750183.pdf1
UBE PERMIT j
NUMBER 750183 i
BUILDING DEPARTMENT Applicant FIR
ZONE
1
PERMIT APPLICATION InBido Heavy Lines
r --j
ADDRESS
NA E t/O1R NAME ON SUe1NE88)
`r1 / !!!
� ACTllAL /�
o6^1 �• ADAM
LOT COVERAGF. LOT COVEIlAOE
LOTC VERA
AILING ADUREBB
YE1N71SSIDLE }IEIOIIT PROPOSED HEIGFT o
-
t
� ¢,3o¢ 77tH Pl. k/. s
TOTAL LDG. AREA Yj i
CITY
TELEPHONE NUMIIER
ACTUAL LOT AREA �Fj. ;
EDAIOA/p wA.
76 - 3
REQUIRED YARDS PROPOSED YARDS
FRONT BIDE REAR FRONT BIDE REAn
NAME
i
A(VAR ANCE OR CONDITIONAL USE
LOT
.I
ADDRESS
❑LEYGES, 0 NO PERMIT NUMBER
i
yi
PLANNING DEPT. APPROVAL DATE:
�
•
O
CITY
NUMBER
(TELEPHONE
STREET R/tV
EXISTING STREET R/W ............Ff. DEFICIENCY THIS PROPERTY
t7
C
NAME
COMP. PLAN ST. R/W ............ IT. ............FT.
!V
1� ,
/1[,al/
t•J NE R
REMARIfA
C
ADDRESS
al
CHECKED HY
f4
CITY
TELEPHONE NUMBER
1`
p
I
METER 131ZE SERVICE 812E
CLEARANCE
CHECKED BY
V
STATE LICENSE NUMBER
I CITY LICENSE NUMBER
I
I
I
REMARKS
Legal Description or Property (0how Below or Attach Four Copies)
n -r R to rK 3
TYPE CONNECTION
VERIFIED BY
� I
r C c
LAKE $ALL 1, /CFR PO/hrz, 5!T` S 8L„/j
I
PERC. TEST
PERMIT NUMBER
I
W
oL v m6 OF PILAM PAGE
m
REMARKS
/J/A
FIRE TYPE OF CONSTRUCTION ST IMPROVED
j
13REET
(!J/1�1/'• .)rV/'F_• �• YES [3 NO
I I
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP".
[3 YES VNO
I V
RESIDENTIAL
6A8
E]LINE
NF,W
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
SALES TAX
❑ NON-RESIDENTIAL
BION!
E]O
LOCAL
SHOULD BE CODED 31.04.
F 1E DI
i
ADD ❑
DEMOLISH O WA�NINC
REMARKS /
6AIU Sd�,a cQ7ro�/ REQD
'
ALTER EXCAVATE FENCE
E:] OR FILL (..........x .......... Pt.)
PN E- OVE SWI
ai:_� S. (r aoa
REPAIR ❑ POOL
O
l ../0 /a/
�
NUAIDEI2 Oe' STORIES I NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO HE DONE
Valuation
Fee
Receipt No.
-
Co;�yERI' eAR P�Rr To GARnCF
Plaa Check No .....................
y11
_
HUILDIN6
PROPOSEUSE ` r
PLUMBING
W
cl
O
—POOT PLAN (In Cato Bull Ing a I acks, abutting Tell
I O
HEAT & GAS LINE
I
FENCE
-
U v
' 1
SIGN
RETAINING WALL
N
I
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
-,
EXCAVATION OR FILL
TOTAL AMOUNT DUE
that
I hereby acknowledge that I have read this application; that the In•
tormutlon "Ivan Iscorrect; and that I am the owoer, or the author-
Ized agent of the owner. I agree to comply with city and .tat* laws raga-
ATTENTION
APPLICATION APPROVAL
Iating construction; and In doing the work authorized thereby, no person
'
will be cmpiaycd In vlolntian of the Labor Code of the Slate of Washington
THIS PERMIT
This application is not a permit until
trialing to workmen's Camp .... INA 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-
sball be completed 1. ninety days; MOVED -IN BUILDINGS shall be corn.
knowledged In space provided.
vleUd In I. month,.)
E
816 T'UI ER olt A T7 DATE SIGNED
INSPECTION
DIRECT BIG T RFS
C'
l
�3
DEPARTMENT
CITY OF
EDMONDS
775-2525
DATE
NOTE: Ahplicd7ff Subject to PIdD Cbcck Fee
Thla 1'ennit cork lu be done an prlrate properly ONLY.
Any co nelrucliau on ll,e I- c dumuln (curb., sidewalk,, drh'*x'ay,,
FILEmarquee.,
etc.) will require separate perml.,lon.
PERMIT
ZUSE ONE NUMBER 7 `V j ') 3 '1
BUILDING DEPARTMENT I Applleant FLU r�7 /.+
PERMIT APPLICATION Inside Heavy Linos JOB
ADDRESS /) '%I/.I //
NAME (aR NAME OF BUSINESS) v / ""�14- lllJJ" i
1 ^ ,,.. PEHMItlBIHLE me ACTUAL
/� �� , /1 I) /i I,�.'1 LOT COVERAGE LOT COVERAGE
m MAILING ADDRESS / 1 1 f PERMISSIBLE HEIGHT PROPOSED 1iE16HT
ACTUAL LOT AREA TOTAL BLDG. AREA
CITY TELEPHONE NUnMHBR as
7 G — ' (q 7,j —REQUIRED YARDS PROPOSED YARDS
N NAME v FRONT SIDE REAR FRONT BIDE REAR
U i
LEGA I. LOT VAHIA N CE OH CONDITIONAL USE �.'
p ADDRESS YEe NO PERMIT NUMBER 1
MC CITY TF• "o.,,,.,.. ur,u acre
NAME
0 wtyE h'
IS ADDRESS
cUe
CITY I TI
z
U
STATE LICENSE NUMBER I C:
Legal Description o[ Property (Show Below or
O
211ni unir I�/ (�l= AL.Ar
O
I'LANNINO ➢ETT. APPROVAL DATE:
STREET R/W 1
EXISTING STREET R/W ............FT'. DEFICIENCY THIS PROPERTY l
COMP. PLAN ST. R/W ............FT. ............FT.
REDIARXB ..
BY
ETER SIZEI j SERVICE B
CLEARA CE I CIS CXED H Y
EARKS
M
YPE CONNECTI N
VE FIED BY
ERC. TEST
I P ALIT NUMB
This Permit. rovrrs lurk to I. done an private property ONLY.
Any construction on lira public domain (curbs, old—Wks, drHeways,
marquees, etc.) x'111 require aePwalc psrmiselon.
5"60
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-
knowledged in apace provided.
INSPECTOR
r
❑ YES_ _-_O. NO
TOTAL AMOUNT DUE
SPECIAL INSPECTOR REQUIREDOCCUPAN'C�YI�GROUP
formation given Is correct; and that I am the owner, or the duly author-
❑ YES 'in
—CHECKED BY
I
LOCATED IN THE CITY
As
L LINE
Ell.!H.E.T.A
NEW
THIS 1'ER1fIT
PLAN THIS SITE IS
OF EDMON DS. LOCAL SALES TAX
NON-RESIDENTIAL SIGN
NOTE: Permit Limit One Year (Except UF•HOLITIONS which
SHOULD BE CODED 31.04.
ADD ❑ DEMOLISH O RETAINING
WALL
REMARKS 1
GC 5. ��= iro�l R&OD
ALTER ❑ EXCAVATE FENCE
OR FILL (.........s..........Vt.)
IIGNA�UREl(OWNER Oft AGENT) DATE SIGNED
INSPECTION
PRE -MOVE swim
�'l�• / (. �6U' )Y/ -%���
❑ REPAIR ❑
'NSP. POOL
❑
EDMONDS
r ��/'-� •
NUMBER OF STORIES NUMBER OF
DWELLING
- '• /
��
I UNITS
NATUR WOR7K TO HE DONE
Valuation
Fee Receipt r
/E 1'OF
l� C�l� ��J f A ^
I i O /�•!+�/11�-C
r'
�0/V V i I !{
Plan Check No.... .................
p
BUILDING
C lY'e/ •���
PROPOSE USE
,
PLUMBING
<'=r'�--r �/ ill ,f.� • , ,,y �:���� � IN
PLOT PLAN (Indlento Building; salbneka, abutting je (y�te)
r
{/ un U U
HEAT & GAS LINE
A— 0
C� �"
FENCE
-
SIGN
tRETAINING
WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
This Permit. rovrrs lurk to I. done an private property ONLY.
Any construction on lira public domain (curbs, old—Wks, drHeways,
marquees, etc.) x'111 require aePwalc psrmiselon.
5"60
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-
knowledged in apace provided.
INSPECTOR
r
TOTAL AMOUNT DUE
I hereby acknowledgo that I have read this application; that the in.
formation given Is 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
lating construction; and In doing the work authorized thereby, no person
th
Willbe employed In violation of e Labor Code of the State of Washington
THIS 1'ER1fIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except UF•HOLITIONS which
ONLY THE
WORK NOTED
shall be completed In Wooly day,; MOVED -IN BUILDINGS Shall be com-
pleted in al% months.)
IIGNA�UREl(OWNER Oft AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
'CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Cbeck Fee
775-2525
This Permit. rovrrs lurk to I. done an private property ONLY.
Any construction on lira public domain (curbs, old—Wks, drHeways,
marquees, etc.) x'111 require aePwalc psrmiselon.
5"60
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-
knowledged in apace provided.
INSPECTOR
r