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750249.pdfUSE BUILDING DEPARTMENT ApptleantFill Zoe /J�) NU6BIER 750249 PERMIT APPLICATION I Inside Heavy Linos IOD 5 5 AMC-. wnnns.Be / � .^, N E 1OR NAME OF HUBIN B) (y / LE A PEIITt Itltl1H CTUAL .�L {�/j/� LOT COYERAGa / e LOT COV&GE N A MAILING ADDRESSO N PEit\I ItlBIHLF. HEIGHT j —PROPOSED H//{ IOeHT C CJS l �, t5 l-`y�,.L`i•{ IJU 4 1 Cl o/ TELEPHONE IO REIL ACl'UAIr jA1' AREA TOTAL DLD co t F REQUIRED YARDS PROPONYED YAIiUH NA114 � if FRONT SIDP' REAR FROM BIDE REAR ) 'Y1 o" e � A p J 1 VN1 ADDRESS F MAILING ADDRESSO N PEit\I ItlBIHLF. HEIGHT j —PROPOSED H//{ IOeHT C CJS l �, t5 l-`y�,.L`i•{ IJU 4 1 Cl o/ TELEPHONE IO REIL ACl'UAIr jA1' AREA TOTAL DLD co t F REQUIRED YARDS PROPONYED YAIiUH NA114 � if FRONT SIDP' REAR FROM BIDE REAR ) 'Y1 o" e � A p LE L LOT VAHIANCE OR CONDIT NAL USE YES ❑ NO PEIIMIT NUMBER 1 VN1 ADDRESS F NINO DE T. AP L E: C CITY TELEPHONE NUMBE11 i •, I STREET EXISTING 8 EF.T R/W ............FT. DEFICIENCY THIS ROPERTY % NAME ,�i�' �..,' � _✓ COMP. PLAN ST. R/W ............FT. .....FT. kl ti( REMARKS [� ADDRESS CHECKED BY W F CITY TELEPHONE NUMBER + ' N 1z T I V METER SIZE SERVICE SIZE CLEARANCE CHECKED BY i .i STATE LICENSE NUMBER CITY LICENSE NUMBER I I �. Leg. 'ceArlpllon oI Properly 18hew Below or tech Faur Capl .) �I REMARHB /_ A . V�-P "i _ 1LO 1 i C'� TYPE CONNECTION VERIFIED BY I p, PERO, TEST PERMIT NUMBER W n REMARKS W I N14 1 ,a FIRE ZONE TYPE OF,CANBTRiCTION STREET IMPROVED �J(yr-Tt j� j �*EB [] NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL NEW GAS LINE ❑ YES I PLAN CHECKE DY THIS SITE 15 LOCATED IN THE CITY IFNON-IiEBIDENTIAL BI1 GN ED ID L / SHOULD eE MO CODEDOCA 3104 SALES TAX ADD ❑ ❑ RETAININO WALL REMARKS DEMOLISH ALTER EXCAVATE FENCE F // ALL OR FILL (.......... x .......... Ft.) PRE REPAIR ❑ INSP.SWI O POOL NUMBER OF STORIESDWEL LIN6F I I UNITS NATURE OF WORK TO DE DONE 1 .._.... Plan Check No ..................... BUILDING PROPOSED USE PLUMBING Q PLOT PLAN (Indicate Ballding setback., abutting street.) HEAT @ CAB LINE 7 FENCE SIGN 1 RETAINING WALL SWIMMING POOL DEMOLITION CDHo1JPj l� 1 l� PRE -MOVE INSPECTION autu�.y `� EXCAVATION OR FILL TOTAL AMOUNT DUE /ZaD✓ I hereby acknowledge that I 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 law. raga• ATTENTION APPLICATION APPROVAL Inling construction; and in doing the wort[ allthortied thereby, no p....n will be employed In v1..tt.n of the Labor Code of the Stale of Washington THIS PERMIT This Application is not a permit until relatl.g to Workmen's Compensation Insurance. AUTHORIZER signed 1)y the Building Official Or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY TILE Uty end fees are Aid, And receiptis ae- {YOItII NOTED P shall b1 completed In ninety days; MOVED -IN BUILDINGS shall be com• knowledged in space provided. plated In six menthe.) , SIGNATURE (OWNER O AGENT) DA E 8l0JJf''��1EU INSPECTION I DIRECT eI0 A U f DEPARTMENT 1 CITY OF EDDIONDS NOTE: Applicant Subject to Plan Check Fee __- This Piv Ile C -en work hr be done on prate preMrly ONLY. 775-2525 Any eenelructhm on the public domsln (eurhe, aide em N., drh'eteaya, mnraucee, rle.) will ream,, ..parole permHalon, FILE i j: EXIBTINO 8 REET R/W ............ . ya COAIP. PLAN HT. R/W ............FT. ............I." Irl REMARKS V W � ( I TELEPHOI'jE NUMBER CHECKED DY i Plan Check No ..................... ❑ RESIDENTIAL El GAS LINE P N \ BUILDING DEPARTMENT APpveant Fill UBE[� / PERMIT ° pJ `— NUMBER FIRE ZONE Inside Heavy Lines PERMIT APPLICATION ,OB � �� Q/C• ADDRESS / � 4 - I i�— ! [��YES 0-0 NAME (OR NAME OF BUSINESS) PERM1ddIIILE�y) ACTUAL NON-RESIDENTIAL <„ P, •,y . LOT COVERAGE �A LOT COVEfYAOE A PLAN CHECKED BY THIS SITE 15 LOCATED IN THE CITU OFEDMONDS. LOCAL SALES TA} All i. NO ADD as ,.. PEItII1ddIIILE HEI6IIT t PROPOSED HEIGHT' 'F. f Li l i..�".../' .1 G•� O 1'� TELEPHONE NUMBER EA TOTAL III.i)A EA {(t i - /'7 Altos PRqOPOF.D YARDS REAR W .. ') /r7 /� =� FRONT HIDE REAR FRONT SIUE 1 NAME 1 `e p ', (,•7 (. ,.('_.^ LEGAL LOTVARIANCk+ OR CON DITiONAL UeE PERMIT NUMBER f yUj ADDItEa81 'YES ❑ NO 1 7 L.t(� P 'A NNING DEPT. API i20 ))L ',' A I { - V C CITY TELEPHONE NUMBER I- ` /{ I _WTREITRFT DEFICIENCY THIB14ROPERTY O ' EXIBTINO 8 REET R/W ............ . ya COAIP. PLAN HT. R/W ............FT. ............I." Irl REMARKS V W � ( I TELEPHOI'jE NUMBER CHECKED DY i IEL`� Plan Check No ..................... ❑ RESIDENTIAL El GAS LINE P N \ NEW / / A. FIRE ZONE TYPE'''jO(F ON8T[RUlCTION STREET I13PROV. I �r I i�— ! [��YES 0-0 SPECIAL INSPECTOR REQUIRED ❑ NON-RESIDENTIAL ❑ BION PLAN CHECKED BY THIS SITE 15 LOCATED IN THE CITU OFEDMONDS. LOCAL SALES TA} ADD % 6 SHOULD BE CODED 31.04. REMARKS a2,� -1 f / /, tnP /e—, RA7-L lJ r yALLNINE FENCE ❑ DEMOLISH ❑ 1 ALTER ❑ ORFILL ❑ FENCE x .......... Ft.) REPAIR ❑ PRE -SWIM INSP. ❑ POOL CUMBER Op' STORIES NUMBER OF formation given le correct; and that I am the owner, or the duly author- DWELLING ATTENTION APPLICATION APPROVAL latlna coaetructl..; and la doing the work authorised thereby, no Dere." In vlolotlon of Iha Labor Cade of the elate of Wandington THIN PERMIT This application is not a permit until UNITS AUTHORIZES signed by the Building Official or his DeP- IEL`� Plan Check No ..................... CY N T D ERIFIED BY ?ERC. TEST P N \ REMARKS / / A. FIRE ZONE TYPE'''jO(F ON8T[RUlCTION STREET I13PROV. I �r I i�— ! [��YES 0-0 SPECIAL INSPECTOR REQUIRED GROUP Cl YES 7Q NO (OCCUPANCY F--� PLAN CHECKED BY THIS SITE 15 LOCATED IN THE CITU OFEDMONDS. LOCAL SALES TA} DEMOLITION % 6 SHOULD BE CODED 31.04. REMARKS a2,� -1 f / /, tnP /e—, RA7-L lJ r IEL`� Plan Check No ..................... SIGN � BUILDING � I 5b Q ,t� AA , IJV �yy 6, PROPOSED USE PLUMBING RETNNIN6 — V N SWIMMING POOL PLOT PLAN (Ind to Building setbacks, ab)tttmg atraeta) HEAT & GAS LINE DEMOLITION FC')!Cf•)GS PRE -MOVE INSPECTION FENCE OR FILL 1 EXCAVATION IEL`� I SIGN � WALL RETNNIN6 — 1 N SWIMMING POOL r•• I `�i DEMOLITION FC')!Cf•)GS PRE -MOVE INSPECTION OR FILL 1 EXCAVATION TOTAL AMOUNT DUE " I hereby acknowledge that I have read thls aPPllcntlon; that the In- formation given le correct; and that I am the owner, or the duly author- Ised agent of lha owner. I agree to comply with city and state laws regu• ATTENTION APPLICATION APPROVAL latlna coaetructl..; and la doing the work authorised thereby, no Dere." In vlolotlon of Iha Labor Cade of the elate of Wandington THIN PERMIT This application is not a permit until will be emDlaYed relatlo6 to Workmen's Compeneatl.a Insurance. AUTHORIZES signed by the Building Official or his DeP- ONI.Y TIIE uty; and fees are patd, and receipt is ac - NOTE: Permit Limit one Year (Except DEMOLITIONS which WORE NOTED knowledged in space provided. shall bo completed In meaty days; MOVED -IN BUILDINGS shall be com• pleted In six month..) INSPECTION INSP � ATU DIREOTOR'BIO _ }' ��% SIGNATURE (OWNER OR AGENT) DATE dIONED // / 7/ 7 _c DEPARTMENT /, � i (:.{ l G(iJ CITY OF DATE EDBIONDS S NOTE: Applicant Subject to plat; Cbcck Fee 775.2525 This Permit corers work to be done on private properly ONLY. Any eoluareletion, an the public domain (curbs, eldewdks, driv.—Y., INSPECTOR marquees, eta.) will require separate permisslon. -7SOz�Tq RECORD OF INSPECTIONS Al