750250.pdfPlan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE,
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
NON-RESIDENTIAL I
❑ SIGN
ADD
❑RETAINING
DEMOLISH
O WALL
``-
EXCAVATE
❑
Ized agent or the owner. I agree to comply wlth city and elate Tawe reg--
❑ Olt FILL
(ENC.x.......... Ft.)
❑ REPAIR
❑ PRE-INSP.
O SWIM
POOL
JUhIBER OF STORIES NUMBER OF
PERMIT
TIDE PERMIT
BUILDING DEPARTMENT
Applicant Fill
ZONE �5��/ NUMBER �Fi0250
UNITS
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Yr1; URE OF WORK TO BE DO,,,N,//E
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.hall b;nopieted-i ninety days; MOVED -IN BUILDINGS shall be com-
PERMIT APPLICATION
Inside heavy Lines
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NAME lOK N ME OF HUBINEBB
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EDIIIOND3
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775-2525
ThisPermit love. work to be done on private property ONLY.
Any e...trucllotl an it'spublic domain Icurbs, sidewalks, &I -was.,
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PERMISSIBLE HEIOIIT t PROPOSED HEIGHT
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indicated on Standard Dw . No. 103
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LAMB CIIECKE� YO THIS SITE IS LOCATEDIN THE CITY
NEW
OF EDMONDS. LOCAL SALES TAX
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE,
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
NON-RESIDENTIAL I
❑ SIGN
ADD
❑RETAINING
DEMOLISH
O WALL
❑ ALTER
EXCAVATE
❑
Ized agent or the owner. I agree to comply wlth city and elate Tawe reg--
❑ Olt FILL
(ENC.x.......... Ft.)
❑ REPAIR
❑ PRE-INSP.
O SWIM
POOL
JUhIBER OF STORIES NUMBER OF
TIDE PERMIT
DWELLING
/
/
UNITS
`
Yr1; URE OF WORK TO BE DO,,,N,//E
/Y.S.7-'�nr r'..T'
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE,
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
latter. Fcc , Receipt Na.
N rz
/ai'
S�
V63, sW I
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
OA ;NATUR �,�(/
'C`1w 1
a{ /
FILE
TOTAL AMOUNT DUE
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 or the owner. I agree to comply wlth city and elate Tawe reg--
ATTENTION
lating construction; and In doing the work authorized thereby, no Vernon
w•111 be employed In violation of the Labor Code of the Slate of Washington
TIDE PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS whlcb
ONLY THE
WORK NOTED
.hall b;nopieted-i ninety days; MOVED -IN BUILDINGS shall be com-
,c
I 'six moot
i NA'rUll I % EA It AGE ) DATF1 81ONED
'�
INSPECTION
1l
/
DEPARTMENT
Ly
CITY OF
EDIIIOND3
NOTE: pplicaut Subjeellto Plan-Merk Fee
775-2525
ThisPermit love. work to be done on private property ONLY.
Any e...trucllotl an it'spublic domain Icurbs, sidewalks, &I -was.,
mora...., ate.) x'111 rea." separate permleslon.
latter. Fcc , Receipt Na.
N rz
/ai'
S�
V63, sW I
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
OA ;NATUR �,�(/
'C`1w 1
a{ /
FILE
PLANI�I 6 D .P APPROVAL
� DATE:/.
Valuation
Fee Receipt
STREET
RIB A'
EXISTING STREET R/Wr2t�FT.
1
DEFICIENCY T I8 PROPERTY
COMP. PLAN BT. R/W�.�Y:FT.
..._S._�.F2'.
REMARKS _
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Plan Check ....................
SPECIAL INSPECTOR
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GAS[]
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B U I L D I NG DEPARTMENT
Applicant Flll
USE r (' J PERMIT
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METE[{ SIZE SERVICE BIEE CLEARANCE
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CHECKED Y
PERMIT APPLICATION
I Inside Heavy Lines
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LOT COVERAGE �,,c"-�' LOT COVEAO vim
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LENAME
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PERMISSIBLE HElq T (PROPOSED HEIGHT
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DEMOLITION
PRE -MOVE INSPECTION
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TELEPHONE NUMBER
EATOTAL 6LDG. AREA
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EXCAVATION OR FILL
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YARNAME
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TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
FRONT HIDE REAR FRONT SIDE REAR
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formation given 1. correct; and that I am the owner, or the duly author-
•
ized agent of the owner. I agree to comply with city and state laws reg.-
ATTENTION
APPLICATION APPROVAL
yl ADDRESS
luting construction; and In doing the work authorized thereby, no person
LEGAL LOT VARIANCE M CONDITIONAL UBE i,L
y9 NO PERMIT NUDIBER
will be employed In violation of the Labor Code of the Slate of Washington
THIS PERMIT
G
I
E
signed by the Building Official or his Dep -
CITY I
TELEPHONE NUMBER
uty; and fees are paid, and receipt is ac -
PLANI�I 6 D .P APPROVAL
� DATE:/.
Valuation
Fee Receipt
STREET
RIB A'
EXISTING STREET R/Wr2t�FT.
1
DEFICIENCY T I8 PROPERTY
COMP. PLAN BT. R/W�.�Y:FT.
..._S._�.F2'.
REMARKS _
Na
Plan Check ....................
SPECIAL INSPECTOR
Tlbt t0 ^_if Ci;;: ri 'L'I70Si:'.
',Ttd' c;:t L'ctd on `".t:;ad,�:r:i ✓ar-.
?io. t i'
GAS[]
IN.
SIGN
yADTLINING
FEN Cx
�'Y• h(, 'If)
PLAN CIiEC... Y_
REMARKS
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11fE���'
METE[{ SIZE SERVICE BIEE CLEARANCE
MET,
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CHECKED Y
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t
RE *ARKS I
(' •.
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NUMBER OF
TYPE CONNECTION
VER161ED^ Y
PENCE
PERC. TEST
PERMIT,) NUMBER
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"MARKS _
SIGN
UNITS
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STATE LICENSE NUDIBEIC 1T
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Legal Description of Property (Show Below or A
UCTION.)l ZP`TREL MPROVED
NO
OCCUPA YC ._(IRs JP-✓
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
NATURE OF WORK TO RE DON
Valuation
Fee Receipt
arcc)r ��,va
Na
Plan Check ....................
SPECIAL INSPECTOR
NEW
ElADD
EJALTER
❑l RESIDENTIAL
❑ NON-RESIDENTIAL
E] DEMOLISH
EXCAVATE
❑
F-1
GAS[]
IN.
SIGN
yADTLINING
FEN Cx
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PLAN CIiEC... Y_
REMARKS
❑ ORFILL.......... Ft.)
REPAIR
❑
IN PRE -MOVE
O
SWI I
POOL
aPLOT PLAN (Indlcnto Building Seth eke, abutting street.)
TUMBER OF STORIES
NUMBER OF
r5 .
a
\(
PENCE
'
I
WELL
f
/
SIGN
UNITS
J
RETAINING WALL
UCTION.)l ZP`TREL MPROVED
NO
OCCUPA YC ._(IRs JP-✓
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
NATURE OF WORK TO RE DON
Valuation
Fee Receipt
Na
Plan Check ....................
/ i
BUILDING
�'Y• h(, 'If)
/ �
L. E
PRO 08ED USE
r
PLUMBING
aPLOT PLAN (Indlcnto Building Seth eke, abutting street.)
HEAT & GAS LINE
r5 .
a
\(
PENCE
'
I
V
SIGN
RETAINING WALL
N
'
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
-
//•-� J ,��
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
'.
formation given 1. correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state laws reg.-
ATTENTION
APPLICATION APPROVAL
luting construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Slate 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 -
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY TIIE
WORK NOTED
uty; and fees are paid, and receipt is ac -
Mist[ be completed In ninety day.; MOVED -IN BUILDINGS Shall be earn-
knowledged in space provided.
plated In .Ix months.)
INSPECTION
SIGNATURE (OWNER. OR AGENT) t DATE SIGNED , . D EOTOR'B BIGNATURE
..'i DEPARTMENT 'I /
,rl CITY OF �.. % Iu.
EDMONDS DATE I\ ..---
NOM Aptlicanl Subject to Plant Check Fee - - •`,i
775-2525
This P -mit covrre work to be done ua private property ONLY.
Any con.truc/ian on the public domain (curb.,sidewalk., &N.."..
nutrquee., etc.) wlli rev.lre .Spars(. permi..lon. INSPECTOR
i
I
/ -a v
V / (k� RECORD 75-0,z S�
Foundation '
Plumbing
ey
1` Furnace u Fue l Lines
Final_'—=—ld " 7