Loading...
810164i..... A USE PENMI'1 8 I I64 CITY OF EDMONDS �ON1 s. NUMBER BUILDING PERMIT APPLICATION n Duutls Sf eQ o n NAME (OR NAM EOF BUSINESS) SIN ESSI •/T-�7,GL SUIIUIVISION SHORT SUn NO. r/� F�'•u /Y K � /� "/L/ / �-�liV L[GAL UESCItIPT10N 2 W MAILING A�DTDRE95 'l ��' �ll 7/ PUBLIC HIGNT OF WAY Per, OFFICIAL STNEET MAP `, ✓✓✓\\\ O TE LEPHONE/�NUUMBER CITY A,/� 4"^PMe/V/,; � 77G f.�� (/7! EXISTING �— vnoPOSEo NAME f,IL FIC IL'NCY OF NIC:HT at WAY U _. C H,l: SEE ENGINEERING MEMO DATED F ADDRESS/}•�. x — U TELEPHONE NUMBER FIEMA"IfS E CITY NAME SAME METER SIZE BUILDING SUPPLY SI`'L'E FIXTURE UNITS IC O ADDRESS C I �1 e7b VI(..E F U RL'MAHKS vLIJV `1 I. c v O [ TELEPHONE NUMBER I- CITY /�{{•yy�1 [] c)G t� SGIAJt L� Z O U ENV. REVIEW ADD NO SIGN AREA U STATE LICENSE NUMBER CITY LICENSE NUMBER PROPOSED COMPLETE EXEMPT _ ALLOWED � I SHORELINE Legal Description of Property (Show Below or Attach Four Copiesl •� L S r VARIANCE OR CU PLA ING REV BY DATE r� _ //yam O LOT COVERAGE FRONT Xj 510E r REAR 6 y U N REMARKS W [ u w J ❑ NEW © RESIDENTIAL CHECKED BY TY1 ❑ NON-RESIDENTIAL ® ADO ❑ DEMOLISH PEOUIREC, eCIAL SPECTORALT[R ❑ORCFI LLTE EMARKS+�. ❑ NfOREPAIR RVNUMBER COMPLIANCENSP.y I OF STORIES DWELLIFo UNITS NATURE OF WORK TO BE DONE (ATTACH PLBPLAN CHECK FEE F CONSIN�tliv� ..... •-j-1 rl `._...1 AREA OCCUPANCY OCDCAUul". GROUP Ii�S('�(,tlatas RGGb D7 VALUATION FEE BUILDING r PLUMBING v MECHANICAL This Permit covers work to be done on private property ONLY. on the public domain leurbs, EldaWalke, dtl Yeway S, FENCE Any construction etc.) will require separate permission. marquees, SIGN Permit Application: 180 Days Permit Limit:I year- Provided Work is Started Within 120 Days RETAINING WALL N "Applicant, Ill behalf Rf his It her S11nIIle. heir'. assigns and hold hannlcs+ SWIMMING POOL U aucnssors in interest, agrees to indetnnify, defend and J City of 1yalh Il. Ill Blllel;ll+. alit lllByeeS, and P the ISdnu,ndx, F ) i11•i, tt agents fr"Ill any and all elafro+ fill ltssuanc BI It. V I"C• [ Iiii,11er x arising Jimctly or indirrrtly from the issuance of Ihi+ permit. TOTAL AMOUNT DUE V 1R use O a0ce of this pertllll 111:111 nlll he Jecnu•J ul nnXlil'y, a'aiec ur nduile the J any requirement of any city ?nlinance our limit in :ul)' ua! APPLICATION APPROVAL i City*' ability hl enh,rce :nly' Ordinance Prucisinn... ATTENTION I herebyaeknuIs-ledge dial I base te.ld this aP{dieallnll: nl:il Ills' 111- THIS PERMIT IIII\ :IIIIIIleal11111 IS Ills( A Iri`fi1111 is a'Urrel't; And that I Jlll till' RU'Ill`r, nr "we lull\' JIIIhnr• Illltil signed Ily' the Illnlding Official Or h)rinalll,n given iced agent of ttile"Wiser. I agree In colliply will vial and slate I:I,Y+I'+nregu• AUTHORIZES ONLY THE are :llld fees Jill, Anil his I)elllll\'� r the w1ilk aoilloriled Iller, II'llrll lasing construction; and in doingl`b1' 11'aSII IIIgI,n1 WORK NOTED leeelill Is a clillllwlellEed 111 sllal'C {IrU• ,ill beemplO.: ed in vlulatilln Of the Labot C•ude nl Ills' \181e „1 vided. lelattng to Wtl•kmeo't L'Olnpensatitm InS1l EMCC. SIGNATURE (OWNER OR AGENT DATE SI NED INSPECTION DEPARTMENT DIRECT "IS SIGNATURE �.r„+� 2j •�� CITY OF IN THE CITY EDMONDS GATE THIS SITE IS LOCATED OF EDMONDS. LOCAL SALES TAX 77$-2525 SHOULD BE CODED 31.04. ORIGINAL Fde YELLOW - Inspoch" ATTENTION OCCUPY A BUILDING OR STRUCTURE PINK — Oevnrr GOLD — Ass,ssor IT IS UNLAWFUL TO USE OR Oil BEENADE APR 2 306 ? REdb GRA GRANTED. UBCAND0VAL 304, A CERTIFICATE OFSPECTION OCCUPANCY HAS BE NHAS , os-Te f 1 I I I I I I1 I a rL' 1 . 1` tt - LL .. . • r . v � r ,1� S :.�y�vi �Ji1i�6 �•iJ IIVNG