750335.pdfOpp
' BUILDING DEPARTMENT
USE
NUhIBER 750335
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Applicant FillZONE
PERMIT APPLICATION Inside Heavy Lines
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ADDRESS ;:k� jJ
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NAME I.R. NAME OF s1NE88)
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UAL
PER ms LOT
COVERAA GE LOT COVERAGE
LOT COVE
AILING ADDREBB)
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PERMISSIBLE 3{EIGIIT YItOPOBED HEIGHT
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CITY
TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL BLDG. AREA
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REQUIRED YARDS PROPOSED YARDS
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NAME
FRONT SIDE REAR FRONT SIDE REAR
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LEGAL LOT VARIANCE OR CONDITIONAL USE
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ADDRESS
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CITY
TELEPHONE NUMHEli
PLANNING DEPT. APPROVAL
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STREET R/W
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EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NAME
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bil
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ADDRESS
REMARKS
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CHECXED BY
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T-110NE NUMBER
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METER SIZE SERVICE SIZE
CLEARANCE
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STAT7EJL]ICENSE NUhiB♦ESR
CITY LICENSE NUMBER
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REMARKS
Legal Description of Property (show Below or Attach Four Copies)
TYPE CONNECTION VERIFIED BY
07�
PERC. TEST PERMIT NUMBER
REMARKS
m
FIRE ZONE I TYPE OF CONSTRUC ON T IMPROVED
/E8
m/BT:E
NO
SPECIAL INSPECTOR OCCUPANCY GROUP
[3 YES112, /REQUIRED
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RESIDENTIAL
GAR
❑
❑ NEW
LINE
CHEC E➢ Y
THIS SITE IS LOCATED IN THE CITY
'
NON-RESIDENTIAL
OF EDMONDS. LOCAL SALES TAX
exaN
A AzA H ULD BEC DED 31.04.
ADD RETAINING
DEMOLISH WALL
�gLTER EXCAVATE FENCE
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��I�i[i//�j,%//�S/ p c/
OR FILL (..........i..........Ft.)
❑ ❑
Q/ PRE-h1OVE SWIM
REPAIR ❑ INSP. ElPOOL��(,.tiv
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QN ti/�//l%i�L-��7J/✓-f
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NUMBER OF BTORf EBNO .....R OF
/ DWELLING
UNITS
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NAT OIr WORK TO BEDONE
Valuation
Fee Receipt No.
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Plan Check No .....................
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G
BUILDING
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it
PROPOSED E
PLUMBING
a
PLOT LAN (Indlcato Building setbacks, abutting streets)
HEAT d: GAS LINE
l
FENCE
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9IGN
I
RETAINING WALL
1
HWIMMIN6 Pool-
OOLDEMOLITION
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
1
TOTAL AMOUNT DUE
I hereby acknowledge that 2 have read this appllcatlon; that the In-
formation given Is correct; And that I ara the owner, or the duty author.
.
Ized agent of the owner. I agree to comply with city sed elate law. regu.
ATTENTION
APPLICATION APPROVAL
laung construction; and In doing the work authorised thereby, no person
,
will be employed In violation of the Labor Code of the state of Washington
THIS I'ERMIT
This application is not a permit until
relating to Workmen'. Compensation Insurance.
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 -
.hall be completed In ninety days; MOVED -IN BUILDINGS shall be coon.
knowledged In space provided.
plated In .li months.)
SIGNATURE (OWNER OR AGENT)
DATE SIGNED
INSPECTION
DIR T SIGN TUR
L
�G cGy,/ �1C�rT
7/Lt/�.
DEPARTMENT
uSt%z
CITY OF
i
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
DATE UV--
117
_
775-2525
This Permit r lure work to be done on private properly ONLY.
Any conal rurllon an the Public domain (curb., sidewalks, drive.".,
� E
marquee., Ste.) x111 require separate permlulon.
NATURE UH' WUHK '!V HM LUNr: Valuation Fee Recelpt N0.
Plan Check N
l^ZJ BUILDING
a, PROPOSED F E
PLUMBING
O PLOT PLAN (Indicate Building setbacks• abutting streets) HEAT & GAS LINE
FENCE
BION
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hcrchy ncl<nowledge that I have road this application; that the In- '
rormntlan given le Correct; and that I am the owner, or the duly author -
1.1d agent of the owner. I agree to comply with city and elate law. re". ATTENTION APPLICATION APPROVAL I ;
tilting construction; and In doing the work aulhorlred thereby, no pereon
will be employed In A.1.1lo. of the Labor code of the state of Waabington THIS PERMIT This application is not a permit until
relating to Workmen's Compeneatlon Ineurance. AUTHORIZES Signed by the Building Official or his Dep -
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac -
shall be completed In nudely day,; /1OVED-IN BUILDINGS shall be com- Imowledged in space provided.
pleted In els months.)
SIGNATURE (OWNER OR AGENT) I DATE SIGNED INSPECTION )DIR, O '8 BIGNATURHJ
DEPARTMENT
CITY OF
EDMONDS DATE
---
NOVH: Applicant Subject to Plan Check Fee G
775-2525
This Permit -
Co.... k lu bo done on prIvnte property ONLY.
Any construction on the puhlle domaln (curb., ,Idewalks, driveways,
merpuee., Ste.) wlil McWro separate permission. INSPECTOR
0i
TELEPHONE NUMBER
,L-kY rc 7//4 4=2 - 7 `/L -'-�
<«<
STREET A/W•T
11USE
BUILDING DEPARTMENT
AppUcautFill
ZONE NUMBIER
NAME
PERMIT APPLICATION
I Inside Iicavy Lines
joR
ADDRESS
REMARKS
NAME (OR NAME OF BUSINESS)
PERMISSIBLE e' ACTUAL J
LOT COVERAGEC LOT COVERAGE
/ /Y!c"/rFiso r
AILING ADDREBB7
PERMISSIBLE liEI61IT PROPOSED HEIGHT
CITY
TELEP1iONE NUMBER
p CITY TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL BLDG. AREA
A T
REQUIRED YARDS PROPOSED YARDS
CHECKED. SY
NAME
FRONT SIDE REAR FRONT HIDE REAR
METER SIZE SERVICE SIZE CLEARANCE
O STATE LICENSE NUMBER
CITY LICENSE NUMBER
� f
I
I
LEGAL LOT VARIANCE OR CONDITIONAL USE
0/- -; 7S'>
N ADDRESS
N
0 YE9 NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:,
Legal DC,Cripll.. of Property ttmow Below
NATURE UH' WUHK '!V HM LUNr: Valuation Fee Recelpt N0.
Plan Check N
l^ZJ BUILDING
a, PROPOSED F E
PLUMBING
O PLOT PLAN (Indicate Building setbacks• abutting streets) HEAT & GAS LINE
FENCE
BION
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hcrchy ncl<nowledge that I have road this application; that the In- '
rormntlan given le Correct; and that I am the owner, or the duly author -
1.1d agent of the owner. I agree to comply with city and elate law. re". ATTENTION APPLICATION APPROVAL I ;
tilting construction; and In doing the work aulhorlred thereby, no pereon
will be employed In A.1.1lo. of the Labor code of the state of Waabington THIS PERMIT This application is not a permit until
relating to Workmen's Compeneatlon Ineurance. AUTHORIZES Signed by the Building Official or his Dep -
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac -
shall be completed In nudely day,; /1OVED-IN BUILDINGS shall be com- Imowledged in space provided.
pleted In els months.)
SIGNATURE (OWNER OR AGENT) I DATE SIGNED INSPECTION )DIR, O '8 BIGNATURHJ
DEPARTMENT
CITY OF
EDMONDS DATE
---
NOVH: Applicant Subject to Plan Check Fee G
775-2525
This Permit -
Co.... k lu bo done on prIvnte property ONLY.
Any construction on the puhlle domaln (curb., ,Idewalks, driveways,
merpuee., Ste.) wlil McWro separate permission. INSPECTOR
C CITY
TELEPHONE NUMBER
,L-kY rc 7//4 4=2 - 7 `/L -'-�
<«<
STREET A/W•T
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NAME
COMP. PLAN BT. R/W ............FT. ............FT.
REMARKS
O ADDRESS
/ /Y!c"/rFiso r
CHECKED BY
CITY
TELEP1iONE NUMBER
1/EECKE
�
I
A T
`—�
CHECKED. SY
�z
p !✓. r -r+•' f 1.�./A5/f
/{��r/
METER SIZE SERVICE SIZE CLEARANCE
O STATE LICENSE NUMBER
CITY LICENSE NUMBER
I
I
0/- -; 7S'>
REMARKS
Legal DC,Cripll.. of Property ttmow Below
or Attach Your Copies)
�ri /�! //✓L — A!A //7iF/b Gt
�j /• •� •ip✓�
TYPE CONNECTION VERIFIED BY
I
PERC. TEST PERMIT NUMBER
7
I
V
REMARKS
W
O
4rll
FIRE ZONE TYPE OF CONSTRUCTION STREET Ia1PROVED
"L-�'� I
[3 NO
SPECIAL INSPECTORR REQUIRED OCCUPAN�C�Y GROUP
�" ❑ GA9
RESIDENTIAL LINE
-
❑ YES �•NO I 1 / _,--/u
xsw
PLAN CHECKED Y
�/ THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL sicN
i. -.fes / OF EDMONDS. LOCAL SALES TAX
j„ j, �.� 31.04.
ADD
,.jam SHOULD BE CODED
RAMA K
❑RETAINING
DEMOLISH
O WALL
`%
EXCAVATE
0
FENCE��
' / y
. ✓/,%� //G' UG/%.1/✓ f[i ��f� ��
ALTER ❑
OR FILL
(.......... ........... FLI
PRE
✓REPAIR
SWI
-MOVE
❑
O POOL
_ ! G/`+ S/T %/t/f �L
!
(C: (.N
INSP.
.;�j/JE
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE UH' WUHK '!V HM LUNr: Valuation Fee Recelpt N0.
Plan Check N
l^ZJ BUILDING
a, PROPOSED F E
PLUMBING
O PLOT PLAN (Indicate Building setbacks• abutting streets) HEAT & GAS LINE
FENCE
BION
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hcrchy ncl<nowledge that I have road this application; that the In- '
rormntlan given le Correct; and that I am the owner, or the duly author -
1.1d agent of the owner. I agree to comply with city and elate law. re". ATTENTION APPLICATION APPROVAL I ;
tilting construction; and In doing the work aulhorlred thereby, no pereon
will be employed In A.1.1lo. of the Labor code of the state of Waabington THIS PERMIT This application is not a permit until
relating to Workmen's Compeneatlon Ineurance. AUTHORIZES Signed by the Building Official or his Dep -
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac -
shall be completed In nudely day,; /1OVED-IN BUILDINGS shall be com- Imowledged in space provided.
pleted In els months.)
SIGNATURE (OWNER OR AGENT) I DATE SIGNED INSPECTION )DIR, O '8 BIGNATURHJ
DEPARTMENT
CITY OF
EDMONDS DATE
---
NOVH: Applicant Subject to Plan Check Fee G
775-2525
This Permit -
Co.... k lu bo done on prIvnte property ONLY.
Any construction on the puhlle domaln (curb., ,Idewalks, driveways,
merpuee., Ste.) wlil McWro separate permission. INSPECTOR
� ��'c.;vrvsvvvv,
Date Passed
0001 OSS
Foundation —
TheDenniaGuldeahaae,1972480thPl
Plumbing (Partial)
Edmonds suffered an estimated $18,990; :
(Rough)
Aamege'when gra swept through the garage
Frame
and attlo; July 9. '
The tire, believed to have been caused frohn ;
Furnace &Fuel Lines
gasoline which leaked from a motorcycle fuel
Final
tank "on to the vehicle's hot engine was::
reported by noghbora at 9:04: pm. The
Gudden faintly was not home when the fire
broke out.. '
Neighbors reported hearing an explosion`
from the garage housing the cycle. The
vehicle hadbeeninuse shortly before the fire.
onds Fire lkpartment spokesmen said
ic and garage of the house suffereddamage.
Therest of the home had
L
ve smoke damage.' .
750335