750238.pdft�
BUILDING DEPARTMENT I Applicant Flu
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
2Itoa�AQnDReslz , STAl
CITY T7E.L•�EPHONE NUMBER
/Sat' ( j (� ) J
PERMIT
ZONE ^ I� NUh1D/E�R 750 Gv(J
JOB
ADDRESS 2 011 1712
. Ith118HIHLE ^' (� LOT COV&GE I �[
LOT COVENAGFe
PERMISSIBLE HEIGUTQ�v PItOP,OLtlEDuIaIE2,IO2R'�'
so uw
A�TA
ATIaEA
H.QUtRED YAtt Utl FROPOHFD YAItUS
/ QI /<2//� RC. PEEel T I PERMI'j' 7 MBER
V
REMARKS
A
JFIRE ZONE TYPE OF CONS RUCTION STREET IMPROVE
/rf I _i —/�,Ee 0 NO
FRONT tlIDE RF.AIt FRONT HI UL REAI.
NAME
A A.
0 25` 150 l o s
LE 1. LOT VAIt IA NCE Oli CO U)TIONAL UHt
S NO PERhfIT NUMBER
(� t�ra AAAI
W ADDRESS
F
NI ODE T. AP
4' CITY TELEPHONE NUMBER
�- y I
ffT�!
INE /'4.T R/tV�.�......FT. DEFICIENCY RIe PROPERTY
EXISTING
(Itiwo�rr
COMP PLAN HT R/14 •*" Y, .....L�...FT.
NAME
, 1
UcE IJ Nom-
REMARKS Driveway slopes not to exceed those
indicated on Stnadard Dwg. No. 10
Cd ADDIW88
�Yt 1/-'�
�3. MA E -L M v , _()NC
SHOULD BE _
CHECKED BY
11)t
! TELEPHONE NUMBER
C CITY
T
g rylonJpS 774r-�if�
f AR
METER 812E SERVICE el C A ANCE
CHE D BY
r��_, ^
/FfV'
CITY LICENSE NUMBER
STjAT�^Et LICENSE NUMBE.R7
(�(�
a-3 -- O / — / / � 7 T _
REMARKT13
❑ INSP. POOL
'r "'W (j%
/ QI /<2//� RC. PEEel T I PERMI'j' 7 MBER
V
REMARKS
A
JFIRE ZONE TYPE OF CONS RUCTION STREET IMPROVE
/rf I _i —/�,Ee 0 NO
SPECIAL INSPECTOR REQUIRED
OCCUPANCY 0 CUP
RESIDENTIAL
GAB
❑ LINE
O YES
I —�' I'V
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
NEW
NON-RESIDENTIAL
�
OF EDMONDS. LOCAL SALES TAX
CODED 31.04.
slcN
❑ ADD
LiREaTAA,INING
REMARKSpy
SHOULD BE _
❑ DEMOLISH
&t� C/NS%ic.i/��
//C//� �L F/ i�i Cz/ / / 7
EAVATE
ALTER ❑ OR FILL El (.ENCs.......... Ft.)
PRE -MOVE
El SWIM
REPAIR
� ;—eC/�
S Z! �' L/I (•VJ
❑ INSP. POOL
'r "'W (j%
i //!Ii!
NUMBER OF STORIES NUMBER OF
DWELLING /
/ UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee
Receipt No.
/�Gys/y�/VGc'
Pinn Check No .....................
BUILDING
L�-2- $k
1�y
L PROPOSED USE
PLUMHIN6
y{ 7
�,AZ
PLOT PLAN (tndl.t. z uuu- eetbka, neabuttirc ttoot.)
HEAT A GAR LINE
417-11 L' /f 4,�J)
FENCE
tRETAINING
SIGN
WALL
-
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
[hereby acknowledge that I have read this application; that the In-ri-Wi—a
formation given le correct; and that I am the owner, or the duly suthor-
,zed agent of the owner. I .gree to —ply with City and Alois laws regu•
ATTENTION
APPLICATION APPROVAL
heti.. ....'ruction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the state of Weah(ogton
Title PERMIT
This application Is not a permit until
relating to Workmen's Compematlp Imuran.
AUTHORIZES
signed by the Building Official Or his Dep -
NOTE:and
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
fees are paid, and receipt is ac -
y'
shall be completed In ninety days; MOVED -IN BUILDINGS shall be coat-
Imowledged in space provided.
plcicd In mo
1 elx nths.)
o(
INSPECTION
DIR TOR'S BIGNATURE
B IONATU1.OWNER Olt EENT) DATE SIGNED
DEPARTMENT
CITY OF
EDMONDS
DATE e
—�� -7 -i
NOTE: Applicant Subject to Plan Cbeck Fee
775-2525
�'
This Fermtt r ark to be done an private properly ONLY.
Any eanstraetlon ou tlw Put, domain (curbs, sidewalks, driveways,
FILE
nmrquees. Steel will require .,,,.rate pennlnlan.
BUILDING DEPARTMENT` Applicant FiU
° �t\� •- l— "°'n'Ea
�~ PERMIT APPLICATION Ineldo Heavy Lines JOIE
B ,i'�. {I_
ADDRESS `i �) r '7 _. //7'r
NAME (OR NAME OF BUSINESS) r ACTUAL /
PERM ItlB]GLE ^ l) LOT COVESIAGE rJ
LOT COVERAOEe „ /,�
LIAl NO A DRE8B PEItDI1BBIDLE FIEIOIIT / PItOYOBED HEIGHT
� c `- O
_
p ) ACTUAL LOT AREA TOTAL BLDG. GAREA \ 'S
CITY TELEPHONE NUM ER
) , "��- REgUIRF.D YAItUB PROPOSED YARDS
FRONT .1DE REAR FRONT 81DE REAR
NAME
1 / l G� ' l='�
STREET IL/LV/%• / `
EXISTING STREET R/VJ?. j(7.V..FT. DEFICIENCY THIS PROPERTY
COMP4. PLAN ST R/11(;11�l..?FT. ......O...FT.
REMARKS ,,j'.Vf.l.'i-+- SlOi)@S *'.fll 'tfl C}:CCC 1110_C
indicated on tnadard ir.•)r�. 'Io. 103
-J -i-,J I ra.Ysa ❑ No
Plan Check No .....................
w
w
ADDREBS
i
CITY 9
I OCCUPANCY GROUP
oLiJ
NAME
,i
11 RESIDENTIAL
NEW
NON-RESIDENTIAL
ADD ❑
DEMOLISH
ALTER E]EXCAVATEFENCE...•
OR FILL
O
A8
-LA,--
LINE
SIGN
RETAINING
WALLED
(..........x..........Pt.)
m
ADDRESS
REMARKS `
'
f-J.'/.:/,I: +
{, C ' f yJ' "` C
[.l `•
-
F
CITY
❑
SWIM
POOL
�''IC- �J
STATE LICENSE NUMBER
NUMBER OF STORIES NUMBER OF
ll//
.
I Legal Description of Properly (Show Below C
STREET IL/LV/%• / `
EXISTING STREET R/VJ?. j(7.V..FT. DEFICIENCY THIS PROPERTY
COMP4. PLAN ST R/11(;11�l..?FT. ......O...FT.
REMARKS ,,j'.Vf.l.'i-+- SlOi)@S *'.fll 'tfl C}:CCC 1110_C
indicated on tnadard ir.•)r�. 'Io. 103
-J -i-,J I ra.Ysa ❑ No
. , .- :% ,� ; " 1`... /': ,. /.') .'-•. /'/ i' (._:
Plan Check No .....................
s- t
i
SPECIAL INBPE,uwOR REQUIRED
❑ YES Q_N
I OCCUPANCY GROUP
ED
❑C//i
11 RESIDENTIAL
NEW
NON-RESIDENTIAL
ADD ❑
DEMOLISH
ALTER E]EXCAVATEFENCE...•
OR FILL
O
A8
-LA,--
LINE
SIGN
RETAINING
WALLED
(..........x..........Pt.)
PLAN CHECKED DY
THIS SITE IS LOCATED IN THE CITY
S. LOCAL SALES TAX
SHOULD BE BE CODED 31.04.
REMARKS `
'
f-J.'/.:/,I: +
{, C ' f yJ' "` C
[.l `•
PLOT PLAN (Indicate Building Setbacks, abutting streets)
HEAT A GAS LINE
REPAIR E]PRE-MOVE
INSP.
❑
SWIM
POOL
�''IC- �J
!%'-) Com,. /i''r �)•''
NUMBER OF STORIES NUMBER OF
SIGN
RETAINING WALL
DWELLING
I UNITS
I
NATURE OF WORK TO BE DONE
SWIMMING POOL
Valuation
Fee Receipt r
. , .- :% ,� ; " 1`... /': ,. /.') .'-•. /'/ i' (._:
Plan Check No .....................
i
Z
BUILDING
a, PROPOSED UBE
a
PLUMBING
[.l `•
PLOT PLAN (Indicate Building Setbacks, abutting streets)
HEAT A GAS LINE
��
p �•'/.-=�
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
�
DEMOLITION
'
PRE -MOVE INSPECTION
EXCAVATION OR FILL
.I
TOTAL AMOUNT DUE
I
I hereby acknowledge that 1 have read this application; that the In.
formation given le correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and elate lawn regu.
ATTENTION
APPLICATION APPROVAL
lating construction; and m doing the work authorized uiereby, no person
-
will be employed In violation of the Labor Code of the State of Washington
TRIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Ineurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TH
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVED -1N BUILDINGS shall be wm-
knowledged in space provided.
pleted In six months.)
SIGNATURE (OWNER OR AGENT) DATE EIONED
INSPECTION
DIRECTOR'S eIONATUBE -
I
DEPARTMENT
CITY OF
EDDIONDS
DATE _
NOTE: Applicant Subject to Plan Check Fee
775.2525
This Permit eaves work to be done on prlvnte property ONLY.
Any cunstructlen on the public domain (curbs, sidewalks, drlveways,
INSPECTOR
msrqueee, ate.) .911 require Separate pe-I.M...
RECORD OF INSPECTIONS
Date Passed
Foundation �G='7
Plumbing (Partial) 7,1�
_� 7S' !
(Rough)
Frame
Furnace &Fuel Lines -7 /1
Final
`. .•rf PIRt 0 n7.ltr to
)r7.Tt l a, a J I
L �;• •)� .17(1 0t i•....,...ti 1,.. , YrCCOT S Of' _
)•at t!'ie'rv..O rC Ctl7t?•sti iTl }✓O hila: 1 O� ^•�� ) ; a y described
4;1^ iliitli L`O'P Of tht) (.oilfltV Of inOi?Oin7.S?l', ,�t..t O'f l,-sh.tn�,ton, i
O1•!st !i
i:asti lint) a:E 'Pxlct g �,3v feet' :i�sth
. at a ?,n nr on til i;1,QS feat, :hanca South l
L..i 1 A )t G07]12Yp "i i?erl+:Y. ?fo ttn S9°25' Sx" o„ t lle ,•. IMS feet to the
�oF�,1JIi l•ugttet; t7) n'a ?tif)rt:h tf1 l) i.
L'iil3 i)O_n Or ?� ?.Lii..lti, t)lance .'•)Orth na7•tllel t0 tilt' 1?aSt- 11nE Ui 'C?1B 1
u �) ?)O?•i;t {)n '`f:Z `;f)litil Side Of �Tln .;wr' h half O:% •!'CaCC -1 i
i f`i`" `1 �d t7 7th li, e to intersect = ? zne whiCh as natal ie
)• t once I; r:=: ; ,:�i. Sqt el to 1
• a9 or�'r;t� OE t?t.^ ;•iC•Si. 11]le: Q1 Zt y tILvT!L:C i�lllt?l nnTx11
ra .....t a?_.. g �i . feet TloT.-I nr less, to a point
t •!L7 ;t� rr lisle o;: s:: i.=� t> .s .•n�i ' Lhence South x -
iiili't!1 IY� West 0% the trill' paint. Of hC -ini.np,
p�°•'j' ;o 'j: f, trueno.thc of he •inni.�3.•
Rrtsl
•