750232.pdf1 L ... I Descrinuon of Pronertr (Show Below or
NEW
RESIDENTIAL
NON-RESIDENTIAL
❑
❑
GA8
LINE
SIGN
❑ YE8
PLA/N�
ADD
ALTER
E]
❑
DEMOLISH
ORFILL❑
❑
RETAINING
fENC t..........Pl.)
A]
I
❑ REPAIR
❑
NSP -MOVE
❑
POOL
(UMBER OF STORIES
NUMBER OF
•Sr
•7 % (O
PERMT
°� NUMBER 750232
PLUMBING
BUILDING
DEPARTMENT AppllPBnt Irlll
e — I
UNITS
_
PE IT
APPLICATION I Inside Heavy Linea
JOB
ADDRESS
HEAT A GAS LINE
Gn G
�
N E OR NAME O SINESS)
(
�—
jzle
PENCE
/
/
��•` C
PERMISSIBLE % ACTUAL % D
IAT COVERAGE .2 D)� LOT COVERAGE -L.— /�
G GCi G
t/ T- �j 21�%
Mkt[{1[
�'�J
N6 A
EBB, /
PERMISSIBLE HE1gt PROPOSED HEIGHT.2' I
i
C
r
7/J
ACl AL LOT AREAJJ�J TOTAL BLDG. AREA
► o00 a��a
TTFz,,,
S
'j
i
CIT
TELEPHONE NUMBER
!
c ���c
REQUIRFA YARDS PROPOSED YARD
W
EXCAVATION OR FILL
FRONT SIDE REAR FRONT BIDE REAR •
;;
AME
TOTAL AMOUNT DUE
f.�
1 hereby acknowledge that I have read this application; that the In-
L L LOT VARIANCE OR CONDITIONAL USE..
W
ADDRESS' 8
/
(�
EB NO PERMIT NUMBER
L A
,
!I
ATTENTION
V
J G/C;
/
PL O A P it
J'r/
will be employed In violation of the Labor Code of the Stale of Washington
THIS PERMIT
CITY
/ TELEP11UNE NUMBER
relating to Workmen's Compensation Insurance.
AUTHORIZESSigned
by the Building Official or his Dep-
I
NOTE: Permit Limit One Year (E—pt DEMOLITIONS which
ONLY THE
uty; and fees are paid, and receipt Is ac -
�—. 21
REE /W
VI 6 STREET R/t1`{'..e..... DEFICIENCY THIS PROPERTY
NOTED
knoTfed in space provided.
I iste a .1. ..at
AME
^
COMP. PLAN BT. A/Rr-1:,/1 4Si•''4�t4S'. ...t,/.....FT.
W
f
DARE R'S
GNATURE
/3-75
REMARKS Driveway slopes not to exceed those
...- I
!'
OADDRESS
CITY or
EDMONDS
1W
AT
--This
Lip—
indicated on Standard Dwg. No.
1 OEEC
W
775-2525
Thisrental c cork to be done on private property ONLY.
BY
Any rn..Inlrllmll na lhr I bllc dmmnin 1-6, nIA,•n'nik., drl--Y.,
F1LF.
c�
rvl,: r,-• rl, .. .iii rep"r,eepnrnl.' I"r n:l.•I.n.
TELEPHONE NUMBE
Rt►(YRND
VRING ,
IRy
1
METER SIZE ISERVICESIZE ICLEARA CE
Y
I
'
S TEICENC�j
CITY LICENSE NUMBER-//
1 L ... I Descrinuon of Pronertr (Show Below or
NEW
RESIDENTIAL
NON-RESIDENTIAL
❑
❑
GA8
LINE
SIGN
❑ YE8
PLA/N�
ADD
ALTER
E]
❑
DEMOLISH
ORFILL❑
❑
RETAINING
fENC t..........Pl.)
A]
❑ REPAIR
❑
NSP -MOVE
❑
POOL
(UMBER OF STORIES
NUMBER OF
•Sr
•7 % (O
DWELLING
PLUMBING
nom,
UNITS
_
—A / I fY-xias- 13-
R96-
NoR D OCCUPANCY GROUP
—/
THIS TE ISI LOCAT'IN E CITY
Of EDMONDS. LOCAL SALES TAN
..., ..:,� ...• ........ .� or. „w..•,
Valuation
Fee
Receipt Ne.
!
Plan Check N....•..••.•'.••
i!
BUILDING
�}�/ri C•
i j��IC
i'
rO
4 PROPOSED Us.
•Sr
•7 % (O
PLUMBING
nom,
_
C PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAS LINE
Gn G
tl
�—
jzle
PENCE
t/ T- �j 21�%
ET9IONRAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
1 hereby acknowledge that I have read this application; that the In-
formation Elven le correct; and that I aat the owner, or the duly author-
,
Ized agent of the owner. I agree to comply with city and state law. regu-
ATTENTION
APPLICATION APPROVAL
laling construction; 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
This application Is not a permit Until
relating to Workmen's Compensation Insurance.
AUTHORIZESSigned
by the Building Official or his Dep-
I
NOTE: Permit Limit One Year (E—pt DEMOLITIONS which
ONLY THE
uty; and fees are paid, and receipt Is ac -
i
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
NOTED
knoTfed in space provided.
I iste a .1. ..at
Bi 011E (OLVNI�IY It AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
DARE R'S
GNATURE
/3-75
...- I
,'.� `'�----�
NOTE: Appli a)rt Subject to Plan Check Fee
CITY or
EDMONDS
1W
AT
--This
Lip—
775-2525
Thisrental c cork to be done on private property ONLY.
Any rn..Inlrllmll na lhr I bllc dmmnin 1-6, nIA,•n'nik., drl--Y.,
F1LF.
rvl,: r,-• rl, .. .iii rep"r,eepnrnl.' I"r n:l.•I.n.
e
N
.41
r
,
.� NC � t•
S/,, 0�
1 /
1
W
25 * .
N
RAl
-77
Jx
rte.
•e:y o
I`
, 1-
rE