750207.pdf{ USE PERMIT C 1(
BUILDING DEPARTMENT Applicant rill ZOO' INA- NUMBER
�---- PERMIT APPLICATION I Inside Heavy Lines 'SOD ^
ADDRESS
NAME (OK NAME OF BUSINESS)IN
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'-R-03,158"
£ItsI1tl81OLE �" ACTUAL // y
LOT COVERAGGe d / LOT COVEIQAOE
yyym MAILING ADDRESS b l
PEttAIIStlIBLE Il£IOi1T� 1•ItOPOtlEU HEIGHT u
7 � v �� a /0
CITY TELEPHONE NUMDQ4,'R/ ACSU�LOT ARARRE) TOTAL 6LU0, AREA'.•-.
7 �O l7 64d.1t F;D YARDS PROPOSED YARDS
NAME FRONT SID£ REAR FRONT iSIDE
REAR
,£GGT Alt N 'Olt CONI —Al, USF: 1
.�h.
ADDRESS pj D YF NO PF:R I NUMBER
LL , )"I, PLAN INO UEP AP('RDV Al
t CITY TELEPHONE NUlIDEH �C?
STREET R/W 0 1
((JJ EXSBTIN6 STREET R/R�C,r^ ��^ T. DEFICIENCY//THIS PROPERTY X
NAM
/� E V .V' .L..L....M. W
COMP. PLAN ST. R/ FT.
VA$ d q GL (�p A.- 1 � REMARKS Drivewa slo es not to exceed those
C ADDRESS Y P O
indicated on Standard Dwr. No. 103 w
r u .+—D��L/� CHECKED BY
CITY TELEPHONE NUMBER
T `^ 1 / C
7 �/ METEI'LE SERV CE 8IZE CLEARANCE CI C 1: BY
G 8TATE LICENSE NUMBER CITY LICENSE NUMBER td
.
Legal Description at YrQarper�l/y (Show Below -or Atttacch Four Copies)
�(TYPE CONNECTION �Nd✓L.0 �G LiE� G' / �7
t + / i1A L'/ I A4 4 MLR—C. TEST IPE Ml UMIIEA �•
REMARKS
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FIRE ZONE I TYPE OF CONSTR CT i BTREaT IMa OSVOED �
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5 . �0 SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES
RESIDENTIAL ❑ LINE ❑- /
NEW PLAN CHEC D BY THIS SITE IS LOCATED IN THE CITY
I 'x /
NON-RESIDENTIAL ❑ SIGN �—"' Of EDMONDS. LOCAL SALES TAX
ADD RETAINING SIPafARK/� SHOULD BE CODED 31 04
❑ ' DEMOLISH El WALL V V
ALTER EXCAVATE ❑ FENCE
OR FILL (..........x .......... Ft.)
• ❑ REPAIR PRE -MOVE SWIM
INSP. POOL SU/ Vr..•l%V J� /�� -S/✓Zf �N.���GV�IN `
NUMBER OF STORIES NUA[BER
OF 1
DWELLING /��!/��k4 r ^ o %7 J
UNITS Ysv�IAM.M6'C �V O�:/ • I /
NATURE OF WORK TO HE DONE Valuation Fee Receipt No, 1
Plan Check No .....................
BUILDING /F0
_
4 PROPOSED USE /
a'7G, PLUMBING /2 ,ice
7 PLOT PLAN (Indicate Building setbacks, abutting streets) IiEAT A GAS LINE 7 O�
FENCE
1
SIGN
RETAINING WALL
N
SWI51MING POOL
DEhIOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL �+�s
TOTAL AMOUNT DUE UO % 1S7
I hereby acknowledge that I have read this application; that the In. lJ e/
formation given is correct; and that I am the owner, or the duly author-
I—I agent of the owner. I agree to comply with Illy and elate laws regu- ATTENTION APPLICATION APPROVAL
lating constructloo; and In doing the work authorized thereby, no parson
will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until
retail. to Workmen's Corepe...B.. Insurance. AUTHORIZES signed by the Building Official or his De
ONLY THE g Dep
-
OTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
P,�`t be completed In Nnely days; MOVED -IN BUILDINGS shall be core. knowledged in space provided.
S six months.) _
(OWNER OR T DATE BIGNED INSPECTION I OR'B SIGNATURE ,
DEPARTMENT
CITY Or —j1 A.
Jl tied. EDMONDS DATE
NOTE:
hh , 8abjece /Plan Check Fee 5 , This Permit carr'. work h( be aa. a 775-2525
Any construct,.. on We pubtle d.maln 1, ",1 va11 properly ONLY.
marquees, etc.) velli regmre seV_teeIdew"k.. driveways, FILE
ermleslon.
V - NO
`^_ / n _.'1•'�
SPECIAL INSPECTOR REQUIRED OCCUPANOY D
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BUILDING DEPARTMENT N ApplicantFlU
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°E j;"' '1 N°vises
1
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CITY
Inside Flea�y Lines
PERMIT APPLICATION
A
ADDRESS
6A8
RESIDENTIAL LINE
El NEW
NAME (OR NAME OP BUSINESS)
-PER ACTUAL
LOT*COVEMOEIDLEs��•�-��� LOT AGE
NON-RESIDENTIAL11:1 SIGN
..j_,
t?•-'` ' .•-
{•'i', �•'�%- -
/' OF EDMONDS.
SHOULD BE CODED 31.04.
❑i
ADD RETAINING
WAIT'
RHMARKa%
MAILING ADDRESS
1
P RMIde1BLE 1iE16HTI ROP08ED HEIGHT
�� M
ALTER ❑ EXCAVATE
OR FILL � .......... Ft.)
-
ACfUA'D LOT ARE TOTAL BLDG. AxEA
'� 1 J/..
-7 ;�
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7� -.I
O
CITY
TELEPHON NUMBER
t..1 :.J.:.!_;-r�
/� �J �U L/r`"
REQUIRED YAILUB PROPOSED YARbd
Valuation
Fee Receipt No.
I i
Plan CheckNo ....................
FRONT BIUE REAR FRONT BIDE REAR
....` •-/ .�
NAME
z• 'll / �y '� ���! � C -
It
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BUILDING
LEGAL LOT VAIiLANC' Oli CON7JI ]ONAL BE
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ADDRESS
.},],YE9 Q PERFtI� NUMBER L';
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-NO
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PLANNING EP-. APYRO `AI{.�, �� 17j �-- .ATS'
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HEAT & GAS LINE
C
CITY r TELEPHONE NUMBEli
Jn�
�lf
STREET R/W
EXISTING STREET R/W .r..�. t -r./ DEFICIENCY THIS PROPERTY
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`NAME
COMP. PLAN ST. R/tt•S,..... .'FT.I .....FT.
PENCE
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,
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ADDRESS
REh1ARKe jricrn*.;w slap-. :,t L tb excC-Ietl t:)0:3i•
S
1
SIGN
�, _a�•" R;.I:. s. .1.D3
i t,d; c,.r.� '� 1 ^:+n,i�pid
y
t$i
TELEPHO E NUMBER
..
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N
',
CITY
t I
i •.. } ( ,))-., ,
O
METEl; SI'Lfl SERVI'CE SIZE CLEARANCE
CHECKED By
PRE -MOVE INSPECTION
STATE LICENSE NUMBER
CITY LICENSE NUMBER
:
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pgll
1 ` eS� (� S 4/
xEMAItKB
I hereby aeknawledge that I have read this application; that the In-
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Legal Desertptlon o[ Property (Shaw Bclow or Attach Four Copies)
'
l
•�
- 1
lard client of Ill. owner. I agree to comply with city and elate law, regu-
ATTENTION
f / G `� 1 �!y rN/ Sfl,..0 ��,�.•
TYPE CONNECTION BY•
V�RIFIJJE
lat..g construction; and In doing the work authorized thereby, no person
t+
f 'it_/ �� •'�'i {'� L,f( wYA
1
I
will be employed In violation at the Labor Code of the Biala of Washington
THIS PERMIT
This application Is not a permit until
PEIt ST PERMIT NUMBEft
S
l �q•
I
W
1
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is SO
..
.hall be completed In nlmity days; MOVED -1N BUILDINGS shall be come-
knowledged in space provided.
pleted In six months,)
-
tl10NATUR, (OWNER OIL AGENT)DATE SIGNED
YC7
J
DIRECTOR•B SIGNATURE ;.
)
FIRE ZONE TYPEBTR C T T OVED
I
i
j
,!;
V - NO
`^_ / n _.'1•'�
SPECIAL INSPECTOR REQUIRED OCCUPANOY D
i
❑YES D.NO
�-„ r J" -..j
I
CITY
'.
6A8
RESIDENTIAL LINE
El NEW
PLAN CHECKED DY
THIS SITE IS LOCATED IN THE
LOCAL SALES TAX
NON-RESIDENTIAL11:1 SIGN
..j_,
t?•-'` ' .•-
{•'i', �•'�%- -
/' OF EDMONDS.
SHOULD BE CODED 31.04.
❑i
ADD RETAINING
WAIT'
RHMARKa%
DEMOLISH
❑❑
FENCE
:/ i ..:'�" .. ./. .;
C /:'i/i--j j '/<.. I. /(j •.i -.�
ALTER ❑ EXCAVATE
OR FILL � .......... Ft.)
'.
REPAIR ❑ PRE -MOVE ❑ SWIM
INSP. POOL
J:,�!_:.: ,-.'.: /, 1 /jf % •' Z- J /� .r,t fL ::•'I7�r...J ,j-
I
NUMBER OF STORIES NUMBER OF
DWELLING
7� -.I
•./-lt_. O/�) 7
I �.
`}...-r9....(..._..._.-.. UNITS
I
t..1 :.J.:.!_;-r�
, I
NATURE OF WORK TO BE DONE
Valuation
Fee Receipt No.
I i
Plan CheckNo ....................
....` •-/ .�
.7
1 1 _ ') l vf•.✓!'!^'�r-(..L'
BUILDING
[O
4 PROPOSElD
PLUMBING
a
/ -
O
PLOT PLAN (Indicate Building setback., abutting street.)
HEAT & GAS LINE
PENCE
I
SIGN
RETAINING WALL
I
N
t I
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
-
/,j i;:% '• / h
TOTAL AMOUNT DUE
I hereby aeknawledge that I have read this application; that the In-
l ,/'
r
formation 61vsn Is correct; and that I one, the owner, or the duly author.
lard client of Ill. owner. I agree to comply with city and elate law, regu-
ATTENTION
APPLICATION APPROVAL
lat..g construction; and In doing the work authorized thereby, no person
1
will be employed In violation at the Labor Code of the Biala of Washington
THIS PERMIT
This application Is not a permit until
I '
relating to Workmen's Compensation Insurnnu.
AUTHORIZES
signed by the Building Official or his DOp-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is SO
..
.hall be completed In nlmity days; MOVED -1N BUILDINGS shall be come-
knowledged in space provided.
pleted In six months,)
-
tl10NATUR, (OWNER OIL AGENT)DATE SIGNED
INSPECTION
DIRECTOR•B SIGNATURE ;.
)
I
DEPARTMENT
j
,!;
-
CITY OP'
.�
• 3 t. ;tl . Iq
EDbIONDB
BATH -
---
NOTE: Applicant Subject to Plan Check Fee
775 -2525_.__
This i'ernlll a -k Inbo done on private properly ONLY.
Any e ... tructlao an the Public domain (turbo, eldew.lke, dri.'ewy.'
INSPECTOR
marquees, elc•) ,III require .eparalc retnde.i.n.