750461.pdfBER 750461
1
BE
DB NO.
REAR
H ADDRESS
OTHER
1 '
VEE
U
BUILDING DEPARTMENT
Applicant Fill
ZONE
C
PERMIT APPLICATION
inside Heavy Lines
IDs
ADDRESS
-C �L+O�-T
NAME (OR N/jf'IE OJFBUSINESS)
LEGAL LOT
A
•__,+,�D�(,i`(ON
pl
❑ YES ❑ NO
REMARKS U
Z
W
MAILING ADDRESS
Z
VARIANCE OR
TELEPHONE NUMBER
cif%y S.5
3
CORD. USE NO.
O CITY
TELEPHONE NUMBER
PROPOSED YARDS
00 (,.c?' r,'LCLEJ;{
min
STREET AND/OR UTILITY ❑YES w
FRONT
SIDE
NAME
ALLOWABLE
F
SIGN AREA
O
BER 750461
1
BE
DB NO.
REAR
H ADDRESS
OTHER
1 '
REQUIREMENTS
U
NUMBER
E CITY
4
C
TELEPHONE
PLANNING DEPT. APPROVAL GATE
NAME
STREET R/W
EXISTING STREET R/W cOl�'IOFT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W&0/6 FT. FT.
O ADDRESS
F
R ABUTTING STREETS)
REMARKS U
Z
W
6 CITY 7^;—
SI.
L-,4 /G�
TELEPHONE NUMBER
cif%y S.5
o
U STATE LICENSE NUMBER
CITY LICENSE NUMBER
H Y W
Z
PLUMBING
00 (,.c?' r,'LCLEJ;{
Legal Description of Property (Show Below or Attach Four Copies)
STREET AND/OR UTILITY ❑YES w
WORK REQ'D ❑ NO
//••••��
i- O V
UNDERGROUND ❑ YES
WIRING REQ'D ❑ NO
Z
O
SIGN
—
TYPE CONNECTI/O�N VERIFIED BY
RETAINING WALL
E
H❑
yES
SEPTIC SYSTEM
PERMIT NUMBER W
3
W
O
APPVD BY CITY ENG. ❑ 14O
W,
J
Q
TOTAL AMOUNT DUE
REMARKS
I7
W
J
METER SIZE
SERVICE SIZE
CLEARANCE
CHECKED BY
E
W
F
i
will be employed in violation of the Labor Code of the State or Washington
Insurance.
REMARKS
3
This application is not a permit until
❑ NEW
RESIDENTIAL GASLINE
FIRE ZONE
TYPE OFCONSTRUCTION
CODE
❑ SIGN
1:1
NOTE: Permit limit One Year (EICeDt DEMOWTIONB which
He
ONLY THE
Dty; and fees are paid, and receipt is ac-
ElADD
—1
RETAINING
11 DEMOLISH r-1RETAININGREgU
IRE BPECTOR
AREA
LLOADPANT
GROUP NCY OC U
❑ ALTEREXCAVATE
F NCE j
❑ OR FILL ❑ (�_ X�;FT)
❑ YES ❑ NO
INSPECTION
DEPARTMENT
1-
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY W
OF EDMONDS. LOCAL SALES TAX D
SHOULD BE Z
❑ ❑
REPAIR
INSP.MOVE O POOL
REMARKS
D
J
NUMBER OF STORIES
NUMBER OF
EDMUNDS
DWELLING
UNITS
NATURE OF WORK TO BE DONE
775-2525
VALUATION FEE
1 '
PROPOSED USE
Z
PLAN CHECK
C
NO.
6 PLOT PLANINDICATE BUILDING SETBACKS,
R ABUTTING STREETS)
BUILDING
N
W /?
O / I
PLUMBING
00 (,.c?' r,'LCLEJ;{
HEAT & GAS LINE
FENCE
//••••��
i- O V
7 no
SIGN
—
RETAINING WALL
SWIMMING POOL
1
O
TOTAL AMOUNT DUE
I hereby acknowledge that I have rend this application; that the In-
formation given Is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with Illy and stab taws ngu.ATTENTION
non
laling construction; and In doing the work authorized thereby. no Person
APPLICATION APPROVAL
i
will be employed in violation of the Labor Code of the State or Washington
Insurance.
THIS PERMIT
This application is not a permit until
relating to Workmen's ComDereaticn
AUTHORIZES
signed by the Building Official or his Dep-
j
NOTE: Permit limit One Year (EICeDt DEMOWTIONB which
He
ONLY THE
Dty; and fees are paid, and receipt is ac-
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com•
pleted In sig months.)
WORK
knowledged ace provided.
SIGNATU (OWNER ORAGENT)DATE
SIGNED
INSPECTION
DEPARTMENT
D EC R I TVR
CITY OF
EDMUNDS
�
NOTE: Applicant Subject to PlanCheck Fee
775-2525
OA E
3 —
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
ORIGINAL - He YELLOW . Inspector
marquees, etc.) will require separate permission.
PINK - Cv-, COLD - n...,. r
tej
^aArATVAD
1G Ooaiq
:*r"�r '.s .... i /( CRAq.'4PPLF_..•Ek/Y7.INOt , •i �
\Y�,Ld.L�4llfi"11ry -- �IV1,•(,1.�/� . .�C.+:__.-...-6t RN: `161MANC
!r --- Yrm.�ia.nl '}rFUNca n�5-•'. i
Yt i �o4tY TMIA 1-.Y 1.UYgt1. .. �
la4! ��:'": s:': �}'• 1 J _ ,w.�w�r.'n �' r. v •j 'L.'. :roe a as u.• "a.a s.rarar �i: f 'gy
r 4 1
144. i
'�:ki.�NNA...J{".[uTC:7:f 6.__ ,,—•..... a �' ] � �' I�
lAwr
tycS'dd;' J �r:J
Ij
\ r,
— � a �� �M 1'irr i�ow • "� � • i
.x LL1@�R
4N
%IYOa
+ iliTl�_V✓lfi� y
4 'CfMANTNIIf _ DiLgVAV#
INf.-_ G.e4nvN
Ns�MPIhUi L?oML't Y,,GA � '
}Ytm��d^ •-i.-�.S�it 3 iLi+:etiiv�.-p'Mh .-.''•,.` +2.7a� 'a^eR' .ril4ilisc +�+,..,�rfia ��-�.w•:`u•• .n:..:n.�r' "S!?::(ik7 ':�'
FMKIAt�rTNJY
CA r4 4Arut -� I R EA/f6Y $AR•1'Lsr '"r't: ): .
Irkas
ahtYr' 1 0 0
�iK�'iNsTM1 NIH �,:��%� 7 �• J� i
516 • � � !
-�+ }1 / ' �• •t it
KgWP6114 JCIAMir R .e o,.r4_RseRoliKq LAN,
,.. Ii.ylr 9'.��: �v.1WPBR��Q. M►RBeq.' :'��MR4° � a'�•��' ._.
��T1�R ��AI._T NI _: f'.\::- / �•'`-LZc6•::�fr ?tyle
' �I�� /7,�"�--.t�+`;�.G 1 •''moi-r"�.,..u••.� 4, �.�. -,' I
4
Furnace « ;" , :i
Final I
i
V
1i
.
t
t
}
+',s:''
+..;:+�• �. ,....' 11 ,t'mg*, /
'r
CCC
1
[ I
+
r,
-- .. `$
Y 1
-
r
f
" i
I?ECoEV nr tr �rE"CT!vra
C•r.+. r .aC }74
4
Furnace « ;" , :i
Final I
i
V
1i