750262.pdff ..
L
BUILDING DEPARTMENT Applicant Fill zO 5 — avmsETR
DED IT APPLICATION I Inside Heavy Lines 10
0
t _= 1 ar of Mpadowdal a beach req. in
ADDRESS
1
PERMIT NUMBER
NAME (OR NAME OF BUSINESS)
PERC. TEST
PERMISSIBLE � p
AC,I,UA
1 •�
-
(
LOT COVERAGE •�L,
LOT COVE AGE 1,'/�
m
—
a MAILING ADDRESS %Pr�
—W 260, ther-ee€ and emeept talo -E
PERMISSIBLE HEIGHT /iiiiii
PI(OYOdEU IIEIOH,TVjI jj�
I`1
O
t7
-
17324 - 73rd Ave. West
/
Yi50� I YES ❑ NO
I
3y
conveyed to Snohomish Ct b Deed
CITY
TELEPHONE UMBER
UAL LOT AREA
TOTq Ii G. AREA
ry/PtOPOBF.0
Edmonds, Wash. 9802
743-2605
REQUIRED YARUtl
YARDS
NAME
IU)N7' tlIUE REAR
FIIONT BIDE. REAR
,
� (
IN THE CITY
I. ?AL LOT VAIiIA NCF. OR CON DITIDNAL USE
!;
H ADDRESS
PLAN CHECKE BYTHIS
[j'E8 0 NO PEIthIIT NUMBER
1
NNING DIP AP
)AT "
�
aCITY
TELEPHONE NUMBER
ADD ❑ DEMOLISH" RETAINING
WALL
i
�T'\ C
C �L>LtI \' MIC N
STREET
EXISTINGR \ AEET R/W ............FT.
DEFICIENCY UIS PROPERTY
.J
T� 1\`L"�'`��
NAME
COMP. PLAN ST. R/W ..........,.FT.
............F"1'.
^n pant rnrpnration
a
REMARKS
6
AUUREdBTa
x
[C
UW
735 N. E. 198th
UMTS
CHECKED SY
CITY
TELEPHONE NUMBER
Valuation Fee RecetPl Na
I
-
F
e Seattle, Wn. 98155
I 363-5151
METER SIZE I SERVICE SIZE
CLEARANCE
CHECKED BY
U STATE LICENSE NUMBER
CITY LICENSE NUMBER
I
tom./` t C, r{"� I
-__KS I I
I 1
223-0250-23
RLE
C�-UL1A
Ian f•AK��
Legal Description of Property (Show Below or Attach Four Copies)
13
D0 S 5113p,
L.(:�, II�/� >00!
The South 146.5' of
tract 139
TYPE CONNECTION
I VERIFIED BY
0
t _= 1 ar of Mpadowdal a beach req. in
PERMIT NUMBER
PERC. TEST
y
i
(
�p
f pl to page. tLr PXr•Pnt the
REMARKS
m
� I
—W 260, ther-ee€ and emeept talo -E
F1AE 20 E OF CONSTRUCTION STREET IMPROVED
TY�e'''
7-7 G F l the of and except prtn
/
Yi50� I YES ❑ NO
I
conveyed to Snohomish Ct b Deed
SPECIAL INBPECTOIR
REQUIRED OCCUPANCY GROUP
!
RESIDENTIAL
GA8
❑ LINE
C]YES NO
� (
IN THE CITY
El NEW
PLAN CHECKE BYTHIS
SITE IS LOCATED
LOCAL SALES TAX
El NON-RESIDENTIAL
❑ SIGN
OF EDMONDS.
SHOULD BE CODED 31.04.
ADD ❑ DEMOLISH" RETAINING
WALL
REMARKS E
r C Git
�T'\ C
C �L>LtI \' MIC N
FENCE
EJALTER ❑
ORFILL(.......... x .......... Vt.)
.J
T� 1\`L"�'`��
REPAIR
E] PRE -MOVE swif
® POOL
��'-\G� F-�•�'�IS.��M'�Gt/
NUMBER OF STORIES NUMBER OF
DWELLING
I
UMTS
NATURE OF WORK TO BE DONE
Valuation Fee RecetPl Na
Installation of private swim pool
Men cheek Nn..
BUILDING
[0y
4 PROPOSED USE
a
PLUMBING
V
PLOT PLAN (indicate Building Setback$, abutting streets)
HEAT A GAS LINE
O
^
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
k XI STIn�
'
PRE -MOVE INSPECTION
EXCAVATION OR FILL
Fane �. Al�o�•nd Nvu se - I��oL r�mr//
7^
TOTAL AMOUNT DUE
/
1 hereby acknowledge that 2 have read till- nppllcallon; that the In-
(/
formatmn gl,,n Is correct; and that I am the owner, or the duly author-
Ired agent of the owner. I agree to comply with city and state Tawe regu-
ATTENTION
APPLICATION APPROVAL
lating constrou; and In doing the work authorized thereby, no person
etctl
will be employed In v:olatlon of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TRE
WORK NOTED
uty; and fees are paid, and receipt is Be
shall be completed In ninety days: MOVED -IN 1111ILDINGS shall be com-
llnowledged in space provided,
plated In six menthe.)
SIONAT URE (OIVNEIi Olt AGENT) DATE S10NEU
INSPECTION
DI TOR'S dLQNATU#E •�
DEPARTMENT
.• I i ;-., _--�
.�
CITY OF
ED11fONll8
DATE !`
NOTE: Applicant Subject to Plan CheckFn
775-2525
I
Per
This INfmit --Nark In be done on pritnle properly UNLY.
Any eonslructlun on the public domuln ($urns, sidewalks, d"wys,
FILE
nuvquees, ete.l \rill require sel a nle permlerlen.
�..,..._
BUILDING DEPARTMENT
AppneaBt Fill
ZONE. ,NUMBIT
ER
-- r �� �
—j
1
PERMIT APPLICATION
I Inside Ilea., Lines
1 .�i--- r ,-fes, n/ y .x• -
Iq �_ :.....
NAME (OR NAME OF BUSINESS)
h A � ��' ._L�1,/„ •.,
§
ADDRESS 12 J 2- L)-• - ';Y)F�''
I
l
- •,) I 1
P1310 In. 1BLE e' ACTUA
LOT COVERAGE' (?/ LOT C -GRADE
't
MA G w R e
•5'CJ Y) "
PERMISSIBLE HEIGHT PROPOSED HEIGHT
i
CITY TELEPHONE
NUMBER
g`
ACTUAL LOT AREA TOTAL BLU.. AREA
j
(7 0 J (
74 3 6 () (JHEQCtIRED
YARDS / OPOSED YARDS
NAME
RONT SIDE REAR FRONT BIDE REAR
I
f
W
ADDRESS
LEGAL LOT ARIA F. Olt CON ITIONAL U
�YF.B NO PERMIT NUMBER
,.
y
. �)
t
{x,)
<C,
CITY TELEPHONE
NUMBER
'('LANNINO DEPT. API•Ji0 -A I�
./' ATE:
i 1� h) / �7 n-�.�J / -i''J tii� •'1l`
STREET R/W- /r1
EXISTING hTREET R/W ..........-FT. DEFICIENCY TMS PROPERTY
NAME
COMP. PLAN ST. R/W ............FT. ............FT.
'
C
Q
ADD d8 •-
R IA
"-
!
E.
Et
CITY TELEPHONE
NUM➢I:RI'''
% -�
Z
Seattle, Wn. 98155
363-5151
U U
LOj
STATE LICENSE N....it CITY
LICENSE NUMBER
MET dl•LE
5 r{-1
I BEIiV10E BILE I1NA ANC
i
% D-trip—a
is
IV/+l'f'IJL)t-�
REMARKS
l/
of r
Legal De9crlptlort o[ Property (dhow Below or Altnch Four Copies)
The ou tt7 of tract 1 ; 9
z
.14G.5'
TYPE CONNECTION
I VERIFIED BY
1
0
�1 a} n} 1'. �Pq�,n1. 1n. 1.1 ii,,ary � .7
`l- -, j
PL•ttC. TEST
PERMIT NUMBER
1
i
•
a;
I
d
ct }), ,Y.�-4 In c rn i- 'h, {
FIRE ZONE TPP$ OF CONSTRUCTION STREET IMPROVED
-t/ZO
'J��
L.0 Itl)] C l t 1 IJ / ) �CC,'1
-
/^^
❑ YES 0 NO
/ ""�
Y
RESIDENTIAL ❑ LGAS INE
NEW
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
EJ YES .Q NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL ❑
OF TAX
'
SIGN
❑ ADD
A--
BE CODED 11.01.SALES
,
RETAINING
DEMOLISH WALL
REMARKS
,.
ALTER EXCAVATFILLE
PENCz..........1`L)
-� •', U' ��}.��
❑ ❑
r P���rr\\:= l=- J-,�T�- I'J�
i �(`
ElPRE -11 OVE SWIM
REPAIR EJINSP. ❑}'. POOL
L'F--�- 1 1 �• , -
NUMBER OF BTORIEB NUM ER OF
DWELLING
UNITS
NATURE OF WORIC TO BE DONE
t
i
11at U.7 Of U7: � �Jate. iS0].'ii poc l-
Valuation
Fee Rccelpt No,
y;
i
•.
t'Ian Check No .....................
t
r
z
0
BUILDING
,
'
PROPOSED UeE
U
PLUMBING
a
PLOT PLAN (Indicate Building ectbneka, abutting streets)
HEAT & GAS LINE
]L) �`-..
✓�. ... \
FENCE
j
SIGN
I
C_
RETAINING WALL
C, L
y
SWIMMING POOL
,.� (..�1. G,
G�, i7
, '
i
DEMOLITION
•�
1
!
PRE -MOVE INBPECTlON
EXCAVATION OR FILL
---
I hereby acknowledge that I have rend this npDllentlon; that the In.
TOTAL AMOUNT DUE
r'l
-
form¢tlon glvsn le correct; bad that I am the owner, or the duly author•
-
;
Ized agent city end elate lnwe ergo•
owner. I agree to comply withauthorized
construction;
lating tr cti and to doing the work autborized tfieroby, as person
ATTENTION
APPLICATION APPROVAL
�t
Will be employed In violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Ibsurencs.
THISPERMIT
This application p
pp cation is not permit Until
)'
_
AUTHORIZES
ONLY
signed by the Building Official or his Dep-
gshall
NOTE:l'.
Permit Limit One Year (Except' DEMOLITIONS which
THEN
R'OID( NOTED
OTE
uty� slid fees are paid, and receipt fa ac-
be completed In ninety days; hIOVED•IN BUILDINGS shall be Som-
plcled In six months.)
knowledged in space provided.
{'
.,�
SIGNATURE (OWNER OR AGENT)
DATE SIGNED
INSPECTION
DEPARTMENTJyt.
Df OR'8 SIGNATU
/ t
•�;
',
..
CITY OF
--' i ' j' O
_
EDMOND3 '
a—A�
NOTE: Applicant Subject to Plan Cheek Tee
This Permit fererD work- W be 'done on private property ONLY.
775-2525
1. ..
Aar eonstruetlon on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate p ,mbelba.
INSPECTOR
l
C
I
`7SOz�z
bt w,
i
g
,
RECORD OF INSPECTIONS
i.
a ,I
I`
I
`7SOz�z
l�
,
RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial) _
i)
(Rough)
?
Frame
Furnace & Fuel Lines
?
Final
4
4
crx.�Pcn��EO a= B7ac.IC-wAsi#•.
F`W�M
i�
(
FIL%ea- 6N.
?1Lov'P-Ty
l \
Roft t .�i , ts•t�. � t'' �{ .�J/ i -
- � � r� 3s i
'p