750316.pdfPRE -MOVE INSPECTION
EXCAVATION OR FILL
I
TOTAL AMOUNT DUE
7503 I f)
I hereby acknowledge that I have read this appilcntlan; that the In-
BUILDING DEPARTMENT
AppUcantFlll
ZUSE ONE NUMHPIR
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PERMIT APPLICATION
I Inaldo Heavy Linde
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ADDRESS !7 , J
AD
APPLICATION APPROVAL
NAME
(OR NAME OF BUSINESS)
pEi11d111 LE '" ( ACTUAL' -- 1
AGE
TRIS PERMIT
This application is not a permit until
Doris Me DeWees
AUTIIORIZES
LOT COVERAGES LOT COVOS
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w
AI NO ADUREdS
shall be completed In ninety days; MOVED -IN BUILDINGS .hall be com.
PERMISSIBLE HEIGHT / PROPOdjOpi HEIGHT y
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knowledged In space provided.
plctcd In at. months.)
22701 — 74th Fl -W.
7.
INSPECTION
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------------
TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL LUG AR
r
CITY OF
EDIIIONDS
CITY
NOTE: Applicant St(Lject to Plan Check Fee
I n �'31n Amy
2 — ly
l dmonds, Wash.
778-2279
REQUIRED AIfUtl PROPOtlF.0 YA RDe
Any construction on the public domain (curbs, sidewalk., driveway.,
FRONT BIDE REAR FRONT sIUE REAR
marquee., els.) will require separate permission:
NAME
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owner
r%'tSYI
L AL LOT VARIAN E Oli CONDITIONAL VAE
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ADDRESS
YES ❑ NO PERMIT NUMBER
N
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NO DE PI'li V
Vy.
CITY
TELEPHONE NUMBER
STREET R({
EXISTING 8 ET R/W ............FT. DEFICIENCY THIS PROPERTY
NAME
COMP. PLAN ST. R/W ..........,.FT. ............FT.
owner
REMARKS
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of
ADDRESS
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CHECKED BY
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CITY
TELEPHONE NUMDF.Ft
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METER d!LE
BEFiV10E SIZE
CLEARANCE
ECKED BY
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STATE LICENSE NUMBER
I CITY LICENSE NUMBER
13
REMARKS
Legal Description of Property (Show Below .[ Attach Four Copies)
T PE CONNECTION VERIFIED BY
Or
PL•'R0. TEST PERMIT NUMBER
y.
W
REMARKS
se
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FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
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No
11
SPECIAL INSPECTOR R[3
OCCUPANCY GROUP
YES CJ00_EQUIRED
T
CITY
RESIDENTIAL LIN -ASE
NEW
PLAN CHECKED D THIS SITE IS LOCATED IN THE
LOCAL SALES TAX
NON-RESIDENTIAL SIGN
/, OF EDMONDS.
r SHOULD BE CODED 31.04.
ADD
RETAINING
WAIT'
ARKS /
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DEMOLISH
FENCE
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❑ ALTER ❑ EXCAVATE
OR FILL
(.....................Ft.)
REPAIR ❑ PRE -MOVE
INSP.
O SWI11f�'
POOL
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NUMBER OF STORIESI NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee Receipt No.
2 bedroom addition
Plan cheek N. .....................
BUILDING
[p
4
ai
PROPOSED USE
PLUMBING
V
aPLOT
PLAN (Indicate Building esthetics.
abutting streets)
HEAT A GAS LINE
9
FENCE
SIGN
tRETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I
TOTAL AMOUNT DUE
tf of Qd
I hereby acknowledge that I have read this appilcntlan; that the In-
formation given is correct; and that I sm the owner, or the duly author-
lred agent or the owner. I ogre. to comply with city and at". law. regu-
ATTENTION
APPLICATION APPROVAL
,sting construction; and In doing the work aulhorl.ed thereby, no person
will be employed In violation of the Labor Code of the stale of Washington
TRIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Iasurance.
AUTIIORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (E.cept DEMOLITIONS which
ONI.Y THE
WORTS NOTED
uty; and fees are paid, and receipt is ac
shall be completed In ninety days; MOVED -IN BUILDINGS .hall be com.
knowledged In space provided.
plctcd In at. months.)
(OWNER OR AOE T) DATE SIGNED
INSPECTION
IRE TDlt'a BIG 'Alru
"
LATURE
DEPARTMENT
, /�
r
CITY OF
EDIIIONDS
DATE
NOTE: Applicant St(Lject to Plan Check Fee
2 — ly
775-2525
This Permit covers work to be done oa private property ONLY.
Any construction on the public domain (curbs, sidewalk., driveway.,
FILE f
marquee., els.) will require separate permission:
~,•
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`�.
BUILDING DEPARTMENT Appli(antFIU
PERMIT 7(.`�
ONE NUMBER
i
Inside Heavy Linos
PERMIT APPLICATION I
�o u
ADDRESS
NAME (OR NAME OF BUSINESS)
A
PERMISSIBLE^ Gyt AC'1'U/A %
11' LOT COVERAGE
LOT CGVERAGEs
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I
MAILING ADDRESS1
PERMISSIBLE HEIGHT I PROYOBEy RESORT p
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p
CITY
TELEPHONE NUMIIEIi
ACTUAL LOT AREA TOTAL LDO. AREA L x
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FRONT HIDE REAR FRONT BIDE REAR
NAME
10
/OR
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CN11P..0
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LEGAL LOT VARIAN CONDITIDNAUSE
ADDRESS
'YES [] NO PERMIT NUMBER
i
NINODEPT. AYI•RQV }• ! -' D
CITY
TELEPHONE NUDLIIEIt ''/
R/1
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STREET
EXISTING 8 EET R/W ............FT. DEFICIENCY THIS PROPERTY
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NAME
............
COMP, PLAN ST. R/WFT. •••••^.•...FT.
W
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t7UIer
REMARKS ,
ADDRESS
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-
CHECKED BY
F
CITY
TELEPHONE NUMBER
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p
AtETLE' B7812E
CLEARANCE
B
Gt
STATE LICENSE NUMBER
CITY LICENSE NUMBER
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16HECKED
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REMARKS Ui
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Legal Descrlpl1011 of Properly (Show Below or Attach Four Copies)
,CONNECTION
rTYPE
BY
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- 1 �f.A.../ 4✓
73-
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�//0 ..� — -�
PERC. TEST
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REMARKS
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1
F AE ZONE TYPE OF CONSTRUCTIONT ET IMPROVED
!
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
RESIDENTIAL
GAS
E] LINE
❑ YES C(,ND I T.
NEW
[�
PLAN CHECK D IIY:; THIS SITE IS LOCATED IN THE CITY
_.
/" OF EDMONDS. LOCAL SALES TAX
ADD
NON-RESIDENTIAL
❑ SIGN
RETAINING
'e1�/� r,�;�,-<.�^ SHOULD BE CODED 31.04.
RNMARKS,
DEMOLISH WAIT'
❑ ❑
C�
EXCAVATE FENCE
ALTER ❑
On FILL (.......... x .......... Ft.)
'
❑-MOVE INSP. POOL NIM
PRE SP
�r'%�, I l�1 :-_.(� /7/f/ ) /% r• i/Yf •%C: G% .i//J�
iREPAIR
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee
Receipt No.
i; 1: "„_: ():r ''"il�:i L.J. flit
Plan Check N
BUILDING
[Oy
4
PROPOSED USE
PLUMBING
U
PLOT PLAN (indicate Hullding setbacks, nbullin6 Bisects)
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION on FILL
I hereby ecknowledgO that I have read this application; that the In-
TOTAL AMOUNT DUE
TV .
formation given Is correct; and that I am the owner, or the duly author,
lied agent of the owner. I agree to comply with city and elate laws rem"
ATTENTION
APPLICATION APPROVAL
'
filing construction; and In doing the work authorised thereby, no person
Will be amplaYcd in Violation of the Labor Code oL 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 DEMOLITION'S whish
ONLY TILE
µ•ORI[ NOTED
uty; and fees are paid, and receipt is ac -
!j
.hall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
knowledged in space provided.
pieled In six months.)
.I
SIGNATURE (OWNER OR AGENT)DATE
81GNED
INSPECTION
DIRE TORS; 816NATURE) /
'
/-`
DEPARTMENTj�
�p -'
x X/LEDhIONDS
—
CITY OF
! .`,
DATEJ
NOTE: Applicant Subject tG Plan Check Fee
};f,
I
775-2525
_
This Vermit covers work to be done on private properly ONLY,
Any emelruellan on the public dont.]- (curb,, eldewaiks, drl,..".,
INSPECTOR
marquees, ale.) will require separate permission.