750269.pdf1
BUILDING DEPARTMENT Applicant Fill °"E - rPiu ER.R
15UZb9
IG
PERMIT APPLICATION Inside Heavy Lines I ADDRESS
NAME (OR NAME OF BUSINESS)
PERMIBBIBLE -7 ACTUAL
Belt Homes IAT COVERAGE . LOT COVERAGE .101
m MAILING ADDRESS 4 O
67
PE )ihI1SSIBLE HEI FIT PROPOSED HEIGHTS:)
7• 9808-215th S.W. 1V z
O CITY A U LOT AREA TOTAL BLDG. AREA h 1
TELEPHONE N MBER 'vn
Edmonds, We. 776-2829 REQUIRED ARDS PROPOSED YARDS
T
NAME FRONSIDE REAR FRONT BIDE REAR
I�il ADDRESS LOT VARIANCE OR CONONAL UHE
H YES NO PERMIT NUMBER
� 1N0 D T. APP L �r
CITY TELEPHONE NUMBER "
c STREET R/ EET R/W".EXISTING B 4T• d
DEFICIENCY THIS PROPERTY
NAME .......
COMP. PLAN 8T. R/l��.FT, 0FT.
Belt, T. E. REMARKS
C ADDRESS Driveway slopes not to exceed those se
,
9808-215th S.W. indicated on Standard Dwg,. Nn- case D ra
N
CITY dmonds Wa. TELEPHONE NUMBER ^)
_223-01-14937 I MET BiZE I BERME SIZE I CLEARANCE I CHE BY 1
O STATE LICENSE NUMBER CITY LICENSE NUMBER ZJ 3a� t
RE�
Legal Description of Property (Show Below or Attach Four Copies) t
I
Lot 1 1 ,_,F i m View Addition TYPE CONNECTION VERIFIED BY
O
o inn r, PERC. TEST I PERMIT NUMBER
C i
U
�
REMARKS 'a
O
I
T
Q
FIRE ZONE TYPE OF CONSTRUCTION STREET 1bfPROVED '
YES [3 NO
SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP
❑❑ GAS ❑YES . �•I NO J
RESIDENTIAL LINE PLAN CHECK_ IIY THIS SITE IS LOCATED IN THE CITY {{I
NEW NON-RESIDENTIAL ❑ I '� �HOULD BE CODED 3A LL SALES TAX
FSIGN
ADD ❑ ❑ WAIZ MNG REMARKS
DEMOLISH
4L--. Wdpx FCL• IS—� f (Acy
EXCAVATE ALTER ❑ OR
FILL ❑ (ENC...........Fl.) � �I� I
REPAIR ❑PRE-MOVE F-1 POOLI w^ 19-73
biI 1
NUB£R OI'` BTORtEB I NUMBER OF
DWELLING K)
Y' l l':l \L.
1 UNITS ��.lJ l�
NATURE OF WORK TO HE DONE Valuation Fee Receipt No.
GARAGE rlaa Check No.....................
I
O BUILDING it=, P. 66
PROPOSED USE
PLUMBING Mr I
PLOT PLAN (Indicate Building setbacks, abutting street.) HEAT & GAS LINE lt
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL —
DEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL (((---��1
TOTAL Ab1OUNT DUE "/
1 hereby acknowledge that I have rend this application; that Ors In- I J -
formation given Is correct; and that I ar. the owner, or the duly author-
Ised agent of the owner. 1 agree to comply With city and elate laws regu- ATTENTION APPLICATION APPROVAL
lating construction; and to doing the work authorl:ed thereby, no person
»'111 be employed In violation of the Labor Code of the State of Wmhington TIUS PERMIT This application is not a permit until
relating to Workmen's Compensation Runlrence, AUTHORIZES elgned by the Building Official or his Dep-
ONLY THE
NOTE: Permit limit One Year (Except DEMOLITIONS whlch WORK NOTED uty; and fees are paid, and receipt is ac-
shall he completed In ninety day-; MOVED-IN BUILDINGS shall be com- knowledged in space provided.
plcted in els month..) -
SIGNATURE (OWNER OR AGENT) D E SIGNED INSPECTION D1RECR'e B10
/L/- r%S^ NATjt�tE l
A DEPARTMENT r 1.11
•_ �' . , - ---
CITY OF
EDMONDS DAT /
NOTE: Applicant Subject to Plan Check Fee 775-2525
This Permit coven work to be done an private property ONLY. !
Any c. n.trurllan on it. public dnm.ln (enrb., sidewalk., drive»'sy-, FILE `]]7
,n,,rrlurr., rt r.l ��III rrilulrr xrpurnlr I'rrud..loa. _
CITY OF EDMONDS
BLDG. DEPT.
CONDITIONAL PERMIT
J� ��ew
i
WORK- GrWAGC
ADDRESS- �
OWNER.
APPROVED
BY
BLDG. OFFICIAL
KEEP THESE STAMPED
PLANS ON JOBSITE FOR !
ALL INSPECTIONS
PERMIT NO. SHEET r
y
1502.69 OF