750279.pdfoJ1/�_
3TRUCTIQN BTREE
t 1'V1 E] YES
YES -'o NO
OF EDMONDS. LOCAL SALES TAX
SHOULD " CODED 31.04.
REMARKS
�/lne-rL Q SC. k'113
j
f'� 1 11��'�I •/ 1j
5
Plan Check No .....................
BUILDING
s
1
DEFICIENCY THIS PROPERTY
USE PERMIT
NUMBER 7502'79
BUILDING DEPARTMENT
Ap]NUMBER
oJ1/�_
3TRUCTIQN BTREE
t 1'V1 E] YES
YES -'o NO
OF EDMONDS. LOCAL SALES TAX
SHOULD " CODED 31.04.
REMARKS
�/lne-rL Q SC. k'113
j
f'� 1 11��'�I •/ 1j
5
Plan Check No .....................
BUILDING
EXISTING STRUT R/W ............FT.
RESIDENTIAL
DEFICIENCY THIS PROPERTY
USE PERMIT
NUMBER 7502'79
BUILDING DEPARTMENT
Ap]NUMBER
ZONE f rJ'–
............FT.
PERMIT APPLICATION
Inside LinesA
D
ADD
PLUMBING
QQQC ADDRESS
ADDRESS
RETAINING
NAME; (OR NAME OF BUSINESS)
J^ 5W l T- 1PERI•II8
IY- � `• –:LO1'
Fj(CHAr
'E`RA
COVERAGE 3�j � I�
G
TU
OT E AOE
ir7 MAILING ADDRE88
/gi2,3 f Gyxap,cYc�
-b
PERMISSIBLE HEIGHT . /
30
PROPOSED HEIGHT
N/A
O CITY
TELEPHOACTUAL
LOT A EA 3�T%
TOTAL BLDG. ATE¢ %–
C..`% 0'V .RS
—REQUIREDYARDS
FRONT RIDE REAR
PROPO .D YARDS
FRONT HIDE
NAh1E
METER SIZE
I SERVICE SIZE
30' N ^
rz�
SWIM
IUiI ADDRESS
I
LE LOT VARIANCE OR
NO PERMIT NUMBER
CONDITIONAL UREE9
El
POOL
INC DEPT. APPROVCITY
NUMBER OF
I TELEPHO
STREET R/W
oJ1/�_
3TRUCTIQN BTREE
t 1'V1 E] YES
YES -'o NO
OF EDMONDS. LOCAL SALES TAX
SHOULD " CODED 31.04.
REMARKS
�/lne-rL Q SC. k'113
j
f'� 1 11��'�I •/ 1j
5
Plan Check No .....................
BUILDING
EXISTING STRUT R/W ............FT.
RESIDENTIAL
DEFICIENCY THIS PROPERTY
NAME
V
'•I
COMP. PLAN ST. R/W ............FT.
[�4
............FT.
QW N E /Z
REMARKS
ADD
PLUMBING
QQQC ADDRESS
RETAINING
JJJ❑^^^
O
7
Fj(CHAr
L
PLOT PLAN (Indicate Building setback., abutting streets)
t
ECKED BY
CCH Ct17
E
TELEPHONE NUMBER
j
❑OIt
V
I
METER SIZE
I SERVICE SIZE
I CLEARANCE I
CHECKED BY
oJ1/�_
3TRUCTIQN BTREE
t 1'V1 E] YES
YES -'o NO
OF EDMONDS. LOCAL SALES TAX
SHOULD " CODED 31.04.
REMARKS
�/lne-rL Q SC. k'113
j
f'� 1 11��'�I •/ 1j
5
Plan Check No .....................
BUILDING
^
RESIDENTIAL
LINE
V
'•I
NEW
[�4
ENTIAL
ADD
PLUMBING
RETAINING
JJJ❑^^^
O
7
EJDEMOLISH
L
PLOT PLAN (Indicate Building setback., abutting streets)
t
ALTER
E
❑
j
❑OIt
FILL
(ENC...........Ft.)
REPAIR
�
nE-MOVE
SWIM
I
E:]N9
El
POOL
4UMIBER OF RTORIES
NUMBER OF
RETAINING WALL
DtVELLING
I
lvjM N—
UNITS
_`
! ..••--r�� /
�.) 1 I
oJ1/�_
3TRUCTIQN BTREE
t 1'V1 E] YES
YES -'o NO
OF EDMONDS. LOCAL SALES TAX
SHOULD " CODED 31.04.
REMARKS
�/lne-rL Q SC. k'113
j
f'� 1 11��'�I •/ 1j
5
Plan Check No .....................
BUILDING
^
91-0
Jll
V
'•I
PROPOSED USE
PLUMBING
O
7
PLOT PLAN (Indicate Building setback., abutting streets)
t
HEAT k GAS LINE
j
FENCE
�
I
nI�I1'
SIGN
RETAINING WALL
lvjM N—
_`
! ..••--r�� /
�.) 1 I
SWIMMING POOL
1rA
`A
DEMOLITION
i
PRE -MOVE INSPECTION
-
J
EXCAVATION Oil FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
tormatlon given Ie correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and .tate laws reg'-
ATTENTION
APPLICATION APPROVAL
luting eanatructlon; and In doing the work authorized thereby, no person
itl be employed In violation of the Labor Coda of the State of Washington
wit
THIS PERMIT
This application is not a permit until
ratlog to workmen'a Compensation Imuran ce.
el
AUTIIORIZEB
signed by the Building Official or his Dep -
NOTE: Pel it Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
utyi and fees are paid, and receipt Is ac-
_
+—�—'—
hff ( co DI to n olaety d IOVED-IN BUILDINGS shall be corn.
s�1:e
knowledged in space provided.
mont'SOWN
R OR O T) DAT 81 NED
INSPECTION
DIRECTO el N r
S
•_
DEPARTMENT
!
CITY OF
EDAtONDS
DATE /
N TE: Applica)tt Subject to Plan Check Fee
I — S
775.2525
This Permit covers work to be done on private property ONLY.
Any ee..l rurt inn nn the puI Jnmain (rurbs, eldewalk.. driveway°'
PILE
,ill ri,�ul r,• erpuratr I,rrmisalnn.