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750217.pdfy� N a� U I L D I N G DEPARTMENT Applicant FDI ° 'S — 1 NOMnETII 750217 PERMIT APPLICATION I Inside Heavy tinea NAME (OR NAME OF HUSINEBs) Per Naess MAILING ADDRESS 18919 - 81st Avenue West CITYTELEPHONE NUMBER Edmonds. Washinaton 1-778-3884 Sven Helleren aADDRESS P.O. Box 374 CITY I TELEPHONE NUM Edmonds, Wa STATE LICENSE NUMBER I CITY LICENSE NL 223-01-7219 Legal Description of Property (chow Below or Attach Four Cop Lot 10, Block L, Oscar E. Jensen's JOB 117 ADDRESS 18919 -81st Avenue West PERMISSIBLE "/o ACTUAL 1}� LOT COVERAGE -36'Dj 1. (T LOT COVAAAOE PERMISSIBLE PERMISSIBLE HEIGUTT , I—P—D HEIGHT/ �j I—POSED HEIGHT,& METER SIZE I SERVICE SIZE 1, �C. 21 L T AREA TOIr BLUO. A I I lo�ACTI1 R Q IR :D YAItUH PROPOSED YARDS l�� FROM' SIDE REAR FRONT SIDE REAM 21s, for 2-5 r 4D 1,12 <1 16 ' LEOGAAI. LOT VARIANCE t CONDITIONAL US CYYEll 1"l NOI a PERMIT NU )!ER NN DEPT PRO -AL 117 IMET R/W EXISTING STRF. R/W ..........FT. COMP. PLAN ST. R/W ............Fr. DEFICIENCY THIS PROPERTY ............FT. REMARKS -Q oznEll ��J11 (jr CIiECKE.._ D NY (NE�CJKE�D_ METER SIZE I SERVICE SIZE I CLEARANCE H�� I RUMAARKS No TYPE CONNECTION VERIFIED HY PERC. TEST PERMIT f&IBER REMARKS /y� ® RESIDENTIAL NON-RESIDENTIAL d ni Plan Check No ..................... -Q oznEll ��J11 (jr ..•%77 I [r 4 PROPOSED USE VV No PLUMBING SPECIAL INSPECTOR IREN/ OCCUPANCY GROUP NEW ® RESIDENTIAL NON-RESIDENTIAL ❑ OAS LINE SIGN C] YES PLAN CHEC O ,e' —/ D Y THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULDBEC DED 31.04. I� I ADD '7C ALTER ❑EXAV ❑ T ORCFILL E ❑ RETAINING tWALL PENCE .x .......... I, ,,/)ARx O,Yr.77�a.J i'�//Jd C, !%73 REPAIR ❑ NSPafOVE El swim POOL C( �/J w 6 /(/ �/� /✓C" ��G /� fUTIBER OF STORIES NUMBER OF SIGN tRETAINING WALL DWELL NO N UNITS SWIMMING POOL nATURE OF WORK TO BE DONE DEMOLITION I Valuation I Fee Rceclpt r..t_—.a .. .. '71 GIt EXCAVATION OR FILL d ni Plan Check No ..................... -Q BUILDING ��J11 (jr ..•%77 I [r 4 PROPOSED USE VV PLUMBING V aPLOT PLAN (Indleato Building setbacks, abutting streets) HEAT R GAS LINE b FENCE l SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL J TOTAL AMOUNT DUE I hereby acknowledge that I have recd this appllc¢tlon; that the In- I / Q v formation given le correct; and that I am the —er, or the duly author - ,zed agent of the ¢wner. I agree to comply with city and elate Iowa -go. ATTENTION APPLICATION APPROVAL lating conatructloa; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the slate of Washlogton THIS PERMIT This application is not a permit until relating to Workmen's Compensation 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- ehali be completed to ninety days; MOVED -IN BUILDINGS shall be win. kn dged in space provided. , pleted In six months.) SIGN_ tiE IOWN It Olt AGENT) DATE SIGNED INSPECTION RE el AT HE ( _ DEPARTMENT i t/ CITY OF I EDMONDB ATE NOTE: Applicant Subject to Plats Cbeck Fee _.---- 775-2525 This Penult cu work to be done on private properly ONLY. 1 Any eenelruellon on the public domain (curbs, eldewNks, driveways, marquees, etc.) will require separate permission. FILE d ni DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 7 1 I hereby aeknowledge that I have read this application; that the In- tormnllon given le correct; and that I ana the owner, or the duly author- Ieed agent of the owner. I agree to comply with city and state law. mgu- ATTENTION APPLICATION APPROVAL telling const actlan; end in doing the work authorized thereby, no person i' will be employed In Violation of the Labor Code of the Stale of Washington THIS PERMIT This application Is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep- ONLY THE Y uty; and fees are paid, and receipt is Be � NOTE: Permit limit One Year (Except DEMOLITIONS which WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. I -,eted In six months.) DATE SIGNED IIaNATUItE (OWNER OR AGENT) INSPECTION j DIRE On: 816NATURE — DEPARTMENT CITY OFDATE ED11fOND8 t : J NOTE: Applicant Subject to Plan Check Fee 775-2525 This P -mit c cork to lie don n Private Property ONLY, / Any cunni ructlan on the public d—= (curb., std—Ills, delyew"s, INSPECTOR { marquees, etc.) will require .ell—Ic p—nI. ion. - 1 II USE PERMIT / �. �. BUILDING DEPARTMENT Applicant F►ll I502I ZOITE 7 1-- NUMBER / l� PERMIT APPLICATION Inside Ilenvy Llnae JOBl ADDRESS n'/r-�f�i 51- NAME (OR NAME OF BUSINESS) ACTUAL PEIthIItltl ISLE CTn LOT COVERAGE � LOT COVERAGE 7�Y?Jn ()'C/, `) w MAILING ADDRESS PERMISSIBLE IIEIOIiT PROPOSED OHED 1tElHT ) I ' 1:•:i1:' ._ RI 1 /1.VenoE; 4,��sP TELEPHONE NUMBER A ARA TOTA�L :D•'F) UlO. ARI Ei.h. x '} T SP6 CITY f :Itis:?nd 5. 4lelsh I nnton �) %7P ii3f I YARDtl ..,I IR D VARUS PROP ... 11 FRONT HIDE REAR . NAME FRONT SIDE REAR 1 .�S r 1 f) R)t1 I LEGAL LOT VARIANCE OJt CONDITIONAL UBL�— W ADDRESS Pr YES NU, ER OYES ❑ NO �' yiO Y iPAT: ' NIN Tf ^RJ -• 7 f CITY ELEPHONE NUMBE R ` / �• II EXISTING 8TREF)T A/W ../ �...FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN 8T. R/W ............pT. ............FT, �w7 Sven f'ieI leren REMARKS G C ADDRESSW x -t�-X is / //1/" P.O. B., 374 CHECKED SY / CITY TELEPHONE NUMBER I Z V Edmonds, Vla I METER )12Iy V VICE 512E CLEARANCE ECKED BY .. STATE LICENSE NUMBER CITY LICENSE NUMBER ' 223-01-7219 I REMA Legal Description of Properly (Show Below or Attach Pour Cople.) Lo't 10. Block L, Oscar' E. Jensen's TYPE CONNECTION ERI E ! /Y Ad d i t 1 on . FERC. TEST PERMIT ri IBER pt n w REMARKS m ; O' &W 1 FIRE ZONE TYPE OF CONSTRU ION STREET IMPROVED w rj /-i I j� "/✓ ORrEe Ll NO i SPECIAL INSPECTOR RJQUIRED OCCUPANCY GROUP 1 ® CA9 El ❑ YES Y 15 LOCATED IN THE CITY NEW RESIDENTIAL LINE PLAN CHECKED THIS SITE ED TAX ❑ NF ON -RESIDENTIAL 1:1 SIGN (tet h.� SHOULD BE CMONDSODED 3104.SALES ADD RETAINING/IRKS/r WALL - ❑ DEMOLISHLi EXCAVATE FENCE ALTER ❑Ej REPAIR ❑ PRE -MOVE SWIM❑ INSP. POOL i'v i� %G — %/I T/+' ; �: Z� / •>/Sf'.'rr' �' NUMBER OF STORIES NUMBER OF DWELLING I UNITS NATURE OF WORK TO HE DONE V¢lu¢tlon Fee Rceclpt No. i f cin f:1:'1 Pni, QJf dQF, 7 -. Plan Check N¢...................... BUILDING [G 4 PROPOSED USE -- PLUMBING HEAT & GAS LINE � � PLOT PLAN (Indicate Bu dln�yethacky,; n ullln6 etrecta) FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 7 1 I hereby aeknowledge that I have read this application; that the In- tormnllon given le correct; and that I ana the owner, or the duly author- Ieed agent of the owner. I agree to comply with city and state law. mgu- ATTENTION APPLICATION APPROVAL telling const actlan; end in doing the work authorized thereby, no person i' will be employed In Violation of the Labor Code of the Stale of Washington THIS PERMIT This application Is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep- ONLY THE Y uty; and fees are paid, and receipt is Be � NOTE: Permit limit One Year (Except DEMOLITIONS which WORK NOTED shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. I -,eted In six months.) DATE SIGNED IIaNATUItE (OWNER OR AGENT) INSPECTION j DIRE On: 816NATURE — DEPARTMENT CITY OFDATE ED11fOND8 t : J NOTE: Applicant Subject to Plan Check Fee 775-2525 This P -mit c cork to lie don n Private Property ONLY, / Any cunni ructlan on the public d—= (curb., std—Ills, delyew"s, INSPECTOR { marquees, etc.) will require .ell—Ic p—nI. ion. - 1