740142.pdfThis Permit coven work to be done as private property ONLY.
Any construction on the public domala (curbs, sidewalks, driveway., FILE
marquees, etc.) win require separate permission.
BUILDING DEPARTMENT
Z ONE �S — � NUMBIER 740 142
Appileont Fin
PERMIT APPLICATION Imldo Heavy Lines
=c)
ADDRESS
NAMH (OK NAME OF BUSINESS)
/')%IBSIBLE ep ACTUAL
IATT COVCOVERAGELOT COVESiAGE
_
--.0 ADDR EB
OeED tlEl 1T
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O
•� 1
6906 -�7ht s, w,
PERMISSIBLE ][EIGHT t•Il
X30
I
O1TYD
BER
ACTUAL EA TOTAL
LOT R�
J�O
R7 I
YARDS f'R/UNED Y�AILUH
NAME
FRONT SIDE HEAR FRONT 819E REAR
6 5 7 a
r
G
OR CONDITIONAL 8E
ADDRESS
LEG LOT VARIANCH
e NO 4P!3 IT N bI R
1
yp
O
CITY
TELEPHONE NUMBER
—
EX7�9 N6 STREET R/•.e .. DEFICIENCY THIS PROPERTY
7yC
NAME
�m ern�-r 0/�
�+
E
COMP. PLAN BT. R/ti�.T.:.F1'. ..5./.....FT.
Driveway slopes not to exceed those
M ADDRESS
indicated on Standard Dwg No. 103
w
L$�
NUMBER
CHECKED BY
M CITY
TELEPHONE
z
I.
MDTYIZE SIZE CLEARANCE
CHEC D Y
STATE LICENSE NUMBER
CITY LICENSE NUMBER
�/ 18
I
m
Legal De.erlptIon of Property (Show Below
or Attach Four Copies)
REMA tl
D r (� /'fC •� V l.. /t Ed r
TYPE CONNECTION VERT FIE1DBYY1
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PERC. TEST P M NUM ER
14
E
O
REMARKS
to
a
'
FIRE ZONE
'TYPE OF CONSTRUCTION STREET IMPROVED
SPECIAL INSPECTOR
REQUIRED
OCCUPANCY GROUP
® RESIDENTIAL
GAB
E]LINE
[:I YES W1<0r
T /
® NEW
PLAN CHECK/ED Y THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
� SIGN
A cunLRD BE CdO�DED Sot ne
� OF EDMUNDS. LOCAL SALES TAX
'
El ADD
WALL
El
ARKS
DEMOLISH
El ALTER EXCAVATE FENCE�NG
O
n ./ G
CG/G G S I
�STC/y T/O� 1p,L F� L /J G I /% J
OR FILL (....N._z.......... PLI
swim
REPAIR ❑ INSPMOVE El POOL
NUMBER OF STORIES NUMBER OF
/ I DWELLING
UNITS
NATURE OF WORK TO HE DONE
Valuation
Fee Receipt Noa
Plan Check No.. ...............
BUILDING
e
[Oy
4 PROPOSED USE
�W
PLUMBING
OPLOT
PLAN (Indicate Building setbacks, abutting Streets)
HEAT A GAS LINE
gTT��J1
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
S a
r77
I hereby acknowledge that I have read this apDllcallon; that the In -
Z/
formation al given Is correct; and that I sthe owner, or the duly author-
lted agent of the owner. I agree to comply with city and state laws zegu-
ATTENTION
APPLICATION APPROVAL
luting construction; and to doing the work authorized thereby, no person
will be employed In violation of the Labor Code of th. State or Washington
Tore PERMIT
This application is not a permit until
.1. I.g to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt Is ac -
.hall be completed In ninety days; MOVED -uv BUI]EM NGS shall be cam-
knowledged in space provided.
pleled In six mouth..)
(OWNER OR AGENT) DATE SIGNED
INSPECTION
DI EC IONATURE
DEPARTMENT
:j,TUIIE
�
'3
CITY OF
, e
NOTE: Applicant Subject to Plan Check Fee
EDAfONDB
PR 6-1107
D TE
This Permit coven work to be done as private property ONLY.
Any construction on the public domala (curbs, sidewalks, driveway., FILE
marquees, etc.) win require separate permission.
FE�NAUE(OR
G DEPARTMENT AppupsnLFW USE
/ N aB R -1 14,j I2
`- -APPLICATION hide Heavy Linen ADDRESS / 7 �`J —W-__jj
t C ��
ME OF SUSINEBB)/., �,.OVIBLE AOECOVEnAG� `/ lrc-
'S/f�— RESS pEiti,118SIBLE HEIGHT E HT%, / /.JiFyt -
O MBD:H ACLU LOT AR A% ( JV xoom, RF.O U IRED 1'AItUBPO9 F.0 YARUsBIDE HEAR S� ( REAA
ADDRESS
El
❑
E]
ElEXCAVATE
❑
GAS
BION"-)-)�
RETAINING
WALL
FENCE
(..........x .......... Ft.)
swim
POOL
;Z- 7/a /7 "' ,7
LE CI. LOT VARIANCE Oil CONUf rIONAL USE•
•8 O DfIT I�UDf ER
r. 4p,!e f•/ rli�
-•i-f1•y
c3
Id
CITY
R MARKS
�•
— /
/[t II (. C�l'�S % /_Jt�c Ted/. / L: j.J r•�/5'%/
TELEPHONE NUMBER
..(4
EXIB'tINO STREET R/w DEFICIENCY THIS PROPERTY
4UM13ER OF STORIES
NAME
SWIMMING POOL
...........1h.
�Q C _
COMP. PLAN ST. R/t9'....q'I'•^"'•'••'
HEAT & GAS LINE
.5 IA
DEMOLITION
RE111ARRs Driveway slopes tiet t0 exceed those
ADDREHB
SIGN
indicated on Standard L�aq. No, 103
RETAINING WALL
NUMBER
CHEC ED 8Y
1 UM
�
CITY
TELEPHONE
�
uVJnerZ.c��x1► )U w,Rt�s w��0
�O'
TOTAL A51OUNT DQE
METFH sl'LE 8E1iVICE SIZE CLEARANCE C_HEC •D BY
U
STATE 'LICENSE NUMBER
I hereby acknowledge that I have read this Application; that the In.
i
t
RE1nARK8 V '
formation given le correct; and that I am the owner, or the duly author -
Iced agent of the owner. I agree to comply with city and elate law. regu-
agent
Legal Description of Property (Show Below or Attach Four Coplet)
''// � /:=-AJ G!j / 1 .
// /4", U/t/,
lating and In doing the work authorised thereby, no person
will be employed to violation of the Labor Code of the Biala of Washington
THIS PERMIT
y may-.
)L �� /
,/ ,:•:i
TYPE CONNECTION VERIFI D UY
o
AUTHOnIZF-9
signed by the Building Official or his Dep -
-:
S �L I
ONLY TI IE
WORK NOTED
uty; and fees are paid, and receipt is Be
.i
shall be completed In ninety days; MOVED•IN BUILDINGS shall be was-
Eg(L! PERMIT NUMBER
knowledged in space provided.
plelcd In six months.)
f
N
Q
IIGNATUR£ (OWNER OR AGENT)
DATE SIGNED
INBPECTION
DEPARTMENT
SMAIDKr� I7751 IR
NO
OAS O YES MING
® RESIDENTIAL
❑ NEW
❑ ADD
❑ALTER
..
❑ REPAIR
NONRESIDENTIAL
❑
El
❑
E]
ElEXCAVATE
❑
GAS
BION"-)-)�
RETAINING
WALL
FENCE
(..........x .......... Ft.)
swim
POOL
--TS
PLAN CHECKED Y THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
`,vc�9z`�y (: .^'t^-�' SHOULD BE CODED 31.04.
R MARKS
�•
— /
/[t II (. C�l'�S % /_Jt�c Ted/. / L: j.J r•�/5'%/
DEMOLISH
❑
❑ OR PILL
❑ PRE -MOVE
INSP.
!,i/n F.ii )
4UM13ER OF STORIES
I NUMBER OF
SWIMMING POOL
HEAT & GAS LINE
rr 9! k' FA M L t/ if F 5
((7(rI
�q PROPOSED UeE
W
� PLOT PLAN (Indlcni
W
Plan Check N. .....................
Valuation
Fce
Receipt No.
--TS
BUILDING
PLUMBING
SWIMMING POOL
HEAT & GAS LINE
UV
DEMOLITION
FENCE
SIGN
RETAINING WALL
EXCAVATION OR FILL
1
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
SII
EXCAVATION OR FILL
TOTAL A51OUNT DQE
I hereby acknowledge that I have read this Application; that the In.
t
'
formation given le correct; and that I am the owner, or the duly author -
Iced agent of the owner. I agree to comply with city and elate law. regu-
agent
ATTENTION
APPLICATION APPROVAL
lating and In doing the work authorised thereby, no person
will be employed to violation of the Labor Code of the Biala of Washington
THIS PERMIT
11Cat10n 19 not II permit Until
This app P
relating to Workmen's Compensation Insurance.
AUTHOnIZF-9
signed by the Building Official or his Dep -
-:
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TI IE
WORK NOTED
uty; and fees are paid, and receipt is Be
.i
shall be completed In ninety days; MOVED•IN BUILDINGS shall be was-
knowledged in space provided.
plelcd In six months.)
- /'
IIGNATUR£ (OWNER OR AGENT)
DATE SIGNED
INBPECTION
DEPARTMENT
DDtEC OR"B SIGNATURE !r
CITY OF
EDbfONDS
Subject to Plan Check Fee
j`;( n.l
NOTE: ApQlicaut
PR 0.1101
>-------".
This Permit coven work to be done on privet. property ONLY.
the puhUc do..$. (curbs, sidewalks, drlveways,
INSPECTOR
Any canstructloo on
tnarauers, etc.) will rMalre '.Paste permlulen.
V (Rough)
Frame tLLP-7Y
;Furnace & Fuel Lines
Final
iF;