG ILK- P 73 NEN DEMOLITION •� USE PERMIT 77.E I 72BUILDING PJ C, NUMBER NON-RESIDENTIAL DEPARTMENT Applicant Fill Z° ADD PERMIT APPLICATION Inside Heavy Lines JOB i•_ r VAIs KING ' Ized agent of the owner. I agree to comply with city and state laws regu- ADDRESS DEMOLISH NAME (OR NAME OF BUSINESS) THIS PERMIT PERMISSIBLE ACTUAL LOT COVE, ALTER 1 1..' � 1 t'r.• - M lLl O D REBS' IAT COVERAGF. o YERM1SIaBiBLE HEIGHT PROPOSED HEIGHT ,[ ( z .......... Ft.) uty; and fees are paid, and receipt is ac ACTUAL LOT AREA TOTAL BLDG. AREA ❑ O C1T}�� (�•';'` / '1'� EYHONE NUMBER F REQUIRED YARDS PROPOSED YARDS REAR NUMBER Ol INSPECTION DEPARTMENT DIRECT07'� 3LGN4'UR,1E. //� FRONT BIDE REAR FRONT BIDE NAME DWELLING UNITS I CITY OF DATE 1 EDMONDS VA LANCE OR NUMBERNDITIONAL USE LEGAL0 LOTI] Applicant Subject to Plan Check Fee IU.1 A t tl YES No PERMIT 775-2525 -yiy+ This Permit covers work to be done on pMvnt. property ONLY. PLANNING DEPT. APPROVAL DATE: •• -V• CITY TELEPHONE NUMBER O, t STREET ' marquees, etc.) will regmre separate permission. I f EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY G ST NAME I n COMP. PLAN ST. R/V.' ............FT. REMARKS zOz CHECKED BY TELEPHONE NUmu -y%r r-",l"fir m I /— y/•_�Q �J f METER BILE SERVICE SIZE CLEARANCE CHECKED BY W STATE ICENSE NUM1IHELL TY LICENSE NUMHEIt I I I 23 'l RE /S Legal Descrlpllon of ProportY (Show Below ar Allnch Four Coplee) l .• TYPE CO N OTi N VERIFIED BY �W ` nA) Sa PERC. TEST �`>jRMIT NUMBER a,y m X REMARKS ., a TYPE Oj`_F 'CA,ON//BTRUCTIO [� �y)/8,�,r/,R/�E�.$J{T IM1IPROVED IjC't tel(.. /�6,/ ••.1 Si/"'7 ❑ NO SPECIAL INBPECTOH REQUIRED I OCCUPANL'Z,G UP' E] YES VNO -2. PLAN CHECKED qY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX 0 IiEeIDENTIAL ❑ LA. INE dLL lJG ILK- P 73 NEN DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL NON-RESIDENTIAL ❑ slax �__r/2- TO I ADD . tiongiven to correct; and that I am the owner, or the duly author- VAIs KING ' Ized agent of the owner. I agree to comply with city and state laws regu- ❑ DEMOLISH ❑ THIS PERMIT application is not a permit until ALTER ❑ OR°FIIs E ❑ ( z .......... Ft.) uty; and fees are paid, and receipt is ac REPAIR ❑ PI EP. 0VE El POOL NUMBER OF STORIES NUMBER Ol INSPECTION DEPARTMENT DIRECT07'� 3LGN4'UR,1E. //� 11417.)—xx DWELLING UNITS I CITY OF DATE 1 M FIRE ZONE �1-- TYPE Oj`_F 'CA,ON//BTRUCTIO [� �y)/8,�,r/,R/�E�.$J{T IM1IPROVED IjC't tel(.. /�6,/ ••.1 Si/"'7 ❑ NO SPECIAL INBPECTOH REQUIRED I OCCUPANL'Z,G UP' E] YES VNO -2. PLAN CHECKED qY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX "�� r SHOULD SE CODED 31.04. - REMARKS / - �' //le— ��y/ r•-�•� /'-/ ) dLL lJG ILK- P 73 DEMOLITION NATURE OF WORK TQ BE DONE Valuation Fee Receipt No. l � i .. /.p �` / � /.' - .•.y .r ,.-.:.. .T' Plan Check Na._ .................. I 0 ' BUILDIN&-75oi PROPOSED UBE PLUMBING a PLOT PLAN (Indlcnto Building setback., ...atop W. -t -)HEAT k GAS LINE 7 i 10 ZCJ tl FENCE SIGN RETAINING WALL N SWIMMING POOL , DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE �__r/2- TO I Ihereby acknowledge that I have read this application; that the . tiongiven to correct; and that I am the owner, or the duly author- ' Ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL lating construction; and 1. doing the work authorized thereby, no person in vtolntlan o[ the Labor Code a[ the Blnle o/ Weahinglon THIS PERMIT application is not a permit until will be employed relatlpg to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - ONLY TILE uty; and fees are paid, and receipt is ac NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED knowledged in apace provided. .hall be completed In ninety days; MOVED -IN BUILDINGS shall be wm- pleted In el: month..) 31CNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT DIRECT07'� 3LGN4'UR,1E. //� 11417.)—xx CITY OF DATE 1 EDMONDS Applicant Subject to Plan Check Fee NOTE: 775-2525 This Permit covers work to be done on pMvnt. property ONLY. •• Any construction on the public domain (curbs, sidewalks, driveway., INSPECTOR marquees, etc.) will regmre separate permission. I f