740205.pdf'
Plan Check N. .....................
P*fEe 13 NO
SPECIAL lribFNCTUO OC-C�UUP�ANCY GROUP
RESIDENTIAL GAS
NEW LINE
,REQUIRED
❑ YES *ONO
PLAN CHECKEq BY
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
+/
BUILDING DEPARTMENT
Applicant FLU
ZONE ses�/y PERMIT I7A 740205
SHOULD BE CODED 31.04.
PERMIT APPLICATION
I Imide Heavy Linea
,OB
EXCAVATE FENCE
�"
) ,-.+ G
/F/ �L �%� (T /7;"4
ADDRESS ♦^/ / //� (l
� ✓CGet/
HEAT k GAS LINE
NAME UBINES lOR NAMEI,OF B )
t� /',.�,r V
,/"
E ACTUAL
LOT COVERAGE ?L^ z� LOT COVE AGE
LOT-PERCOVER
pi
Jl
M��f ADDRESS
�)
6317 L)
PERMISSIBLE HEIGHTSP BED H17 �Cy5�
CITY
TELE ONE NOW....
ACTUAL LOT REA TOTAL AREA
/2600
Valuation
'
S E
REq IRED YARDS PROPO ED YARDS
_13T
AME
FRONT BIDE REAR FRONT HIDE REAR
.W
V
ADDRESS
.J /Z
LEGAL LOT VARIANCE OR CONDITIONAL BE
jg _ NO PEHM IT NUMBER
C
CITY
TELEPHONE NUMHE
X
9TAEET R/,Yr�.. DEFICIENCY THIS PROPERTY
NAME n
COP. PLAN BT. R/ _Ir.4. ....0 ..FT.
h[
REMARKS Driveway slopes not to exceed those
GN
ADDRESS o �l � /'j
�G1�./J�"_P�/�(p(gNX�t
tit
indicated On Standard Dwg• 1'O• COECKED
`�./`/I LT-E_e
DEMOLITION
HY
F
O
CITE-
"`v N���/
SI'LEI SERV/' IZE CLEARANCE
CF3 ED Y
O
/ '/ •%'7/a/nV
CITY LICENSE NUMBER
METF�
STATE LICENSE NUMBER7 III
I
I
/16 3?
.09-S D/ /(�7 I
t j/
REMARKS
I hereby acknowledge that I have read this applied'lon: that the In •
Legal) Description o4 Property (8how law or^1ach Four Copies)
PB//9 Ja
TYPE CONNEC7fON
TYPE
VERIFE
Ized agent of the owner. I agree to camDly with city and elate laws Mite.ATTEN'PION
APPLICATION APPROVAL
lating c ratmetlon; and In doing the work authorized thereby, no person
PER TEST
PI.R�Kl \IB R
will be employed In violation of the Labor Code of the State of Washington
y'
grtM E/1'C ^ �`
REMARK.
I
t
I A t5Fc_ l3
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
FIRE ZONE
TYPE OF CONSTRUCTION STREET IMPROVED
'
Plan Check N. .....................
P*fEe 13 NO
SPECIAL lribFNCTUO OC-C�UUP�ANCY GROUP
RESIDENTIAL GAS
NEW LINE
,REQUIRED
❑ YES *ONO
PLAN CHECKEq BY
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
+/
Of EDMONDS. LOCAL SALES TAX
SIGN
is-+;, t , .
OC•.,i•�
SHOULD BE CODED 31.04.
ADD ❑ RETAINING
DEMOLISH
AR
"
-eQF.%$/�t./(�Ci%/J
EXCAVATE FENCE
�"
) ,-.+ G
/F/ �L �%� (T /7;"4
ALTER ❑
OR FILL (.......... z .......... Fl.)
HEAT k GAS LINE
PRE-MOVIl— SWIM
REPAIR ❑ INSP. ❑ POOL
7-
�O�3Tl= L' jr
D/(/ SiTGr �.t/.SPFC%r0/li S
IUMBER OF STORIES I NVMHER OF
` N DWELLING
G/.�• UNITS
PATURE OF WORK TO BED
Valuation
Fee R-11
'
Plan Check N. .....................
O
BUILDING
PROPOSED USE
PLUMBING
O
MPLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT k GAS LINE
�-T or P4/}iyl
FENCE
SIGN
RETAINING WALL
i
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
/16 3?
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this applied'lon: that the In •
formation given Is correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to camDly with city and elate laws Mite.ATTEN'PION
APPLICATION APPROVAL
lating c ratmetlon; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety day.: MOVED -IN BUILDINGS shall be coni•
knowledged in apace provided.
pleted Ins months.)
SIGN R • (OWN O l A ENT)
DA 6N D
INSPECTION
I R. 10 ATURE
/
DEPARTMENT
'�G�`
CITY OF
't/V
EDMOND$
ATE,
NOTE: Applicant Subject to Plan Chec Fee
— 2L
PR a-1107
Thle Vit eo work to be done oa prlvae property ON7.Y.
looses lh ubul domain 'coss;drwalke, drlyau'a]
I Nil