740427.pdfIhereby acknowledge that I have recd this npDllcntlon; that the in.
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BUILDING DEPARTMENT ApplicantFHl °"E / NO a` ��a�2�
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lzed agent of the owner. I agree to comply with city and state laws regu•
-
PERMIT APPLICATION I Inside Heavy Linea JOBI,p�p��
ADDRESS— 78th Ave, hest Edmonds, Wash.
SPECIAL INBPECTOR
UIRED OCCUPANCY GROUP
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NAME (OR NAME OF BU81NEH8)
® RESIDENTIAL
® NEW
❑ NON-RESIDENTIAL
PER IDLE � � / LOT CO /�
A er V HOMES, INC. LOT COVERAGE LOT COVERAGE
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5 i
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MAILING ADDRESS
PERMISSIBLE HEIGHT PAOP08 D Ii -11,
P. 0. Box 644 1 =z' L�!✓
Lynnwood, Wash. 98036 5?0 473771i
'TOTAL
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CITY
TELEPHONE NUMBER ACTUAL S AREA BLDG. -AREA
�1�f�,n �! /PSED �R
A e/� /�//� �)'/ /�/-I�57� �j!
!/��V/(7 Gj� 4'jA�v���'7,r�
uty; and fees are paid, and receipt is ac -
—
775-1916 R I ED ARDS PROPOSEDY YARDS
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(.ENC.x..........Fl.)
swim//C�.���!'.V✓�
POOL
NAME FRONT HID BEAR,- FRONT BIDE NEAR
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LE LOT VARIANCE OR CONDITIONAL USE
NUMHER OF STORIES NUMBER OF
INSPECTION
ADDREBH NOIt IT NUMHER
)
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PLA IJVG DEP PPR
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CITY TELEPHONE NUMBER
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BT ET CV ^^
I -ET STREET R/ !�'. DEFICIENCY THIS PROPER
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DATE
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NAME f
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Same as rn'mer REMARKS Driveway slopes not to exceed those
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Valuation
ADDRESS indicated on Standard ITwS. No. 103
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n.ripi—, ale.) will re.ulre separate pernu.elon.
CHECKED HY
FILE
CITY
TELEPHONE NUMHR
E
'S
z
[0
a, PROPOSED USE
Single family residence
METER SIZE ERVICE SIZE CLE RANCE
CITY LICENSE NUMBER %/
CHE D BY
PLUMSINO
STATE LICENSE NUMBER
223-01-9080
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REM.A I
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See attached - - -
Legal Description of Properly (Show Below or Attach Four Copies) 7 7
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1Lt 10, F,00dland Estates City Of TYPE CONNECTION EIRIvFIr BY
° Edmonds, Snohomish Co., Wash.��V���Q-
I A
PERC. TEST
P R I N ➢tBER
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al
REMARKS
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Ihereby acknowledge that I have recd this npDllcntlon; that the in.
TOTAL AMOUNT DUE
I
;
-- ; R -YES ❑ NO
lzed agent of the owner. I agree to comply with city and state laws regu•
ATTENTION
SPECIAL INBPECTOR
UIRED OCCUPANCY GROUP
® RESIDENTIAL
® NEW
❑ NON-RESIDENTIAL
❑
❑
OAS
LINE
BION
C] YES O s 'IF —1
I
PLAN CHE E BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
Z��SHOULDBE CODED 31.04.
relating to Workmen's Compensation Insurance.
❑ ADD ❑ DEMOLISH
ALTEn E
EOR
❑
❑
WATI.AI.INING
A e/� /�//� �)'/ /�/-I�57� �j!
!/��V/(7 Gj� 4'jA�v���'7,r�
uty; and fees are paid, and receipt is ac -
❑ FILLXCAVATE
REPAIR ❑ 148PREP. VE
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(.ENC.x..........Fl.)
swim//C�.���!'.V✓�
POOL
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(/ � IJC/✓�
� �� //Y�j G (.�'✓/Y/��
NUMHER OF STORIES NUMBER OF
INSPECTION
DWELLING
. y,7 DEPARTMENT
L, uj resident 7-16-741
,
UNITS
EDexoxDs
DATE
My: Applicant Subject to Plan Check Fre
NATURE OF WORK TO HE DONE
Neer sillgle family residence
-'
Plan Check N.
Valuation
Fee Recelpt No.
n.ripi—, ale.) will re.ulre separate pernu.elon.
.....................
FILE
BUILDING
'S
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a, PROPOSED USE
Single family residence
PLUMSINO
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O PLOT PLAN (Indicate Building setback., abutting streets)
HEAT A OAS LINE
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See attached - - -
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL
Ihereby acknowledge that I have recd this npDllcntlon; that the in.
TOTAL AMOUNT DUE
I
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,.,..it given Is correct; and that I am the owner, or the duty author.
lzed agent of the owner. I agree to comply with city and state laws regu•
ATTENTION
APPLICATION APPROVAL
toting construction; and in doing the work suthortzed thereby, no person
will be employed In violation of the Labor Code of the State of Wmhloglon
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 DEHOLITiONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS .hall be coin•
knowledged In Space provided.
plot I el m.nth!.)
ION U ^(OW 'O NT) DATE SIGNED
INSPECTION
I B NAT E
. y,7 DEPARTMENT
L, uj resident 7-16-741
,
CITY OF
EDexoxDs
DATE
My: Applicant Subject to Plan Check Fre
775.2525
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Tids ttennit r cork 1. be done on private property ONLY.
Any construction on she public dum¢In (curbs,eld—fit., dO,.w.ye,
n.ripi—, ale.) will re.ulre separate pernu.elon.
FILE
360.0
99.81,
257.0 740427
y PLOT PLAN
SCALE: 1" s, 201
Ps EIMTRICAL SERVICE
W: WATER SERVICE
St SEWER SERV ICE
10f DDRAI ACIE BASIC MON11 S� 4
EASOELEVATION: -
// JOB NO.t W — 10
i r
336.0
LEGAL DESCRIPTION:
Lot 100 Woodland Estates
City of Edmonds
78TH AVENUE WEST Snohomish Coantyp Washington
ADDRESS:
18836 78th Avenue West
Edmonds, Washington 98020
H & H HOMES, INC.
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P.O. Hoz a"
L -VW r 001D. WASMINOTON 96096 i
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CONG
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Ll�{IVE
.Y I
315.0
S I
/
99.81,
257.0 740427
y PLOT PLAN
SCALE: 1" s, 201
Ps EIMTRICAL SERVICE
W: WATER SERVICE
St SEWER SERV ICE
10f DDRAI ACIE BASIC MON11 S� 4
EASOELEVATION: -
// JOB NO.t W — 10
i r
336.0
LEGAL DESCRIPTION:
Lot 100 Woodland Estates
City of Edmonds
78TH AVENUE WEST Snohomish Coantyp Washington
ADDRESS:
18836 78th Avenue West
Edmonds, Washington 98020
H & H HOMES, INC.
�I
P.O. Hoz a"
L -VW r 001D. WASMINOTON 96096 i
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yUl
Plan Check No .....................
r' "•apt
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UDE
PERMIT
1
.. BUILDING DEPARTMENT Applicant FIU
)
NUMBER
TELEPHONE
PERMIT APPLICATION Inside Iieavy Lines
,IADDREDD
0..Y�S 13 NO
aPLOT
88
MW, ADDRESS
(I.�iO?i:iSl "_... .s
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
NAME (OR NAME OF BUSINESS)
PEFtMItld1HLE
RESIDENTIAL
NEW
NON-RESIDENTIAL
ACTUAL /
CAS
LINE
SIGN!
-'
LOT COVERAGE L
p
LOT COVESiAGE
I
MAILING ADDRESS
j) -
PERMISSIBLE HElO i'I
U
/
(P1tOYOSED HEIOH�I {�)7 x
I
REPAIR E]INSP.
I
O
Legal Description of Property (Show Below .1 Attach Fou
O CITY1 TELEPHONE NUMBER
ACTUAL L/pT �A/REA [,
TOTAL BLDG. AREA
NUMBER OF
REQUIRED YARDS
Rn 1 .}DM.. REAR
PR P Y De
_� FRONT AIDE REAR
7
I
EXISTIIV/STREET R1W-:)., yaRT. �IDEFICIENCYrr�T�HIS PROPERTY+
COMP. PLAN ST. R/RS'0, 3x11'. .,...z.,z.FT.
REMARKS � lt`._ a 17 clo nor:
D
Plan Check No .....................
ADDRESS
F
BUILDINGv
m�
W PROPOSED USE
m�
CITY
7
TELEPHONE
NAME
0..Y�S 13 NO
aPLOT
MW, ADDRESS
PLAN (Indicate Building/ abutting streets)
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
Lt
RESIDENTIAL
NEW
NON-RESIDENTIAL
CITY
CAS
LINE
SIGN!
TELEPHONE
.�--'(
THIS SITE 15 LOCATED IN THE CITY
SHOULD BE CODED 31.F EDMONDS. p48ALE5 TAX
p
ElADD
I
DEMOLISH
EXCAVATE
OR FILL
O
STATE LICENSE NUa[HEli
VALL NTNG
FENCE
........... ...........Ft.7
CITY LICENt
RETAINING WALL
REPAIR E]INSP.
I
O
Legal Description of Property (Show Below .1 Attach Fou
! /' - --
G , ' co u 7
NUMBER OF STORIES
NUMBER OF
DEMOLITION
2
PRE -MOVE INSPECTION
DWELLING
EXCAVATION OR FILL
at
0
a
UNITS
EXISTIIV/STREET R1W-:)., yaRT. �IDEFICIENCYrr�T�HIS PROPERTY+
COMP. PLAN ST. R/RS'0, 3x11'. .,...z.,z.FT.
REMARKS � lt`._ a 17 clo nor:
D
Plan Check No .....................
BUILDINGv
m�
W PROPOSED USE
7
PLUMBING
0..Y�S 13 NO
aPLOT
PLAN (Indicate Building/ abutting streets)
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
RESIDENTIAL
NEW
NON-RESIDENTIAL
❑
CAS
LINE
SIGN!
❑ YES 0 -NO
PLAN CHECKED BY
.�--'(
THIS SITE 15 LOCATED IN THE CITY
SHOULD BE CODED 31.F EDMONDS. p48ALE5 TAX
FENCE
ElADD
❑
ALTER ❑
DEMOLISH
EXCAVATE
OR FILL
❑
❑
VALL NTNG
FENCE
........... ...........Ft.7
i SA(R$9
�1! // �.�/Jl /!�(��J(//G:.i� oz� moi
RETAINING WALL
REPAIR E]INSP.
PRE -MOVE
O
SWIM
POOL
! /' - --
e-,
NUMBER OF STORIES
NUMBER OF
DEMOLITION
PRE -MOVE INSPECTION
DWELLING
EXCAVATION OR FILL
UNITS
TOTAL AMOUNT DUE
NATURE OF YORK TO BE DONE
/ )
1he1eby nowledge that 1 have read this application; that the In.
Valuation
Fee Receipt N
formation givenaIeckcorrect; and that I nm the owner, or the duty author.
,,,-'-v,,--'
feed agent of the owner. I agree to comply with city and state laws regu.
ATTENTION
APPLICATION APPROVAL
hating construction; and In doing the work authorized thereby, no person
Plan Check No .....................
BUILDINGv
m�
W PROPOSED USE
7
PLUMBING
aPLOT
PLAN (Indicate Building/ abutting streets)
[TEAT & GAS LINE
�setbac(\ks,
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
/ )
1he1eby nowledge that 1 have read this application; that the In.
formation givenaIeckcorrect; and that I nm the owner, or the duty author.
feed agent of the owner. I agree to comply with city and state laws regu.
ATTENTION
APPLICATION APPROVAL
hating construction; 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 Compeneatto. Insurance.
AUTHORIZES
signed by the Building Official Or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS Which
ONLY THE
WORM NOTED
uty) and fees are paid, and receipt IS ac -
shall be completed In ninety day.; IIOVED-IN BUILDINGS shall be com.
Imowledg'ed in space provided.
pleted In mix months.)
SIGNATURE (OWNER 04 NT)
DATE SIGNED
INSPECTION
D1R CTOR;d S10NATURE ;(
DEPARTMENT
i
-
CITY OF
EDMONDS
DATE
NOTE; Applicant Subject to Plan Check Fee
775-2525
This t'ermlt carers work to be dans on private property ONLY.
Any construction on the pubtledomain (Sorbs, eldewWke, driveways,
marquees, etc.) .1 rryulm .eparale permission.
INSPECTOR
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