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7BUILDING DEPARTMENT AppucaitFWZONE rUSE PiunMlslrs 740199
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IT APPLICATION I Inside Heavy TAUS s GB
_ ADDRE88
R NAME OF BUSINESS)
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W H Zhiteley LEO LOT n
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ADDRESS8 NO P
Ny PO F. PP O
of CITY ELE BONE NUMBER LA
=STREET
EXIST O STREET R/<W
NAME a
COMP. PLAN BT. R/W?:
m ADDRESS ams Homes Inc. REMARKS Driveway
19707 64th Ave W. indicated on Ste
E CITY ITE PHONE NUMBER
METER S1ZE I SERVICE 1
Legal Description of Property tdnow Below or All
Lot 3 Plat of Tall Firs #Z
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DEFICIENCY THIS PROPERTY
.-Le...FT.
not to exceed those
Jill pSlC +cult t•1 +c pi ucal�c
Cion Check No .....................
SIGN
�� I - V-
1\1I O YES 0 NO
(/0/
RETAINING WALL
formation given Is correct; and that I am the owner, or the duly author-
ECIAL INSPECTOR REQUIRED
❑ YES [] NO
OCCUPANCY GROUP
Z ' /
NEW
ADD
RESIDENTIAL
NON-REazDENTIAL
11 —1SHOULD
❑
E]s1GN
OAB
LINE
WALL NING
PLAN CHECEED DYTHIS SITE 15 LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
BE CODED 31 04
E] DEMOLISH
REMARKS
ALTER
PRE -MOVE INSPECTION
AVATE
❑
(..E.... CE
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAS LINE
NOTE: Permit Limit One Year (Except DEMOLITIONS which
❑
ORCFILL
shall be completed In ninety days; MOVED -IN BUILDINGS shall be coon-
.... .3 .......... Ft.)
knowledged in space provided.
pleted In six months.)
REPAIR
❑
N PMOVE
Ej
SWIM
POOL
(UMBER OF STORIES
NUMBER OF
CITY OF
Ls/VIiI J' lf�%"Z�
EDMONDS
DATE
I
NOTE: Applicant Subject to Plan Check Fee
DWELLING
—
This Permlt coven work to be done on private property ONLY.
111
UNITS
Jill pSlC +cult t•1 +c pi ucal�c
Cion Check No .....................
SIGN
'-)
BUILDING
(/0/
RETAINING WALL
formation given Is correct; and that I am the owner, or the duly author-
2`
PROPOSED UBE
PLUMBING
APPLICATION APPROVAL
DEMOLITION
PRE -MOVE INSPECTION
THIS PERMIT
This application is not a permit until
Od
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAS LINE
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TIE
WORK NOTED
O
FENCE
TOTAL AMOUNT DUE
SIGN
I hereby acknowledge that I have read this application; that the In.
RETAINING WALL
formation given Is correct; and that I am the owner, or the duly author-
J I SWIMMING POOL
ATTENTION
APPLICATION APPROVAL
DEMOLITION
PRE -MOVE INSPECTION
THIS PERMIT
This application is not a permit until
EXCAVATION OR FILL
AUTHORIZES
signed by the Building Official or his Dep -
4
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
formation given Is correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and .tate laws resin-
ATTENTION
APPLICATION APPROVAL
tl,x.0,; construction; and in doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Stale of weabiugton
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Iazuraoce.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TIE
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be coon-
knowledged in space provided.
pleted In six months.)
SIGNATURE (OWNER OR AGENT) DATE__81014
INSPECTION
DEPARTMENT
DIA OR'S 1GNATU E
/
CITY OF
Ls/VIiI J' lf�%"Z�
EDMONDS
DATE
I
NOTE: Applicant Subject to Plan Check Fee
PR a-uoq
—
This Permlt coven work to be done on private property ONLY.
Any cooetntetlon on the public donraln (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
FILE
4
AS
NEW Lj RESIDENTIAL ❑ LINE
NON-RESIDENTIAL ❑ SIGN
ADD EJ DEMOLISH ---RE NINE
N E
ALTER ❑ EXCAVATE On FILL (.E .............Ft.)
REPAIR ❑ INSPM0� POOL
(UMBER OF BTORIE9I NUMBER OF
DWELLING
1 UNIT$
4ATURE OF WORK T4 BE DONE
EXIBTfI46 STREET��1FT� DEFICIENCYJT�HIS PROPERTY
COMP. PLAN ST. R144kt T. ...{,. �...FT.
REMARKS Dri,+ewav e1op::s not to �x•.cc� thane e
iild.i:cateri On Stnndjrd D -,4g. I;o. 103 w
06,47CTION
*�i
i] YES [] NO
.... .. Plan Check No .....................
BUILDING
++ PLUMBING
tg elraete)
Cd ADDRESS
I hereby acknowledge that I have read LIU. application; that the In-
FENCE
formation given Is correct; and that I am the owner, or the duly author•
SIGN
lred agent of the owner. I agree to comply with city and elate laws ngu.
F C1TYf,
.amu
TELEPHONE NUMBER
xo
SWIMMING POOL
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U
^^J
PRE -MOVE INSPECTION
$TATE LICENSE NUMBER
EXCAVATION OR FILL
CITY LICENSE NUMBER
BUILDING DEPARTMENT
I
USE
zolrE NirnlaETlt
or Alison. Four COplee)
DEPARTMENT
LLVr K'
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Applicant; Fin
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PERMIT APPLICATION
Inside Heavy I.IneB
IG
ADDRESSi2 n....
_✓,i .._,
Any eonstrvctloa oa the public domain Leah., sidewalk-, dllveways,
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NAME (OR NAME OF BUSINESS)
�'r �Y,- '� (i
i
PERMISSIBLE m ACTUAL JJ (.l !'
LOT COVERAGES.�`'%. LOT COVERAGE (Y(.
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AILING ADDRESS
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f ,
PER21188lBLE HEIOIST / 1tOY08ED 11EIOHT
OITY a
ON NUMBER
ACTUAL LOT AREA TOTAL LUG. AREA
x
1
r„_,., [) 1;'; ]ljl' �� tni':
iy _ +:'(1
RF.OUIR YARD. PROP084.D YAItDB
NAME
FRONT 81_DN REAR FRONT $IDE REAR
-
LEGAL LOT VARIANCE. OIL CONDITIONAL 8E
1
al
H�
ADDRESS
P-YES",_9 fl NO �, - PERMIT NUMBER
NUMBER
FPL INO DTE . I 7 AL
• �'� 1 yy. .I.,:-
CITY I
LEPHONE
,
AS
NEW Lj RESIDENTIAL ❑ LINE
NON-RESIDENTIAL ❑ SIGN
ADD EJ DEMOLISH ---RE NINE
N E
ALTER ❑ EXCAVATE On FILL (.E .............Ft.)
REPAIR ❑ INSPM0� POOL
(UMBER OF BTORIE9I NUMBER OF
DWELLING
1 UNIT$
4ATURE OF WORK T4 BE DONE
EXIBTfI46 STREET��1FT� DEFICIENCYJT�HIS PROPERTY
COMP. PLAN ST. R144kt T. ...{,. �...FT.
REMARKS Dri,+ewav e1op::s not to �x•.cc� thane e
iild.i:cateri On Stnndjrd D -,4g. I;o. 103 w
06,47CTION
*�i
i] YES [] NO
.... .. Plan Check No .....................
BUILDING
++ PLUMBING
tg elraete)
Cd ADDRESS
I hereby acknowledge that I have read LIU. application; that the In-
FENCE
formation given Is correct; and that I am the owner, or the duly author•
SIGN
lred agent of the owner. I agree to comply with city and elate laws ngu.
F C1TYf,
.amu
TELEPHONE NUMBER
xo
SWIMMING POOL
i
I
U
^^J
PRE -MOVE INSPECTION
$TATE LICENSE NUMBER
EXCAVATION OR FILL
CITY LICENSE NUMBER
SIGNATURE (0)VNER OR AGENT)
I
L-111 De c Iptlon of Properly (Show Below
or Alison. Four COplee)
DEPARTMENT
AS
NEW Lj RESIDENTIAL ❑ LINE
NON-RESIDENTIAL ❑ SIGN
ADD EJ DEMOLISH ---RE NINE
N E
ALTER ❑ EXCAVATE On FILL (.E .............Ft.)
REPAIR ❑ INSPM0� POOL
(UMBER OF BTORIE9I NUMBER OF
DWELLING
1 UNIT$
4ATURE OF WORK T4 BE DONE
EXIBTfI46 STREET��1FT� DEFICIENCYJT�HIS PROPERTY
COMP. PLAN ST. R144kt T. ...{,. �...FT.
REMARKS Dri,+ewav e1op::s not to �x•.cc� thane e
iild.i:cateri On Stnndjrd D -,4g. I;o. 103 w
06,47CTION
*�i
i] YES [] NO
.... .. Plan Check No .....................
BUILDING
++ PLUMBING
tg elraete)
HEAT.&,CAS LINE
I hereby acknowledge that I have read LIU. application; that the In-
FENCE
formation given Is correct; and that I am the owner, or the duly author•
SIGN
lred agent of the owner. I agree to comply with city and elate laws ngu.
ATTENTION
.amu
tRETAINING WALL
..
v
SWIMMING POOL
i
N
sol
"DEMOLITION
^^J
PRE -MOVE INSPECTION
shall be completed In darty days; MOVED -IN ]BUILDINGS shall be com-
EXCAVATION OR FILL
B I CLEARANCE I CRECRED BY
M 1 .
I
-BY,.
`PERMIT NUMBEII
i I
.48TRAUCTION STREET IMPROVED {
\I L] YES NO
RED IOCCUPANCY GROUP
3-1 _.:rl_
THIS SITE IS LOCATED IN THE CITY
01 EDMONDS. CAL SALES TAX
SHOULD BE CODEDLO31.04.
i
Valuation Fee Receipt Nov
f
C.
J� c)
I
1
1
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 space provided.
DIRE OR'S BIO
DATE
i
INSPECTOR !
i
TOTAL AMOUNT DILE
I hereby acknowledge that I have read LIU. application; that the In-
formation given Is correct; and that I am the owner, or the duly author•
lred agent of the owner. I agree to comply with city and elate laws ngu.
ATTENTION
lating aoaetructlon; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Stale of Washington
THIS PERMIT
relating to workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (EZCept DEMOLITIONS which
ONLY TILE
wORB NOTED
shall be completed In darty days; MOVED -IN ]BUILDINGS shall be com-
pleted In sig months.)
SIGNATURE (0)VNER OR AGENT)
DATE BI NNED
INSPECTION
DEPARTMENT
LLVr K'
! � r"i
; .,!•.St.t,Y,yl.lfr_c„�)
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 0.1107
Thin Permit coven work to be done on private property ONLY.
Any eonstrvctloa oa the public domain Leah., sidewalk-, dllveways,
marquees, etc.) will require separate permission.
B I CLEARANCE I CRECRED BY
M 1 .
I
-BY,.
`PERMIT NUMBEII
i I
.48TRAUCTION STREET IMPROVED {
\I L] YES NO
RED IOCCUPANCY GROUP
3-1 _.:rl_
THIS SITE IS LOCATED IN THE CITY
01 EDMONDS. CAL SALES TAX
SHOULD BE CODEDLO31.04.
i
Valuation Fee Receipt Nov
f
C.
J� c)
I
1
1
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 space provided.
DIRE OR'S BIO
DATE
i
INSPECTOR !
i
I
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RECORD OF INSPECTIO — .• ; j
-
Dat assed
'� I
.Fou tion
( roup
urnace
Final
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�LII01g6 1;
RECORD OF INSPCCT40NS
Date Passet9
Foundation �T?`!
Plumbine (Partial) �L d 7— 73 c;,--
(Rough)
(R
Frame
Furnace & Fuel Lines
Final �:I, . "Ila;
"5