740637USE PERMIT
740637
BUILDING DEPARTMENT
Applicant Fin
ZONE S _ aG) NUM13MR
PERMIT APPLIJATION
Insldo Heavy Lines
JOB
ADDRESS
NAME AME M B INEBB
v _ y)1 i✓ ��
PEItMltl816LE " ACTUAL
LOT COVERAOEs�••, LOT COVAAGE :3 (< r
V
m
MAI NG ADDRESS
PERMISSIBLE HEIGHT � PItOPOBEU HEIOIiT•
p
C ' TELEPHONE
_
U NMHEA
Ate' TOTAL BL G. AREA X
'j` � �l btu 39la3 /t ' LD p
t
'REQUIRED YARDS PROPOSE ARDS
NAME .�7•
FRONT SIDE HE A It FRONT HIDE REAR
O
LEGAL LOT VARIANCE OIl CONDITIONAL U8
kl
ADD" '7
YES NO PERMIT NUMBER
a�'
/L/`J ul-
CI'f TE H NE NUMBER
P1.ANNINO'Q$P . A- PPHOVAL A E:
LL f(��t
��r
R /p./
(T /
T R/M p
N0 STT REET .11141(49. DEFICIENCY THIS PROPERTY
EXISTING
NAME _ .T
/
/' �^r R
COMP. PLAN ST. R/W ...4,a. OFT. W
HEMARKH Driveway sZopes not to exceed those c
p
tp�
ADDRESS
indicated on Standard Aug. NaZ03 w
J ,V
NUMBER
CHECKED
BY
CITY /p TELEPHONE
METEQ%I'LE
J
SERVICE
CLEARANCE
CH
ED HY
STATE LICENBH NUIiBErR! (j
a�3-DI � �1 rQ�
CITY LICENSE NUMBER
I
REMA 8
'BIZE
I
N
e
-
Lc rip Properly Show/$ r A llonytl/aNt' FourC(p/Q[ee)
S ! t'!/�� r
TYPE CONNECTION VERIFI�
0
�,
PERC. TEST P UMBER rJ?%�
1
j(p rfJ F
'
O_
7!tX 4d41_t
REMARKS
O
I/�� r
e NZ)S GC/�Q
FIRE
TYPE CONSTRUCTION I BTYE9T IAtO VED
OC �2 3 D
�ZONE
NO
SPECIAL INSPECTOR
R UIREI) OCCUPANCY GROUP
�Ew
LINE
I
PLAN CHEC D Y
rF�RESIDENTIAL
/ THIS SITE IS LOCATED IN THE CITY
LOCAL SALES TAX
NON-RESIDENTIAL
SIGN
t.4/ 0HOULD BE CODED
ADD ❑
❑ WpLLNINC
jCMARK
DEMOLISH
ALTER ❑ EXCAVATE ❑ PENCE
OR FILL Ft.)
/// (J ���•/�I//G ,I�O� �G IC/ l/� /i%7 Ll
..........
REPAIR ❑ PRE -MOVE swim
INSP. ❑ POOL
,p �-y �) /py
rC I �(G �T ;/ (J ad
NUMBER OF STORIES NUMBER OF
�� DWELLING �UNITS Q
NATURE OF WORK TO DE DONE
/
Valuation
Fee
Receipt Now
61
Plan Check No,_
Ipy
BUILDING
L PROPOSED USE
PLUMBING
ZPLOT PLAN Building
v
(Indicate Setback., abutting streets)
HEAT @ GAS LINE.
O
N
PENCE
SIGN
IIETAININO WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EX
CAVATION OR FILL
�
I
I hereby acknowled Re that I have read this application; that the In-
TOTAL AMOUNT DUE
1
formation given I.correct; and that I a a the owner, or the duly author.
Ized agent of the owner. I nRree to comply with city and grate )ewe ngu
ATTENTION
APPLICATION APPROVAL
taring codetructlon; and In doing the work authorized thereby, no pence
will he employed In vlolallon of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmes'e Compensation Insurmce.
AUTHORIZES
elgned by the Building Official or his Dep-
'
'
NOT . ermit limit 0 Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
Uty; and fees are paid, and receipt is ac-
ehel a co pleted i gely ye !10 D•1 [LDINOS hall he com•
knowledged in space provided.
DI ed Jn a men .)
s
I
ON T E (O N R A ) DATE SIGNED
INSPECTION
C OR'8 BlONA RE
I.
/>
DEPARTMENT
CITY OF
I
EDDIONDS
TE
1
_�•.'__`_•-
NOTE: Applicant Subject to Plan Cbeck Fee
{I
775-2525
Thhle Penult coven 11.11 to be dan ONLY.
an p...1d p.Ik.,
I
d
Any canelrncllon on the public damre (rurbe, p"o'alks, drh•eway4
marquees, ete.) will require ecparate permlSHon.
FILE
f
0
.gymIt
ifc''/��fcl1 J le)
USE
_ 6 U 1 L D 1 N 6 DEPARTMENT Applicant Fill zZONE
PERMIT APPLICATION Inside Heavy Lined O
• ADDRESS
NAME (OR NAME OF HUSINEtle). --
- r .' PFIRM1ittld , N ^
• r /+,, •( �c � LOT COVER NO J
�'
la
O
MAILI O ADD ESS - •-] L%
. •�� - ) �, PEltel ltltllRLE IIEIORT
CITY /
TELEPHONE NUMDER ACTUAL L AREA
/
Arli
NAME �- FRONT d[UE
/ -.
(~
ADDRESS LF,0A1, LOT V4
J / q I.EB I] NO Pl
% � �• /C7
-)0 4 1 PLANNING UEP�. APPHC
CITY, TELE/('H ONE NUAIHEH f../+•J A.m •r-C--
•
Ji i /f�" - STREET W
lt. / :' f I� c+ / EXISTING STRF.F.T RJW!
NAME 7�- COMP. PLAN 8T. R/W!
REMARKS
iIN�Vf?I
Id
ADORE88,7t,Iil
Q i /
oil .?t
rd
CITY /
TELEPHONE NUMDEA
METER BILE SERVICE
STATE LICENSE NUMBER
CITY LICENSE NUMBER
I
�l40�
RRu
I REMAIlKd
Legal Deeprlp 16n Property (Show w or Alt eh Four C p1 a1
1 TYPE CONNECTION
1 �+i/�d
, 1
ERG. TE
O I , REMARKS
UU
-
`�G//-.•,Y
IRE ZONE I TYPE OF
-<''Y)�� r.%J �, `Qi
)
Y
PERMIT
NUMBER
ACTUAL
LOT COVERAGE en j.L
`
I
r RoposED HEIGHT,
I I
TOTAL BLDO_ AREA
I PROPOtl
�
REAR FRONT BIDE REAR
1
'LANCE Olt CONDITIONAL UH
,MIT NUMBER
AL HATE:
J
U!'.£T.
q
DEFICIENCY THIS PROPERTY
(
t
Bloper) not t:LI
nr?rrr.•? IT,•;; r- .':!n ZG3
1
CHECKED SY
t
� �,
SPECIAL
EC AL INSPECTOR REQUIRED OCf
-—RESIDENTIAL
OAS
❑ YES m'HO
I
NEW
�
PINE
PLAN CHECKED BY THIS SI
NON-RESIDENTIALIE]
SIGN
b,
;-L-fj i.,- !'/J ,!�+''! '/ H UJLI
ADD
❑
RETAINING
WALL
R MAR B
❑DEMOLISH
ALTER
LI
❑ EXCAVATE
OR FILL
❑
FENCE
(........-.s._.......Ft.)
% // (- (,-/:l-'-, /,�: i!l J� 1
REPAIR
PRE -HOVE
INSP.
El
SWIaI
POOL
�-
? J/ /S .1l - 2, / /� /' !d
NUMBER OF STORIES NUMBEROF
DWELLING
UNITS
_
NATURE OF WORK TO HE DONE �.--�
I
Valuation
Check No
O
.....................
G
1y
Y PROPOSED USE
NG
PLOT PLAN (Indicate B+ lidlq{...actb ke,
butt1m, etrec[s)
c\ �J01��
GAB LINE
r.I..P.CTI.N
ING WALL
N
ING POOL
ITION
VE INSPECTIONTION
OR FILL
--
I hereby acknowledge that I have rend title application; that the In.
TOTAL AMOUNT DUE
formation given Is cancel; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state laws raga•
ATTENTION
Leda. construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Coda of the Stale of Waeblogton
T1118 PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One (Except DEMOLITIONS which
ONLY
-Year
shall be completed In ninety days; MOVED -IN BUILDINGS shall be win.
WORK NOTED
plated In e1. month..)
UGNATURE (OWNER OR AGENT) .. _.-.... DATE STONED
INSPECTION
I
DEPARTMENT
' -• _ -- y
CITY OF
EDMOND3
NOTE: Applicant Subject to Plan Check Fee
This Permit corers work la he done an private properly ONLY.
775-2525
Any Conetfucllnd an th(curb., public domain (auras, sidewalks, driveways,
marquees, etc.) will require separate permission.
I p'YES 0 NO
'Y GROUP
.00ATED IN THE CITY
LOCAL SALES TAX
3DED 31.04.
—.%/fir•..-.. .....
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in apace provided.
DIRECTOR'S SIGNATURE
' t
DATE
INSPECTOR
1