The URL can be used to link to this page

750430.pdfN srelgd BUILDING DEPARTMENT Applicant Fill USE^ ZONE //� _ / _ PERMIT - .•� NUMBER 750430 Inside Heavy Lines PERMIT APPLICATIONoe I �I ADDRESS I— NAME IDR N ME OF BUSIN ESS) .^/ 1✓ LEGA LOT a AO SUBDIVISION NO. MAILING ADDRESS ES C1 NO �T D .1 �y Z 0 - ' 1� V VARIANCE OR GOND. USE NO. ADB NO. j 1 D CITY /�-'• (� ELEPHONE NUM 86R % / ( (p - G = ,. PROPOSED YARDS /^� HEIGHT / D:.0 J l7)l FRONT SIDE AR ^ ZZ 1 NAME / (^ L ALLOWABLE SIGN AREA PROPOSCD SIGN ARE j V /- U o F ADDRESS V `�''') / L/ / n / 2— i OTHER REQUIREMENTS CITY TELEPHONI_UMB 1 Q / SS P NING.APP OVAL / ^ D-ATE C% OJT 5 NAME STREET R/W C f C- -P EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W FT. FT. ! cADDRESS / J / - 73 O E CITY TELEPHONE NUMBER REMARKS - f(3 A I '1/ • R l / ., - MBZV W O U 1I STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BY Z Z Legal Description of Property (Show Below or Attach Four Copies) STREET AND OR UTILITY ❑ YES W _ WORK REQ'D ❑ NO UNDERGROUND ❑ YES Z WIRING REQ'D ❑ NO 0 O TYPE CONNECTIONVERIFIED BY 6 r / : / PERMIT NUMBER pj ' Nr'_3 W -5 ` /) SEPTIC SYSTEM APPVD BY CITY ENG, ❑ VES I ❑ NO ?� W .' N REMARKS N� W J y6 - 7/ SIZE CLEARANCE CHECKED BY METER SIZE SERVICE C W '. 3 REMARKS R NEW RESIDENTIAL GAS LINE /'^ FIRE Z TYPE O�F�/M SfRUCTION COU /��r )�/r 3 r❑ ❑ NON-RESIDENTIAL ❑ SIGN Y /�J 1/L,C_ 1 / LPI- RETAINING 1 y� ADD ❑DEMOLISH O WALL SPECIAL INSPECTOR REQUIRED AREA OCCUPATCY OCCUPANT GROUP LOAD , ❑EXCAVATE FENCE ALTER ❑ OR FILL ❑ I_ X_FT) ❑ YES W PLAN CHECKED BY THIS SITE 15 LOCATED IN THE CITY PRE-MOVE ❑ OF EDMONDS. LOCAL SALES TAX SHOULDE D '` O OSWIMPOOL REPAIR INSP. Z NUMBER OF STORIES NUMBER OF REMARKS q C 2- „ // / �irtAJ` l DWELLING UNITS 6 7 m NATURE OF WORK TO BE DONEp �1 atiSfnuc iA-/Jo J A V JQ YL ��'t �/ d '� �Q /✓t l PROPOSED USE (- /7 J l PLAN CHECK VALUATION FEE Z pF, PLOT PLAN JINOICATE BUILDING SETBACKS. _11 Seo. f� -J ABUTTING STREETS) BUILDING �VCCi�� J j U W PLUMBING O tI B MEAT h GAS LINE i 0 FENCE SIGN RETAINING WALL SWIMMING POOL TOTAL AMOUNT DUE t ^1 O U J I hereby acknowledge that I have read this appliealion; that the In- remotion given 1. correct; and that I am the owner, or the duly author- lied agent of the owner. I agree to comely with City and elate laws ngu- and la doing the work authorised thereby, an person ATTENTION APPLICATION APPROVAL luting COn.trllCtlna; will be employed In violation of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until relating to Workmen'a Compensation Insurance.AUTHORIZES signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE NOTED uty; and fees are paid, and receipt Is ae- .hall he completed In nlnely days; MOVED-IN BUILDINGS shall be cone. WORK knowledged in space provided. pleted In six month..) INSPECTION (OWN,ER OR AGENT) DATE SIGNED DEPARTMENT 'S AT LIGNATURE �� r� 7, CITY OF -I�, ,l EDMONDS NOTE: Applicant Subject to !'/an C Teck Fee DATE 775-2525 This Permit covers work to he done on private property ONLY. Any construction On the public do (Curbs, leurhs, sidewalks, driveways, ORIGINAL -File YELLOW - Inspeclor marquees, etc.) will require separate permission. PINK - Owner COLD - A,wsvr N srelgd . :. ! / \ TOTAL AMOUNT DUE 1 '.� USE PERMIT BUILDING DEPARTMENT ApplicantFilir �/ NUMBER ( AN CHECK Z. 0 — _ ATTENTION P PERMIT APPLICATION inside Heavy Lines y PLOT PLAN INDICATE B' 1 DtN "S EJI.AC S. ABUTTING STREETS) ILDING ! ❑ AD ADDRESSS // 'i //L.. LINE ❑SIGN W "Al J'/ -`'i' NAME IDR NAME OF BU5IN ESS) C�1 -' L/�.- ..''.-P TYPE OF CONSTRUCTION CODE /7•._._ %\J i �!'.!_.. ' / % knowledged 1n space provided. I ❑ I. _ 1 : - LEGAL LOT LOT AREA SUBDIVISION NO. RETAINING WALL ❑ I ENCS %_FT) - I Z . ! 1 /.. ,CJ YES ❑ NO / MAILING ADURC55 THIS SITE IS LOCATED IN THE CITY f VARIANCE OR ADB NO. PRE-MOVE1:1 INSP. POOL sw-m NOTE: Applicant Subject to Plan Oieck Fee - i GOND. USE NO. ; 775.2525 NUMBER OF STORIES 0 CITY, ELEPHONE NUMBER = }�: C. ='l\I!"�, j�- PINK - Owner GOLD - Assessr..r PROPOSED YARDS _ HEIGHT ` = UNITS FRONT 14 SIDE '�j REAR I ` NATURE OF WORK TO HAM ALLOWABLE PROPOSED (�U (�{fj�J„y`,4n :� SIGN AREA SIGN AREA Ja E• F ADDRESS OTHER 4 / REQUIREMENTS v �; K CITY TELEPHONE NUMBER Q PL HNING DE T. APPROVAL DATE 4 i NAME STREET R/W E%ISTI NG STREET R/W FT. DEFICIENCY THIS PROPERTY If 0 ADDRESS COMP. PLAN ST. R/W FT. FT. 7. U 5 / REMARKS CITY TELEPHONE NUMBER O O r.7 r. - - CHECKED By W W U STATE LICENSE NUMBER CITY LICENSE NUMBER Z I STREET AND ❑ YES Legal Description of Property (Show Below or Attach Four Copies) OR UTILITY W WORK ❑ NO WIRIN 2 �_ j r 1 ' TYPE C D Y V ? i•• -� �`� 7YF'.p 1 U BE ofN SEPTIC SYSTEMG:rrF1 BY CITY ENG. APPVD / (ti N J _�....` '��+I.yt+vl�'r•.. F"� REMARKS METER SIZE SERVICE SIZE CLEARANCE CHECKED BY II I I hereby acknowledge ave rand this application;that IDC I. TOTAL AMOUNT DUE VALUATION FEE PROPOSED USE AN CHECK Z. 0 — _ ATTENTION REMARKS y PLOT PLAN INDICATE B' 1 DtN "S EJI.AC S. ABUTTING STREETS) ILDING ❑GAS NEW ❑ RESIDENTIAL NON-RESIDENTIAL LINE ❑SIGN W "Al J'/ -`'i' FIRE 20NE- i!..-' 0 TYPE OF CONSTRUCTION CODE /7•._._ %\J i �!'.!_.. ' / % knowledged 1n space provided. ADD ❑ ALTER ❑ DEMOLISH ORCFILLTE RETAINING WALL ❑ I ENCS %_FT) SPEC-ALINSPECTOR REQUIRED A1REA OCCUPANCY OCCUPA GROUP ^_^ LOAD 1 P❑LAYN CHECKED BY THIS SITE IS LOCATED IN THE CITY ❑ REPAIR PRE-MOVE1:1 INSP. POOL sw-m NOTE: Applicant Subject to Plan Oieck Fee LAL SALES TAX OF EDMONDS.OC SHOULD BE REMARKS ; 775.2525 NUMBER OF STORIES This Permit covers work to be done on private property ONLY. the domain (curbs, sidewalks, driveways, NUMBER OF DWELLING ORIGINAL -File YELLOW •Inspector }�: C. ='l\I!"�, j�- PINK - Owner GOLD - Assessr..r UNITS NATURE OF WORK TO BE DONE I I hereby acknowledge ave rand this application;that IDC I. TOTAL AMOUNT DUE VALUATION FEE PROPOSED USE AN CHECK Z. 0 — _ ATTENTION APPLICATION APPROVAL y PLOT PLAN INDICATE B' 1 DtN "S EJI.AC S. ABUTTING STREETS) ILDING >r' "U !-" i7� E U AuiHORIZESThla signed by the Building Official or his Dep - W UMBING and fees are paid, and receipt is So- 0 'ONL NOTEDuty; knowledged 1n space provided. al AT & GAS LINE [..G- O ❑ATE SIGNED DEPARTMENT DI TOR' SIGNA UR'F7n/ NCE CITY OF RETAININGWALL DA E NOTE: Applicant Subject to Plan Oieck Fee IMMING POOL I I hereby acknowledge ave rand this application;that IDC I. TOTAL AMOUNT DUE formation given is Correct; t I nm the owner, or the duly author- Ited agent of the owner. 1 comply with city and state laws go- thereby, no ATTENTION APPLICATION APPROVAL lating Conetructlon; and Inhe work authorized yenon will De employed In vlolalloaIahot Code OL Lbe Stale O[ Washington THIS PERMITrelnllpg appl[cation is not a permit unt11 to Workmen's Com1psormu. AuiHORIZESThla signed by the Building Official or his Dep - NOTE: Permit limitear (Except DEMOLITIONS which L ONLY TME and fees are paid, and receipt is So- shnll be completed In NnetyO/OVED-IN BOILD1N06 shell ba com• 'ONL NOTEDuty; knowledged 1n space provided. pleled In six months.) INSPECTION SIGNATURE TOWNER ORTI ❑ATE SIGNED DEPARTMENT DI TOR' SIGNA UR'F7n/ CITY OF EDMONDS DA E NOTE: Applicant Subject to Plan Oieck Fee 775.2525 This Permit covers work to be done on private property ONLY. the domain (curbs, sidewalks, driveways, ORIGINAL -File YELLOW •Inspector Any construction on public marquees, etc.) will require seporate permission. PINK - Owner GOLD - Assessr..r 1 t'MI I Ati'cp- 1 . t} 1 1. l •� 1i r .i•`l • REWRn OF If:cr�r !Oil5 �••--7v c . Foundatio;t---L.---•-'-� Frani i rill.-If � ..1r09 }