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750265.pdfr - UBE 75ULE��� c PERMIT ZONE Q ' oL NUMBER / J U BUILDING DEPARTMENT Applicant Fill J I Inside Heavy Linos PERMIT APPLICATION AD ADDRESS �a `rl I 3 � NA ( R NAME OF BUSINESS) ,,�- mA , / LOTC VERA o 'J ACTUAL ()� LOT COVERAGE �i{.S IO LOT COVESiAGE- aaaLWW�/ J tl LINO ADDRESS PERMISSIBLE HEIGHT / PROPOSED HEIGHT Z /02o�-�f�„2� CITY TELEPHONE NUMBb.R ACTUAL LOT AA�FAA TOTAL BLDG. AREA x '+' :1oOn f i— % ! cx D�`} r} 0 L 1 a REQUIRED YARDS PROPOSED YAR d h C FRONT AIDE REAR FRONT BIDE JtEAR NAME j LEGAL LOT VAI N.1,;OR C AITIONAL USE tX YES' 0 NO PERMIT NUMBER /'Y 7 1.7 ADDRESS Fy O D SPT. A AL CITY TELEPHONE NUMBER STREET R p EXIBTIN6 BEET n/W ............FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN ST. ft/W ............FT. ............FT. W WF © LLI A, « REMARKS al ADDRESS O x ra V BY 01 CITY TELEPHONE NUMBER (CHECKED Vz I Al METER SIZE SERVICE SIZE CLEARANCE .TATE LICENSE NUMBER CITY LICENSE NUMBER I I ICUECKED /I "� I REMARKS 1 Legal Description of Property (Show Below or Attach Four Copies) oy TYPE CONNECTION VERIFIED BY -ITt 6 SCC Q �/o /C AN�r __ PERC. TEST PERMIT NUMBER i 1 onj REMARKS ed FIRE ZONE TYPE OF CON STRUCTION STREET IMPROVED—VIC No J EB N SPECIAL INSPECTO�UIRED OCCUPANCY ROUP GAS ❑ nEBIDENTIAL ❑ LINE % OLYEBCHECKED Q NEW B THIS SITE IS LOCATED IN THE CITY ❑ NON-RESIDENTIAL SIGN ❑ OF EDMONDS. LOCAL SALES TAX ❑ ADDRETAINING t SHOULD BE CODED 31.04. R ARK r ElDEMOLISH ❑ WALL ElALTER EXCAVATE FENCE _/n� '�� e' f' fI ,e 4- J%Lk) i�L� OR FILL (.......... x........_Fl.) ❑ ❑ ❑PRE. MOVE swim REPAIR ❑ INSP. ❑ POOL ` �, r C�7/�/5L; / V Grxf NUMBER OG STORIES NUMBER OF DWELLING , / UNITS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. - / r S�✓d<d ce,.t Plan Check Na..................... BUILDING/ '2 � d l3 UO S PROPOSED USE eJ . yy PLUMBING a6rl�t O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINEel ! el A 1"A �i Ls Jl /e FENCE SIGN I RETAINING WALL N SWIMMING POOL DEMOLITION PRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE C)U I Hereby acknowledge that I hat-read this application; that the In- 13 ' formation given Is 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 regu- ATTENTION APPLICATION APPROVAL ' ,.urdf construction; and In doing the work authorized thereby, no person will be employed In vlol¢tlon of the Labor Code of the Biala of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Inure ide. 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• OVED-IN BUILDINGS shall be com. knowledged in space provided. pleled Ina months.) AT t (OWNER ORA T DATE SIGNED INSPECTION DEPARTMENT DERE TUg S IGNATURE CITY OF EDMOND$ DATE NOTE: AhplicaW Subject to Plalf Check Fee — 775-2525 C� 1 { This I'ertnit rucere work to be dune on private property ONLY. Any construction on the Public domain (curbs, .idewplks, drheways, FILE marquee., etc.) will rcgcd_ sep=at. permisslon. , Ll I 1 11 l I iFIRE ZONE TYPE OF CONSTRUCTJ.ON PnOVED •4 I BUILDING DEPARTMENT Applicant Flu USE (.).-.. PERMIT ZONE x NwIeIIIt PERMIT APPLICATION Inside Heavy Lines wnuxEse �� ,i o NAME (OR NAME OF BUSINESS) 1 PERMISSIBLE 1 ACTUAL J - I LOT COVESYAGE ... _ IAT COVERAGE?"r L— / m AILI G A DRE a PERa1ISSIDLE HEIGHT PROPOSED HEIGHT ;a } L%rl� �Fr. F71 NEW ❑ NON-RESIDENTIAL ❑ /ir CLTY TELEPHONE NUMDER da ACTVAL LOTAREA r. TOTAL BLDG. AREA /_- - �_ C,•,� REQ INFO YARDS t v P POSF,D YAKDS SHOULDEDM SHOULD BE CODED 31.04. BE NAME SIDE REAR FRONT BIDE REAR jY 'i ( Gi` �l 1�::�f. •/;//..� , rr��'�/� G),;/":.� /{/ Y i ,1.,�- / j f � ; <... , ��F1 •� Vin(,` t I%ri,tr..... _ ) st,� LEGAL LOT VARIANCE OR CO V? TIONAL USE 1 ❑ REPAIR ❑ PRE -MOVE SWIM INSP. ❑ POOL ADDRESS 0 YES ❑ NO PERMIT NUIIBER J _ _ E NUMBER OF STORIES NUMBER OF PLANNING3EPT. AYP�OVAL � ATE. r - " - I C CITY TELNUMBER 'IA 'V ^ STREET R/W O < I EXISTING • IVErT R/W FT. DEFICIENCY THIS PROPERTY E NATURE OF WORK TO BE DONE NAME COMP. PLAN ST. R/W Fr. ............FT. Fee W I (7, y ) ✓�/-�' r ' i >^ REMARKS 7 O ADDRE S )G 67 PROPOSED USE tm U CHECKED BY a PLUMBING �rFI CITY TELEPIlONE NUMBER / ✓' t A PLOT PLAN (Intllcata Hulltling BetbnCkg.-nbuttln6 streets) \l BEAT & GAS LINE I METER SIZE SERVICE SIZE CLEARANCE OHECKED BY FENCE O STATE LICENSE NUMBER I CITY LICENSE NUMDEIt I I �j y�c J" I `If RETAINING WALL REMARKS w Below Legal Description of -Property (Shaor Attach Four Copies) - DEMOLITION TYP NECTION VERIFIED 6Y PRE -MOVE INSPECTION EXCAVATION OR FILL '` r• �7'+ 7 .i .>y P • E T yE IT NUUSER y ' B TOTAL AMOUNT DUE l�y W formation given le correct; unit that I em the owner, or the duly author. REMARKS Ly n Ized non of the owner. I agree to comply With city ma elate laws regu- Ll I 1 11 l I iFIRE ZONE TYPE OF CONSTRUCTJ.ON PnOVED I NO I SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP [3 YES aNO ... RESIDENTIAL ❑❑ GAS LINE PLAN CHECKED DY THIS SITE IS LOCATED IN THE CITY F71 NEW ❑ NON-RESIDENTIAL ❑ f / i S. LOCAL SALES TAX s1cN ❑ ADD ❑ ❑ RETAINING DEMOLISH WAIT' j j _ _J/,./ ✓ R}IMARK9 C) SHOULDEDM SHOULD BE CODED 31.04. BE EXCAVATE FENCE ❑ jY 'i ( Gi` �l 1�::�f. •/;//..� , rr��'�/� G),;/":.� /{/ Y i I ALTER ❑ OR FILL ❑ (......... .x .......... Ft.) • . ❑ REPAIR ❑ PRE -MOVE SWIM INSP. ❑ POOL � i 1 iJ - %'/I S/it`��J✓JY:� G i�yl /t.I } i NUMBER OF STORIES NUMBER OF DWELLING f l UNITS NATURE OF WORK TO BE DONE Valuation Fee Rceclpt No. (7, y ) ✓�/-�' r ' Plan Check No ..................... 7 O BUILDING PROPOSED USE a PLUMBING A PLOT PLAN (Intllcata Hulltling BetbnCkg.-nbuttln6 streets) \l BEAT & GAS LINE FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formation given le correct; unit that I em the owner, or the duly author. Ized non of the owner. I agree to comply With city ma elate laws regu- ATTENTION APPLICATION APPROVAL luting construction; and In doing the work authorized thereby, no person will be employed In vlolallon of We Labor Code of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES eigned 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 - shall be completed In ninety days; MOVED -IN BUILDINGS shall be cpm- knowledged In space provided. pleted In six months.) SIGNATURE (OIVNER OR AGENT) DATE SIGNED INSPECTION DIRECTORS 81ONATURE I DEPARTMENT 1 1 •,�;�lj a, „r ..� /., CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit coicra work to be done on privet, property ONLY. Any construction on the public domain (curbs, sidewalks, &[VOW"., INSPECTOR murauCee, etc.) will require separate permission. i jt }j ft ;: t S S E D V A I U A t BIM^t;. I n x GCt1E Hnl. �! I _^I� 1 iz 1"1 Ol OS I JG TAX DISTBIL TS: �L (�'IHI<I P'1HI f,"IFIlT t)ItIEH 3 kolD lIB t'i•II I ` .. .. T,L3CHECK / ., 7 1' `.T L Dlr.! :Ito UHl.I r: no INDICAIE1 �.. j .p ".0\YCH f"•RI: fIHE HALF 0011 Fl LEGAL DESCRIPTION i H rt Y1 YEAR -) t AYER IN cHUI i I I ( RECORD OF INSPECTIONS Ii Date Passed , Foundation I Plumbing (Partial) i (Rough) Frame 1 t 111 Furnace & Fuel Lines y I Finale l