750347.pdfIr
"\ NUMII&R 750341
BUILDING DEPARTMENT Applicant Fill
ZONE 1
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APPLICATION Heavy Ltnog
PERMIT APPLICATIO
JOB
ADDRE88'-I �. /
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NAME (OR NAME OF BUSINESS)
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�TK. /IG �(-5 �O�jeG51 GJ/.fAL LI��t'
F.J i rrt
PE Ita118dIBLE 1 p) ACTUAL a
LOT COVERAOF. Fi..O /� O AGE
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Fl
MAl N6 ADDRE88
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PERMISSIBLE HEIGHT PR 0-I8Ef,1 IicEI6�T O
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CITY
TELEP NE NUMBER
ACTUAL LOT AREA TOTAdL AREA
1 D p D •_
v'AnDB PROPOSED ARDS
t
NAME
FRON'IREQ HED
IDE REAR FRONT 7DE REAR
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.iAM�
LE LOT VARIANCE OIt CONDA NA U8
ADDRESS
E8 ONO PERMIT NUMBER
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11230 T6M. qVE. 6. F_-
P I DEP APPR V
l4
CiWy
TE�(LEP`H�ONE NUMBER
AJt3TI
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V✓ l I ZO�
ISR/W p
EXISTING ST ET
R/W ............F1'. DEFICIENCY THI9 PROPERTY INAME
COMP. PLAN ST. R/W ............FT. ............FT. (•1
REMARKS
C
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ADDRESS
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pe
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CHECKED BY W
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CITY
TELEPHONE NUMBER
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
MF -\f t SERVICE SIZE I CLEARANCE
CHECKED
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REMARKS
i
Legal Description of Properly (Show Below or Attach Four Capt..)
TYPE CONNECTION
(�1C1 S 1 1 hi Cr'
VERIFIED IIY
o
PERC. TEST
PERMIT NUMBER
n
�
REMARKS W
1
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I
I 4
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FIRE TYPE OF TRUCTION STREET IMPROVED
+
` IZYEB 0 NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
i
El RESIDENTIAL
❑ GAS
LINE
O YES j )'O I
PLAN CHECKED/NEWN� THIS SITE IS LOCATED IN THE
1
LOCAL AES TAX
I
!
ON-RESIDENTIA
E] SIGN
OFEDNS.
ED 31.04.
ETAINING
❑ RWALL
REMARKS f'�•�(,�.(�
DEMOLISH
EXCAVATE PEN CEY—`c
El
\ CI'^
ALTER
OR FILL (........."..........Ft.)
swim
REPAIR ❑PRE -MOVE El
INSP.POOL
Djzi( ,N - L ap" 1 _ 7 2,03 T.
i
NUMBER OF STORIES NUMBER OF
DWELLING
I
1
ITB
NATURE OF WORK TO HE DONE
Valuation
Fee Receipt No.
^'I
Check No ......................
b^�
I
'q^
jar l� //tt 1l��
(J\'�IGIC 5,P4cre—
BUILDING
/y
��, �0
,
4o-Oe1
4
PROPOSED U8E
PLUMBING
��TIT����"" �7---
aPLOT
PLAN (indicate Bing setbacks, abutting et—te)
HEAT h GAB LINE
5
FENCE
J
SIGN
RETAINING WALL
1
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I
('00
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this epplicatton; that the In.
-
formation given Is correct; and that I am the owner, or the duly author-
Ized agento[ the owner. T agree to comply with city and State laws rose-
ATTENTION
APPLICATION APPROVAL
bating Coast ructloa; and In doing the work authorized thereby no person
Will be emplayed In Violation of the Labor Code of the Slate of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Iasuranne.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TRE
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
Imowledged in apace provided.
plated in six months.)
SIGNATURE (OWN OR AGENT)
DATE SIGNED
INSPECTION
DIRECTSI B U
DEPARTMENT
/
• •
_ +
CITY OF
NOTE: Applicant Subject to Plan Cbrrk Fee
EDMONDS
DATE
— 2
775-2525
This 1'ennit c• ark 1. be dao. on private property ONLY.
Any eonetrucllim on ilia Public domain (curbs, sidewalks, drl—ii..
FILE
marauaes, ale.) WIII reywre -parent, permlulon.
j.
L!
L 'BUILDING DEPARTMENT Applicant Fill ZOO \ PERMIT\� NUMBER '750347
PERMIT APPLICATION Inside Heavy Lines-3-511—ADD
NAME (OR NAME OF BUBINEBB)
_ J LEANE r ACTUAL
LOT COVERVERAOEsOVFi�AOE
of
MAILING ADDREHB
PERMISSIBLE HEIGHT F,.._ PIiOPOdE� HEIG;ST � ,'� L� z
ACTUAL LOT AREA TOTAL BLDG. AREA 7.
E
CITY TELEPHONE NUMBR
1 _-'>-z�)C20.0 S i
..���✓I'`i•�� HEpIT1RF:D YARDS PROPOSED YARDS
NAME FRONT RIDE REAR FRONT SIDE REAR
f' f
LEGAL LOT VARIANCE OR CONDITI NA UeE
N ADDRESS / 0-YEB El NO PERMIT NUMI R,�1 ,,,� l y.:; •�` {...b ,:,,. i
I, .,. ;) � -:) -?,ti . Ijy i� . �• P A NI C1 DEPT APER VAI,. I lY> PIATE.
r4 CITY TELEPHONE NUhiBER �" 1--11\-(S"'L� J. I t '.'�.l /� I -J
STREETIt/Wr I O
A, Irl ;j :� •-� / { I' EXISTING STREET R/N ............PT. DEFICIENCY THIS PROPERTY
NAMEiCOMP. PLAN BT. R/W ............FT. kW1
ai ADDRESS (I A. r s G 1 i , 1 °x
p I W
CITY TELEPHONE NUMBER
F
O __. __ _ ___.................. I �,T� ..-r -- u„�o�.� METER 8!LE_I SEI I—RVICE SIZE I CLEARANCE I CHECKED( BY I J
R
NATURE OF WOK TO BE DONE
TId. Pennit rover. work to be done en prl-I. property ONLY.
Any construct,.. an the public domain (curb., .ldcualk.. driveway.,
marquees, etc.) ¢rill require separate permis.,on. INSPECTOR
Legal Description of Property (Show Below or A ... en lour Copic.)
Valuation
Fee
.,
Rccc(pt No.
(( r^
l' �" i, �:- > r 11Li `-
(
BUILDING r
-7606, (, U _�O, C) o
I'-^
Or PROPOSED USE
TYPE CONNECTIONVERIFIED BY
O
-Ql
PLUMBING
'�
(
{y
11
9
FENCE
tRETAINING
PERC. TEST
PERMIT NUMBER
a
SWIMMING POOL
I
U
PRE -MOVE INSPECTION
EXCAVATION OR FILL
k
O
I hereby acknowledge that I hove read this application; that the in-
formation glvon Is correct; and that I wa the owner, or the duly author-
REMARKS
-I
C
O
ized agent of the owner. I agree to comply with city and state law. regu-
ATTENTION
APPLICATION APPROVAL
,at,.. coaetructlon; and In doing the work authorl..d thereby, no person
J
TIDE PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
FIRE ZONE I TYPE O�F� 11TRUCTION STREET IMPROVE
i {t...
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In nicely day.; MOVED -IN BUILDINGS shall be coin.
knowledged In apace provided.
pleted In six months,)
--IF—”
/6 YES E] NO
SIGNATURE (OWNER Olt AGENT) r DATE elONED
INSPECTION
DIRECTOR'Si SIGNATURE
I
DEPARTMENT
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
CITY OF
EDIWONDS
RESIDENTIAL
❑
GAB
LINE
❑ YES ONO ��J _
-V
NEI'
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
OF EDMONDS. LOCAL SALES TAX
1
SIGN
_,,I
SHOULD BE CODED 31.04.
ADD
E]
DEMOLISH
RETAINING
WALL
REMARKS
ALTER
❑
EXCAVATE
OR FILL
❑
FENCE
(..........x..........Ft.)
❑ REPAIR
PRE-MOVE
SWIM
I- �, ,(
` '��I, L. �``�-1-1 IT r7 ✓C.J -7 -1 IJ
❑
INSP.
POOL
�.{
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
R
NATURE OF WOK TO BE DONE
TId. Pennit rover. work to be done en prl-I. property ONLY.
Any construct,.. an the public domain (curb., .ldcualk.. driveway.,
marquees, etc.) ¢rill require separate permis.,on. INSPECTOR
Pian Cheek No ............. ......
Valuation
Fee
.,
Rccc(pt No.
(( r^
l' �" i, �:- > r 11Li `-
(
BUILDING r
-7606, (, U _�O, C) o
I'-^
Or PROPOSED USE
-Ql
PLUMBING
tl
a PLOT PLAN (Indicate Building setback., abutting streets)
HEAT & GAS LINE
11
9
FENCE
tRETAINING
SIGN
WALL
_
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I hove read this application; that the in-
formation glvon Is correct; and that I wa the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state law. regu-
ATTENTION
APPLICATION APPROVAL
,at,.. coaetructlon; and In doing the work authorl..d thereby, no person
will be employed In Violation of the Labor Code of the State of Weahington
TIDE 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 DEMOLITION8 which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In nicely day.; MOVED -IN BUILDINGS shall be coin.
knowledged In apace provided.
pleted In six months,)
SIGNATURE (OWNER Olt AGENT) r DATE elONED
INSPECTION
DIRECTOR'Si SIGNATURE
I
DEPARTMENT
CITY OF
EDIWONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
-
775-2525
r
i
i
i
`75C�"3�
RECORD OF INSP CTIONS i
A
Date Passed
Foundation
Plumbing (Partial)
— _.. (Rough)
Frame r v I
``-- - �--97-097 71'
'�--'
/ Furnace & Fuel Lines --=2i= 7_ i
_
_... ... _. - -- - — }
I
t;
j LEG45 DESCRIPT
^ Tracts
1 � k�i
and 3, and the
v
soiltti 700 fecC 'rria; ttt aai'tts 7L,18,�o ,trate, 7, ii�pti�i�"
�
Ha�ley`'gr
Also, -Lho
acres� aCceYGj.n�
zsccards of Snohonisl�
nortn:65 feet
t:o, plc thexcor; recoFaed. 3n. ,l��.u.se''{i OE P3.Y4fl� f r
Cosat}, "tshington;i , ,` i ri �Y ri
fl,i.
o£ Che' soy>h�16� Peet; rtiFlCt t, bbcltT, [ia+�leq;
icres according
^� records
51 h�so�iea
recorded
to pla'
of SnehmAi h Cei.
7' 60 fccG o
inaolti. e pf+
t�cYaof Yk cxiled,ilt vo7.unse g of p]aCp,
hty , SJa hingtc6.ri.
lot Vii;xocst I, YtQlej'� dCYC37 ECC3XciLng't4Fp1��4
p1aEs, ;page ;0, rcccrJ of .$nohtmi �h Ccs�1? r t'}s:t�p�ap
r
i
i
i
`75C�"3�
RECORD OF INSP CTIONS i
A
Date Passed
Foundation
Plumbing (Partial)
— _.. (Rough)
Frame r v I
``-- - �--97-097 71'
'�--'
/ Furnace & Fuel Lines --=2i= 7_ i