750350.pdfI
.1
IT
BUILDING DEPARTMENT I Z° NUMB
Applicant Flu ER
PER IT APPLICATION Inside Heavy Lined
NAME (OR NAME OF BUSINESS)
� ' /41
/ �
MAILING ADDRESS _
23-703 /0
1 til
CITY TELEPHONE NUMBER
D-2 S�2-SZ3/
NAME
1� ,
W ADDRESS
N
JOH
S{' AL05
ADDRESS
/ O p
y &60-77M
Pe:ItA1I8d3HLE
LOT COVERAGE �'Dl
CTUAA
OT CO WAGE go D/0
0
CITY TELEP ONE NUMDER
/ -I ,
PER\11d81BLE HEIGHT 3o/
PROPOSED HEIGHTTT
A�4406ARjp�TOTAL
""' 9,U
REQUIRED YARDS��ROPOSED
YARDS
FRONT BIDE REAR
FRONT BIDE REAR
O
S t
C
LEG , L VARIANCE OR CRON ONALUSE
8 O ERA IT BE
S{' AL05
r
y &60-77M
iN6 DE T A P
t
CITY TELEP ONE NUMDER
/ -I ,
J
STREET"/
r n /
/� r YJ —���y
EXI8TIN6 EET R/W�.2.FT. DEFICIENCY THIS PROPERTY
Z
COMP. PLAN ST. R/W6..tN. rr. ......�...FT. W
i
C,
REMARICH Driveway slppes not to exceed tboes o
ADDRESS ��.,[[
S /,Ify /�G S ,
�J
indicated in Standard Dwg. No. 103 w
C
C
lJ
CITY TE�L]EPHONE NUMBER
CHECK HY
O
O
,,�������-tt /r.{
� / Uj &/,J � • 78-- / `�yU
MET' Bl'LE SERVIpppE SIZE CLEARANCE CH D BY
C
8TATE LICENSE NUAT13ER CITY LICENSE NUMBER
- I �7 /!i
I
1d
•J/j" e
Legal Description of Property (Show Below or Attach Four Caples)
r
TYPE CONNECTION VERT 8
'
O
I
AA
PE2 T� , PE M NUMBER
W
.I
n
e;
REMARKS Wm
i
O
,�j
FIRE TYPE OF C111TIUC'fill t3❑TYEBT IMPROVE
I
i
SPECIAL INSPECTOR REQUIREDF`/I)OCCUPANCY CRT
j
[
® RESIDENTIAL GAN
11
YES NO T Fr{'- J.
/
N
LINE
NEW
PLAN CHECKED HY THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL ❑ SIGNOF
EDMUNDS. LOCAL SALES TAX
SH ULD BE CODED 3104
ADD RETAINING
DEMOLISH WALL
REMARKS
ALTER EXCAVATE FENCE
'
�/ s:
AY �G:�t
Olt FILL (x Fl.)
.......... ..........
REPAIR ❑ PRE -MOVE ❑ SWI
POOL
N U118ER 0N- STORIES NUMBER OF
1 I
DWELLINC O/t'/-
O,Yg_
I
^
UNITS�
'.
NATURR�E O_F{Yq/ORK TO BE ONE
Valuation Fee Recclpt No.
Plan Check N
BUILDING
I
PROPOSED
�
PLUMBING
.,
PLOT PLAN (Indicate Bulldlllg Seth cit., abutting streets)
HEAT A CAR LINE y-+ C70
tl
0
FENCE
SIGN
tRETAINING
WALL
N
1
I
SWIMMING POOL -
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
,
TOTAL AMOUNT DUE
I hereby aeknowedgs that I have read this application; that the In-
tarmntlan given I. correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and stale laws regu-
ATTENTION APPLICATION
lating construction: and In 40109 the work authorized thereby, no person
APPROVAL
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT Thin application Is not a permit until
rotating to Workmen's Compensation Insurance.
AUTHORIZES signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED utyi and fees are paid, and receipt 19 ac -
_
.hall be completed In ninety day.; MOVED -IN BUILDINGS shall be com-
knowledged in space provided.
pleted In .IxAnthe•)
SIGN ( 'N OH AGENT) DAT SIGNED
INSPECTION DIRECTQI dI
V/ C/
DEPARTMENT /
CITY OF
EDhiONDB DAT
NOTE: Applicant Sub set to Plan Check Fee
_ 7 '
This Permit ruvers work to Iw dune on private property ONLY.
775-2525 `•' D
Any construction on Ilia Public domain (eurbs, sidewalk., drlrewayl,
n utreuer+, Mr.l will rrdlnrr sepnrnir prrml++Ion.
FILL
9
EAST 214.30
�f � - ,6r-
LA
0.00�
i
,4" N
(-
�
to
C i 0 p
O �
I I° 0 3
{
W io I 7. [� O 0
Ol Ibr 2 0
0 oil
o
ti
�76� ,
I �y
SNO°2900"W i
� oo'
50.00
r_
F- 5T
'�AOL,� EIV _ 'Z64.-75
�W �I
l ao �) OLYr4pic
750350 '
RGID, MIDDLETON & ASSOCIATES
Consulting Engineers - Land Surveyors
324 MAIN ST. EDMONDS, WASH.
i
i
i
WA-
2�'f'/.tN
�BYftWFi"' I
i
i
7503SO
RECORD OF INSPECTIONS
Date Passed I�
Foundation --y-1�
Plumbing (Partial)
G 1iFCIC. CLYT 0 v,-1 (Rough)
GIST 1� f:%LxFrame
. D� o5' _1G
T r,� S FCaft- Furnace & Fuel
W QS
Final
C--rLe tj of
-- Gjl i k ) Y�51`eTt oh1 R� 5
�2Oe.tc.`f W o