The URL can be used to link to this page

750239.pdf�Z-- I •j` /V 119"YEB ❑ No Com' J SPECIAL INSPECTOR QUIRED OCCUPANC'i GROUP BUILDING DEPARTMENT Applicant Fill °NE ids ' (,2 NUMBER 750239 �-- NEW PERMIT APPLICATION Instdo Heavy LineaIG I Annnsss PLAN CHEC E IIY THIS SITE IS LOCATED IN THE CITY NAME (OR NAME OF BUSINESS) �a o SIGN OF EDMONDS. LOCAL SALES TAX 1E111IIS6IBLE / ACTUAL LOT COVERAGE .� 02C, LOT COVE AOE J� �1 SHOULD BE CODED 3104. MAILING ADDRESS r V PERM ItltlIB E lle:tOliT PROPOSED HEIGHT ❑ OR FILL 1..........i .......... Ft.) REPAIR ❑ PRE -MOVE El BWIh[ INSP. POOL �,.,. �U[-JL!!1 C� J TD ,y / 0A .S�J L- /YfiCrC%ISNS CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AR A DWELLING /�//�� F'/rs il�� f� /h� ( 6 V3S"' m i �. o 0 o�/�a�n� REQUIRED YARVU LOP YARDS NATURE OF ORK TOBE D - NAME Fee Receipt No FRONT HIDE REAR FRONT SIDE REAR Plan Check No ..................... SawL 2 l 0 ' BUILDING y NCL LOT VARIANCE Oli ONDITIONAL UBE PLUMBING N ADDRESSLEGAL '*,YES NO E' NU HEAT & GAB LINE �`QO NOD P AP AL -- - - CITY TELEPHONE NUMBER PENCE ""'REE'B/\V AA flXISTING STREET /PCC . �.FT. DEFICIENCY THIS PROPERTY SIGN NAME �l COMP. PLAN BT. R/R('•�L4..�.'..FT. .....A/..FT. tRETAINING WALL rJ4s+z !i` MA7tiC8 Driveway slopes not to exceed those N nnDltEee indicated on Standard Dwg. No. 103 SWIMMING POOL C C BY DEMOLITION 41 CITY TELEPHONE NUMBER 1 1 l EXCAVATION OR FILL lLA)Y/l•�[l,1�1L.1111�11�� O SERVICE BlZE CLEARAN Y B/ ♦ CH�ECy ED BY TOTAL AMOUNT DUE STATE LICENSE NUMBERI CITY LICENSE NUMBERMD I I I Ized agent or the owner. I agree to comply with city and Slate laws raga- REMA1 B APPLICATION APPROVAL Iating construction; and In doing the work authorized thereby, no person Legal Description of Property (Show Below or Attach Four Copies) A/i. cod (<PG 1973 THIS PERMIT This application is not a permit until /. / d P=1, Anol or- S 9'll!t TRAc—r— 3s TYPE CONNECTION V FI' NOTE: Permit Limit One Year (EX"I t DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt Is aC- Shall ba completed In ninety days; MOVED -IN BUILDINGS shall be cold. knowledged in space provided. plated In .1X months.) A)• 38,424M"'61 SIONA'rURE OR AG `NT) DATE BIONEU INSPECTION I It's TUBE 1ST) a� "i"L` PERC�TEST- -� ---.T(\iHER E 'IT 7 5 �// 5� 'EDIIIONDB CITY OF �/ �N /U /4P L$1c1oeA ITILl1 NOTE: Applicant Subject to Plato Check Fee \ DATE � — 2-7&4— 7 , W O 775.2525 REMARKS This 1'ennit covers work to be dune an prlrate Property ONLY. a Any coustruellon on the public domaln (curbs, sldewNks, 111-wity., nutrquee., ele,l will require .epnrole p.in l..lon. FIRE ZONE I TYPE OF CONSTRyCTION I BTREFT IMPROVI �Z-- I •j` /V 119"YEB ❑ No Com' J SPECIAL INSPECTOR QUIRED OCCUPANC'i GROUP RESIDENTIAL ❑❑ GAB ❑ Y •i0 I ,r- , J- NEW LINE PLAN CHEC E IIY THIS SITE IS LOCATED IN THE CITY L NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX ADDRETAINING DEMOLISH WALL .MA SHOULD BE CODED 3104. ALTER EXCAVATE ElFENCE ❑ OR FILL 1..........i .......... Ft.) REPAIR ❑ PRE -MOVE El BWIh[ INSP. POOL �,.,. �U[-JL!!1 C� J TD ,y / 0A .S�J L- /YfiCrC%ISNS NUMBER OF STORIES NUMBER OF DWELLING 21 U ITS NATURE OF ORK TOBE D - Valuation Fee Receipt No Plan Check No ..................... BUILDING PROPOSED USE UBE O PLUMBING y E PLOT PLAN (Indicate Building Setbacks, abutting street.) HEAT & GAB LINE �`QO PENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE / O U I hereby acknowledge 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 or the owner. I agree to comply with city and Slate laws raga- ATTENTION APPLICATION APPROVAL Iating construction; and In doing the work authorized thereby, no person Will be employed In violation of the Labor Code of the State or Washington THIS PERMIT This application is not a permit until slating to Workmen's Compensation Insurance. AVTIIORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (EX"I t DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt Is aC- Shall ba completed In ninety days; MOVED -IN BUILDINGS shall be cold. knowledged in space provided. plated In .1X months.) SIONA'rURE OR AG `NT) DATE BIONEU INSPECTION I It's TUBE LE11 DEPARTMENT 7 5 �// 5� 'EDIIIONDB CITY OF NOTE: Applicant Subject to Plato Check Fee DATE � — 2-7&4— 7 , 775.2525 This 1'ennit covers work to be dune an prlrate Property ONLY. Any coustruellon on the public domaln (curbs, sldewNks, 111-wity., nutrquee., ele,l will require .epnrole p.in l..lon. FILE BUILDING DEPARTMENT A USE ZONE F�`� Iz "° BiE"t l�JM�y 1 PUC%ntFW PERMIT APPLICATION rnsld) fleaYy Linos O r-!e, ADDnEea s ld, �; � 1 C;�{f._1 n .�. c'G•,tC. } NAME (Olt NAME OF BUBINE88) ACTUAL PERa11dS LE [J WT C.V&.E WT COYERAGO �.i-J ` ,l. !,� 1•- i a� AILING ADDRESS PEITISe18YE HEIGH ROPOSED 1SEIG T -• ) y f wrmrt CITY Eli ACTUAL LOQ AREA TOTAL HLUO. ARCA , r1r �)•'FRONT /• - i't tf� Rt:V UIItED YARUtl —Tit POdF.0 YAR.. HIDN 1 REAR FRONT BIDE REAR NAME r•�/'<) / tt�� '+- 1 •� LF.OAL LOT AR ANLL OR.. USE ") L aUj ADD SEtle V XE13-, ❑'NO PERMIT NUMBER PLANNIN. ) PT. AP it0 AL l '' C {' CITY TE •P 1 NO NUMBER STREET R/W EXISTING STREET 11141, DEFICIENCY THIS PROPERTY i O tt NAME COMP PLAN ST. R/y6%ye!.0Fe. ......l �..Ff. i lP REMARKS jhri VDWAV EZoral not to exceed those a j Iq ADDRESS'! fn )coated ontandrlyd llur[. No. 103 e$j ECED EDH Jj CITY TELEPH NE MBER NU il1''l�!-.':QLI : \�111)IlV(, F? ifl 1 75, 11 I , f I dlLE SERVICE SIEE CLEARANCE CHECKED BY $METER STATE LICENSE NUMBER CITY L ENSE NUMBER I ! ` I + I tEMARKd � j Legal Description of Properly (Show Below at At1ACb Pour cables) I} l� TYPE EI��18l7` i := =CONNECTION =1� � PERMIT;UMBER W Al FIRE: ZONE Tlt T ROVED i f I 0 YES ❑ NO { ;-• �� dPECIAL INSPECTOR EVUTAED (OCCUPANCY GROUP El RESIDENTIAL �-I� W GAS LINE Cl YES ❑ PIO IN THE CITY NEW PLAN CHECKED'IIY THIS SITE IS LOCATED LOCAL SALES TAX NON-RESIDENTIAL SIGN OF EDMONDS. f %' SHOULD BE CODED 31.04. DADD ❑ RETAINING- DEMOLISHWALL ❑ ALTER ❑ EXCAVATE FENCE OR FILL L....... �1 POOLx..........Ft.) ❑ ❑ PRE -MOVE T REPAIR INBP. W POOL � NUMBEROF STORIES I NUMIIER OF - - ^'! - - %' ` !•--•'" �/J j I I DWELLING } UNITS NATURE OF WORK TO BE DONE Valuntlon Fac Recelnt Na. 1 I � + {':'. 3_ Pian Checit No....»............... 1 Y. p BUILDING / PROPOSED USE '-%�•-" 'J - `� __... PLUMBING 1 a PLOT PLAN (Intllcato Buliding actbacks, abutting Streets) HEAT A GAS LINE I FENCE SIGN RETAINING WALL IEEE SWIMMING POOL { I DEMOLITION PRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I be,. read this aprllcatlon; that tho In- formation given Is correct; mw that I am the owned, or the duly author- ! - Ized agent at the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorizid thereby, no person I ; will be employed In violation of the Labor Code of t6 State of Washington THUS PERMIT This application is not a permit until I relating to Workmen-s Compensation Iasarenu. AUTIIOR[LF-8 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- 1 shall be completed In ninety day■; MOVED-IN RUBBINGS shall be coin- knowledged in space provided. plet.d In six months.) SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIAECTOWS SIGNATURE. DEPARTMENT' +r ' .... %, /- ..�.•/ ;- ' I CITY OF ..._.... ED-DS DATE ....------ NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit wren work to be done on pri-t prePartY ONLY. Any construetloa on the Public domain (curbs, At ..•elks, drlveways, INSPECTOR mwonces. etc.) will rrew,...parole permission. 7 l jr._.