740563.pdf1 BUILDING DEPARTMENT A,LintFin Z°
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PERMIT APPLICATION I Inside Heavy Lines —TrW—
NAME (ORAMEB ADDR
NOBUSiNE88)�
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LOT
m MAILING AD RE88
PEIGI
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--1 LRESIDENTIAL
F]LIAS
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ADD
■ NON-RESIDENTIAL
❑
❑
SIGN
WAIS MNG
❑ DEMOLISH
ALTER
1
PLANNING DEPT. APPROVAL DATE:
PLUMBING
❑ ORFILL
STREET R/W
aPLOT
REPRE-PAIR
❑ INSPnfOVE
❑
POOL
(UMBER OF STORIES NUMBER OF
1
REMARKS
DWELLING
FENCE
? O O Oma-
J
14
UNITS
SIGN
(CHECKED BY
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PERMIT 7
NUMBER 40563
FRONT HIDE REAR FRONT WIDE REAR
Pion Check N. .....................
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l
FRONT HIDE REAR FRONT WIDE REAR
Pion Check N. .....................
4
LEGAL LOT VARIANCE Olt CONDITIONAL UHE
BUILDING
YF it 0 NO PERMIT NUMBER
1
PLANNING DEPT. APPROVAL DATE:
PLUMBING
i
STREET R/W
aPLOT
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
PLAN (Indicate Building setbacks, shutting street,)
COMP. PLAN ST. R/W ............FT. ............FT.
1
REMARKS
FENCE
? O O Oma-
J
14
SIGN
(CHECKED BY
I
METER 82'LE
SERVICE SIZE CLEARANCE
CHECKED BY
N
I I
SWIMMING POOL
DEMOLITION
f
REMARKS
t
V
TYPE CONNECTION VERIFIED BY
EXCAVATION OR FILL
PERC. TEST PERMIT NUMBER
d.
I
y
REMARKS
Ip YES LlNO
SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP
❑ YES [I NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
REMARKS SHOULD BE CODED 31.04
Fence requirements - section 12.14.040
attached.
.V wi • -v
Pion Check N. .....................
BUILDING
F
4 PROPOSED USE
O
PLUMBING
aPLOT
PLAN (Indicate Building setbacks, shutting street,)
HEAT A OAS LINE
M
FENCE
? O O Oma-
J
, O o
SIGN
I
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
-Q U
7 hereby acknowledge that I have rend this application; that the In.
,.,motion given Is correct; and that I ace the owrer,r the duly aulhor-
Ized agent o[ the owner. I agree to comply with Citysld state laws rage.
Iating don.tMellon; and In doing the work authorized thereby no person
ATTENTION
APPLICATION APPROVAL
Will be employed In violation of the Labor Code of the State of Wanhington
THIS PERMIT
This application Is not a permit until
relating to Workmen-. Compenention Imuraau.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except IIEMOLIr1GNS which
ONLY THE
uty; and fees are paid, and receipt is ac-
-hallbe completed In ninety day.; MOVED -IN BUILDINGS ,half be core-
WORK NOTED
knowledged in space provided.
pleted In six months.)
SIGNATURE (OWNER OR ADEN ,
DATE SIGNED
INSPECTION
DEPARTMENT
Dl OR's aIONATU
CITY OF
EDMONDS
DATE,/�
NOTE: Applicant Subject to Plan CGeek Fee
This Permit coven work to be done on private property ONLY.
775-2525
V —
Any conetructl.n on the public domain (curb., sidewalk., driveways,
nmrauee., etc.) will reemre separate permission.
FILE
� USE PERMIT
BUILDING DEPARTMENT Applicant Fill ZONE NUMBER '74063
PERMIT APPLICATION Inside Heavy Linos jon
ADDRESS , -7 -, 1- _ G c
NAME (OR NAME OF BUSINESS)
--} (
LOT LOT
)F!.l. .�' `✓ !—' �.. C....J �
i MAILING ADDRESS
PERM
CITY ITELEPRON0 NUMBb, ACTU
�ll L J z/S _ FRONT HIDE: REAR FRONT SIDE REAR
LEGAL LOT VARIANCE OR CONDITIONAL USE
C) VES NO PERMIT NUMBER
PLANNING PhPT. P AL,4 DA•TE::
STREET R/W e
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............Fr. ............FT.
REMARKS
FIRE ZONE I TYPE OF CONSTRUCTION I STREET IMPIIUVI
0 YES ❑ NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
C] YES 0 NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
un. - rrrr, , i r•c:;na>.rr- , ...ri i c: I ;.. i �:.:?'� ..
RESIDENTIAL
❑
AS
LINE
NEW
❑
NON-RESIDENTIAL
SIGN
ADD
❑
DEMOLISH
O
RETAI❑ MNG
WALL
0 ALTER
❑
EXCAVATE
OR FILL
❑
FENCE Jn
REPAIR
❑
IN -"LOVE
❑
POOL
;UMBER OF STORIES
"UM""' OF
DWELLING
I
PLAN (Indicate Bulid s�t �s t ! 6 streets)
HEAT & GAB LINE
UNITS
FENCE
iATURE OF WORK TO BE DONE
_
(' IS
SIGN
FIRE ZONE I TYPE OF CONSTRUCTION I STREET IMPIIUVI
0 YES ❑ NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
C] YES 0 NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
un. - rrrr, , i r•c:;na>.rr- , ...ri i c: I ;.. i �:.:?'� ..
Plan Check No .....................
z
BUILDING
[yy
4
PROPOSED USE
'47
PLUMBING
V
aPLOT
PLAN (Indicate Bulid s�t �s t ! 6 streets)
HEAT & GAB LINE
s
FENCE
O 0
_
(' IS
SIGN
RETA.RUNG WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
1
I hereby achnowledna that I have read this application; that the In-
formation given iscorrect; and that I ata the owner, or the duly author-
ized agent of the owner. I agree to comply with city and elate law. resu•
ATTENTION
APPLICATION APPROVAL
Iatm construction; and In doing the work authorized therehy, no person
will be employed In violation of the Labor Code of the Slate of Washington
THIS PERMIT
This application Is not a permit until
relatleg to Workmen's Compensation Imuraace.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DE3I0LITION8 which
ONLY TILE
WORK NOTED
utyi and fees are paid, and receipt Is ac -
hall be completed In nlaety days; MOVED -IN BUILDINGS shall be com-
Itnowledged in apace provided.
pleted In els month..)
SIGNATURE (OWNER OR AGENT) DATE S10NED
INSPECTION
DIRE R'S BI TU
i
I
DEPARTMENT
.,,I ,
-�('
Ta/: -f,✓,!; -J
`
r
CITY OF
EDOF
DATE /
NOTE: Applicant Subject to Plan Check Fee
/0
775-2525
Thi. Penult covers work to be delta on private property ONLY.
Any construction on the public domain (curbs, sldewNNe, driveway■,
marquees, etc.) will require separate permission.
INSPECTOR
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RECORD OF INSPECTIONS
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Date Passed
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Foundation
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Plumbing (Partial)
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(Rough).
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Frame
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Furnace& Fuel Lines------ €
Final
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