740135.pdf. d-56
Basic 509 DG
1 BUILDING DEUSE�+ PERMIT
DEPARTMENT 1
�4•,_, AppLlsnt FW LOQ /CSS NUMBER (�� 13J
— Tt
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
H cc H HORSES, INC.
MAILING ADDRESS
o P. o. Box 644
CITY TELEPHONE NUMBER
I. nneo od. Wash. 98036 1775-1916
V
Same as owner
FOW -ADDRESS
`U
ai CITY
TELEPHt
F
Z
I
V
FRONT SIDE REAR FRONT SI E REAR
4—
STATE LICENSE NUMBER
CITY I",223
—01-9080
PLA PI O r � TE•
Legal Dcecrlptlon of Properly (Show Bele,
qr Attach
Int h Double DD Ranch Addition
JOB—
A 1 10 68th Avenue West Edmonds Wash.
PERMISSIBLE^• ACTUAL
LOT COVERAOEs .3, O Q LOT COVII4iA0E L
PERMISSIBLE HEIGHT 1'R D li E(OHT
�Oy
ACTUAL LOT AREA TO AL BL AREA
REQUIRED ARDS PROPOSEDYARDS
FRONT SIDE REAR FRONT SI E REAR
4—
alar: aatrnuvcu
E9
LEO LOT VARIANCE 011 CONDITIONAL USE
8 NO PERS T NUMBER
•DEPT
PLA PI O r � TE•
S 'ET
EXISTI STREET R'..FT. FICIENCY PROPERTY
//THIS
COMP. PLAN ST. R/tie/�'C. ....,1,.,�.FT. _
REMARKS
Driveway slopes not to exceed those
Vndi a ed on Standard Dwg.
. �0.
CHEC ED
Y
ME SIZE I SERV�SIZE
V
I CLEARANCE
Y
REMA RKS
6
TY�CONNECTION VER 1FIED�
11 //1111ff''
PERT P R a ERR
1' a ER
REMARKS
i
1VCW J11sY 1C 14aLL1-Y aeolue.wv
Plan Check N. .....................
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aacc cuav�
1
•f
zr
f
-�. /vazup
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alar: aatrnuvcu
E9
❑ NO
r/
Single family residence
PLUMBING
20 -
ECIAL
INBPECTOR
IREO
OCCUUP'A�NCY GROUP
,Q PLOT PLAN (Indicate Building Setbacks, abutting atr.cl.)
HEAT & GAB LINE
6
i7
0 YES
j,¢ O
n See attached — — —
_] �.�/
I
X❑
®
NEW
El
RESIDENTIAL
NON-RESIDENTIAL
❑
GAS
LINE
BIONRETA
PLAN CHZED
[�(rJ���'
Y
THIS
SHOULD
SH
SITE IS LOCATED IN THE
EDMONDS. LOCAL SALES
BE CODED 31 04
CITY
TAX
ADDM
ElDEMOLISH
ALTER
E
O
❑
WALL SNC
FENCE
AR
DEMOLITION
PRE -MOVE INSPECTION
❑ OR FILL I. Z .......... Ft.)
EXCAVATION OR FILL
REPAIR
PRE -MOVE
INSP.
El
SWIM
POOL
UMBER OF STORIESN
UMBER OF
S� f•(TJ�/
I hereby acknowledge that I have reed this application; that the In.
��
formation given Is correct; and that I am the owber, or the duly author•
DWELLING
Ized agent of the owner. I agree to comply with city and slate lawn regu•
ATTENTION
_
APPLICATION APPROVAL
letting construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Stale at Weehington
Title PERMIT
This application Is not a permit until
UNITE
AUTHORIZES
Signed by the Building Official or his Dep -
NOTE: Permit limit One Your (Escept DEMOLITIONS whlch
ONLY T/fE
WORK NOTED
uty and fees are paid, and receipt is ac -
.hall be complete In Nbely days; MOVED•IN BUILDINOS shall be cam•
IATURE OF WORK TO
BE DONE
SIONATU E NPR O A T) DATE 1116NED
INSPECTION
I
Valuation I
Fcc I
Recclnt No.
1VCW J11sY 1C 14aLL1-Y aeolue.wv
Plan Check N. .....................
�Oy
BUILDING
d 7ti
PROPOSED USE
r/
Single family residence
PLUMBING
20 -
�
,Q PLOT PLAN (Indicate Building Setbacks, abutting atr.cl.)
HEAT & GAB LINE
6
i7
r�
n See attached — — —
PENCE
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
S� f•(TJ�/
I hereby acknowledge that I have reed this application; that the In.
��
formation given Is correct; and that I am the owber, or the duly author•
Ized agent of the owner. I agree to comply with city and slate lawn regu•
ATTENTION
_
APPLICATION APPROVAL
letting construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Stale at Weehington
Title PERMIT
This application Is not a permit until
relating to Workmen's Compensallon Insurance.
AUTHORIZES
Signed by the Building Official or his Dep -
NOTE: Permit limit One Your (Escept DEMOLITIONS whlch
ONLY T/fE
WORK NOTED
uty and fees are paid, and receipt is ac -
.hall be complete In Nbely days; MOVED•IN BUILDINOS shall be cam•
knowledged In space provided.
pitted 1.'oX mo s.)
SIONATU E NPR O A T) DATE 1116NED
INSPECTION
1R R'S ONA URE
i��
DEPARTMENT
L. H sid nt
i 1
Ds1r o
CITY OF
i NOTE: A licant Subject to Plan Check Fee
EDMONDS
PR e•uo1
DATE
Thls Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate petadmrlm.
FILE
-•
USE PERMIT ,'
ZONE /S - NUMBER ,
BUILDING
DEPARTMENT
Applicant FW
PERMIT APPLICATION
Inside Heavy Lines
ADDRE88 ,
A
l.! 1.'.'•
ACTUAL i
LOT C VERA E�* / O LOT COVAAGE +1
LOT COVERA6 •� O
NAME
(OR NAME OF BUSINEBS)
'
O
PEItMISH1BLF HEIGHT / PI t ➢ IIEIORT
ACTUA T AREA ' T L BLD AREA z
C. `Z
REO IRED ARUB OPOBED ARDS -
FRONT BIDE REAR FRONT SIDE REAR
•---
MA LINO ADDRE88
O1TY . �., 1 I PHONE N MBER
"] •)ljl; i:l 77-�°l�'
NAME
F
t�t��
bt
qL
yEe �� NO PERM T NUMBEANUITIONAL USE I
rj VAILIA
Y i
PLA�3 DEPT. PP Oj' L -
/ - Z 4• -_
EXIeTIlYfySTREF.T R/iw,//.. 'r. FICIENCY THIS ROPE -TY
ADDRESS
CITY
TELEPHONE NUMBER
COMP PLAN 8T. R/�?)I'_1f8i'. •••-OFT• W I
REMARKS Z !
NAME
M
x
i CHEC D Y !
ADDRE88
G
F
CITY
TELEPHONE NUMBER
x
O
I
METZJI 812E SERVICE BIZ. CLEARANCE CHEOK D BY
1 '3 / / i. • obit
�/ (moi I f •�/ I I`-%1�.:. .-�-^ F
REMARKS_' � 1
Z// C v
STATE LICENSE NUMBER I
1•: .:-1.L•"'i '.'�(J
�
CITY LICENSE NUMBER
Legal Description of Properly (Show Below or Attach Four Copies)
F
'' 7 '; 1 1 � �•--�31 %'•=TYPE
CONNECTION VERIFI Df Y
PERC. S PER'li N h ER
rr '�'r _ •uG!Y ._r.Ji. .,.1_' : [';Ll: -
W
o
R M m !
D
0
W
FIRE ZONE TYPE O''J' 8TR T f OVED i
No
SPECIAL INSPECTOR/REQUIRED OCCUPANCY
GAS
RESIDENTIAL ❑ LINE
El NEW
❑NON-RESIDENTIAL &rax
❑
❑ Al. RETAINING
❑ DEMOLISH ❑ WAIT'
❑ ALTER ❑ EXCAVATE ❑ FENCE
OR FILL (......... .x .......... Ft.)
jOR
[3 YES ['�'NO I 1 /•d `/
PLAN_ CHEC[�ED DY THIS SITE 15 LOCATED IN THE CITY
�� OF EDMON DS. LOCAL SALES TAX
r,'./,rl/ SHOULD BE CODED 31.04.
REMARK
L
/'��/ (^G�.I / 1 "t� �'��' ��� NL/t�� I/d !"- 7V •i,
PRE -MOVE SWIM
❑ REPAIR ❑ INSP. ❑ POOL
•-.7-/h+ it o.', j_. J.Y) ).fl S`:/ = -�iV.S �_=C. J•/✓.JS i
NUMBER OF STORIES NUMBER OF
DWELLING
I
UNITS
NATURE OF WORK TO 8E DONE
Valuation I•'c Receipt No.
' _ ....
1 i
Plan Check Na ..................... i
BUILDING i.iO
((p
y
PLUMBING 7
-A i
PROPOSED USE
� t ` J
,Icnce
•PLOT
M
PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE -/ h �• j
In
FENCE 1
�.
•
SIGN
tRETAINING
WALL
,I
N-
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL �-
1
i'
J / \
TOTAL AMOUNT DUES 71
/tom I
I hereby acknowledge that I have read this application; that the In-
formation given to correct; and that I am the ember, or the duly author-
I.ed agent of the owner. I agree to comply with city and state laws rsgu•
fall.. Construction; and in doing the work authorhad thereby, no person
Will be employed In violation of the Labor Code of the State of Washington
ATTENTION APPLICATION APPROVAL
THIS PERMIT This application is 1 Ot a permit until !
relating to Workman's CompenaatlOn Insurance.
AUTHORIZES signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
&hall be eompleted•In dolly days; MOVED -IN BUILDINGS atoll be win-
ONLY THE
WORK NOTED uty; and fees are paid, ¢nd receipt is aC-
ll nowledged in space pr vided.
pleted.In six month..)
INSPECTION RECTOR'S SIGNATURE
DI
DEPARTMENT
CITY OF I / �' /• , /f:.R.
EDDIONDS DATE --•------
DATSIGNED
SIGNATURE ( N-;A_V 'AO E
!=•�.: d`. ...::_ " ��,.
NOTE: Afificant Subject to Plan Check Fee
PB 0-1107 �
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalk., drivewa74,
marquees, etc.) wW require separate pumiadon.
IN PECTOR
�1
_
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