750475.pdfU
W
ADDRESS
U
U
E CITY TELEPHONE e
6
NAME
E Hovde Construction Company
0 ADDRESS
U P.O. Box 1043
C
F CITY TELEPHONE r
o Lynnwood, Wa. 774-8876
U STATE LICENSE NUMBER CITY LICENSE
223-01-8856
Legal Description of Property (Show Below or Attach FE
F
o.
North 100 feet south 200 feet
N
O
a Tracts 18, 19, and 20, Block I,
Q
w1l Fruitland Acres Ivinq East of U.S. 99
STREET -'w
10.00
EXISTING STREET Rt FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. RJW FT.
O FT.
REMARKS
is
2
PERMIT
BUILDING DEPARTMENT
AppiicantFill
ZONE�•/'T NUMBER
PERMIT APPLICATION
Inside Heavy Lines
JOB
THIS PERMIT
ADDRESS
NAME (OR NAME OF BUSINESS)
23725 H1 hwa 99
WORK REQ•D �NO
George Barber 8 David Hartman
L GAL LOT
LOT AREA
NO,
pj
11�_
MAILING ADDRESS
YES ❑ NO
lfnowledged in space provided.
4SUBDIVISION
3
4200 Stone Way North
VARIANCE OR
COND. USE NO,
B NO.
O
CITY
TELEPHONE NUMBER
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
Seattle, We. 98103
632-1100
PROPOSED YARDS
HEIGHT
NAME
FRONT SIDE REAR
marquees, etc.) will require separate permission.
PINK - Q:. • r GOLD - ., - -
ALLOWABLE
PROPOSED
SIGN AREA
SIGN AREA
U
W
ADDRESS
U
U
E CITY TELEPHONE e
6
NAME
E Hovde Construction Company
0 ADDRESS
U P.O. Box 1043
C
F CITY TELEPHONE r
o Lynnwood, Wa. 774-8876
U STATE LICENSE NUMBER CITY LICENSE
223-01-8856
Legal Description of Property (Show Below or Attach FE
F
o.
North 100 feet south 200 feet
N
O
a Tracts 18, 19, and 20, Block I,
Q
w1l Fruitland Acres Ivinq East of U.S. 99
SEPTIC SYSTEM
APPVD BY CITY ENG.
REMARKS
❑ NEW D RESIDENTIAL LINE FIRE TYPE OF CON
Sri
® NON•RESIOENTIAL .:GN FILL
❑ ADD ❑ OEMOLISIi ❑ WALL R OU I RED
RETAINING SPECIAL INAREA
❑ ALTER EXCAVATE FENCE YES ❑ NO
® OR FILL i 1 (_ X_FT) PLAN EC ED BY THII
U YES I PERM" N AM BSER
❑ NO /S
-EARANCE CHECKED BY
IA
CrIDN tv/5c 10173
OCCUPANCY OCCUPAN
GROUP LOAL'
SITE IS LOCATED IN THE CITY
PRE -MOVE swlM OF EDMONDS. LOCAL SALES TAX
❑ REPAIR ❑ INSP. ❑ POOL �-' SHOU DBE DE
REMARKS
NUMBER OF STORIES NUMBER GOF
DWELLING `- , , LA- C_O` `�j T(2 ^((.CJ� Q
- _ UNITS
NATURE OF WORK TO BE DONE 01$ Ck r 'PTmf -. � -tet-
Fill �J��� VN �„ V l�
VALUATION FEE
Z PROPOSED USE PLAN CHECK --
Q NO.
6 PLOT PLAN INDICATE BUILDING SETBACKS.
ABUTTING STREETS] BUILDING --
U
N
W PLUMBING
D
el HEAT & GAS LINE
O
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
IA
F
Q
3
STREET -'w
10.00
EXISTING STREET Rt FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. RJW FT.
O FT.
REMARKS
is
2
E
ATTENTION
CH ED BY ts
APPLICATION APPROVAL
Z
THIS PERMIT
U
STREET AND/OR UTILI T Y
YES W
WORK REQ•D �NO
ONLY THE
UNDERGROUND ❑ YES
.hall be completed In ninety days; M VED-IN BUILDINGS shall be com-
WIRING REQ'D O)A—El NO
uty; and fees are paid, and receipt is ac.
SEPTIC SYSTEM
APPVD BY CITY ENG.
REMARKS
❑ NEW D RESIDENTIAL LINE FIRE TYPE OF CON
Sri
® NON•RESIOENTIAL .:GN FILL
❑ ADD ❑ OEMOLISIi ❑ WALL R OU I RED
RETAINING SPECIAL INAREA
❑ ALTER EXCAVATE FENCE YES ❑ NO
® OR FILL i 1 (_ X_FT) PLAN EC ED BY THII
U YES I PERM" N AM BSER
❑ NO /S
-EARANCE CHECKED BY
IA
CrIDN tv/5c 10173
OCCUPANCY OCCUPAN
GROUP LOAL'
SITE IS LOCATED IN THE CITY
PRE -MOVE swlM OF EDMONDS. LOCAL SALES TAX
❑ REPAIR ❑ INSP. ❑ POOL �-' SHOU DBE DE
REMARKS
NUMBER OF STORIES NUMBER GOF
DWELLING `- , , LA- C_O` `�j T(2 ^((.CJ� Q
- _ UNITS
NATURE OF WORK TO BE DONE 01$ Ck r 'PTmf -. � -tet-
Fill �J��� VN �„ V l�
VALUATION FEE
Z PROPOSED USE PLAN CHECK --
Q NO.
6 PLOT PLAN INDICATE BUILDING SETBACKS.
ABUTTING STREETS] BUILDING --
U
N
W PLUMBING
D
el HEAT & GAS LINE
O
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
IA
F
Q
3
FILL
10.00
1 heresy nehnowlea ge that I have rend this application; that the In-
TOTAL AMOUNT DUE
10.00
formation given iscorrect; and that I am the owner, or the duly author -
1 agent of the owner. I agree to comply with city and slate laws regu.
ATTENTION
ItlnI construction; and to doing the work autbori..d thereby. Be person
au
APPLICATION APPROVAL
will he employed In violation of the Labor Code of the State of washlagton
THIS PERMIT
relating to Workmen's Compensation Inluranee.
AUTHORIZES
This application is not a permit until
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
signed by the Building Official or his Dep -
.hall be completed In ninety days; M VED-IN BUILDINGS shall be com-
WORK NOTED
uty; and fees are paid, and receipt is ac.
plcled In six months.)
lfnowledged in space provided.
SIG URE (OW OR G ) DATE SIGNED
INSPECTION
DEPARTMENT
DIRECTO IG
1—'?' -� 7
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
775-2525
DATE
This Permit covers work to be done on privateproperty ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
OR GINAL - Filc YELLOW - hISI)QCtcr
marquees, etc.) will require separate permission.
PINK - Q:. • r GOLD - ., - -
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