750328.pdfR
r,7u,l,L,A,T
DING DEPARTMENT Applicant IF ZOO BC PERMIT 750328
APPLICATION I Inside Heavy'Ilnea See
ADDRESS
101 Main Street
PExMlselaLECTA UA
LOT COVERAGE LOT C.WE AGE
PERMISSIBLE HEIGHT PROPOSED HEIGHT
ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
LEGAL LOT VARIANCE OR CONDITIONAL USE
0 YES 0 NO PERMIT NUMBER
Itq
Z
O
U
F
D
Z
V
5
I
E
O
�
REAIARK9
I
PLANNING DEPT. APPROVAL \ DATE:
FIR E I TYPE OF CONSTRUCTION I STREET IMPROVED
JITv7r11
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
D
,0 '
COMP. PLAN ST. R/W ............ FT. ............FT.
k�l
REMARKS
I�
SPECIAL INSPECTOR REQUIRED OCCUPANCY O OUP
O
N
CHECKED BY
RESIDENTIAL ❑ GAB
NEW LINE
LEW
P
fly
METER SIZE I SIZE CLEARANCE CHEC ED HY
PLAN CHECK
CHECK D B
�SE((RVICE
`�,` N •
I
ad
REMARKS
REMARKS
�LDCv. SvPaL t�rL to -2 UPC
a
gTlllpg�F
TYPE CON�7ECT�lON � I VE
REMARKS
`TT
PCRC. TEST PE/RMI�T NU�IHER
Grease interceptor required.
5
I
E
O
�
REAIARK9
I
C
m
"t
FIR E I TYPE OF CONSTRUCTION I STREET IMPROVED
JITv7r11
YESEj No
SPECIAL INSPECTOR REQUIRED OCCUPANCY O OUP
RESIDENTIAL ❑ GAB
NEW LINE
LEW
❑ Y.
I 5—
1J
THIS SITE IS LOCATED IN THE CITY
PLAN CHECK
CHECK D B
, NON-RESIDENTIAL sia"
ADD
OP EDMONDS. LOCAL SALES TAX
SHOULD
RETAINING
11 DEMOLISH ED WALL
REMARKS
BE CODED 3I 04
El ALTER EXCAVATE FENCE
Grease interceptor required.
OR FILL (..........z..........Ft.)
PRE -MOVE
REPAIR ❑
INSP.
El POOL
c�.CI.
!
NU�IBCR O1 9TOR1E8
LLNUniIERNG OF
1 DWEI
t, yV O F �` ,•"•, 3
` UNITS
t
NATURE OF WORK TO BE DONE
Plumbing
Valuation
F R eceipt No.
I•Ian Check No .....................
BUILDING
a PROPOSED USE
,
O
3
PLUMBING �31,
48.50
PLOT PLAN (I ndluale Building eetbecke, abutting etr-cta)
HEAT @ GAS LINE
O
FENCE
SIGN
.
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
4S.5O
TOTAL AMOUNT DUE
Ihereby acknamledgo that I have read this application: that the In-
formation given Is correct; and that I ana the owner, or the duly author.
Teed agent of the owner. I agree to comply with city and elate Tawe regu.
lating conetructloo; sad In doing the worst authorised thereby, no person
ATTENTION
APPLICATION APPROVAL
will be employed In violation of the Labor Code of the Stale of Washington
THIS PERMIT
relating to Workmen'- Comp...atton Insurance.
AUTHORIZES
This application is not a permit until
NOTE: Permit Limit One Year
ONLY THE
signed by the Building Official or his De
g p'
(Except DEMOLITIONS which
Shall be completed In ninety days; MOVED -IN BUILDINGS shall be corn.
WORK NOTED
uty; and fees are paid, and receipt is ac-
pleted In elx months.)
knowledged In space provided.
9iUNATURE (OWNS OR AGENT) DATE SIGN D
INSPECTION
DIRECTO BIG U
S J
DEPARTMENT
CITY OF
NOTE: Applicant Subject to Plan Check Fee
EDIVIONDS
DATE
Thle Permit cuter- mark to be done on Private property ONLY.
775-2525
Any construction on the public demaln (curbs, sideWalke, drlvemge,
m.,r... r' rte.) will require ,rpnnue I�rrn,l..lnn.
PILI'