740642.pdfv � -
USE PERMIT
g p/t D I N G DEPARTMENT pppllPAllt Fill SONE NDh1aER 74064
PERMIT APPLICATION IneldoHeaYyLinos ,OB ��"j1-7 — SOvQD U1� �.
ADDRESS
NAME loft NAME OF BUeINEBB) PERMISSIBLE o LOT COVERAGE
n p u / 7JG LOT C°VERAGe
a
AILING ADtDDRE 11 r --I I-- PERh11tlSIBLE HEIOIIT PItOPOdED HEIGHT z
ACTUAL LOT AREA TOTAL BLDG. AREA
CITY TELEPHONE NUMBER
� M (), S _ 7 —�' d 6 vnnv REQUIRED YAItDB PROPOSED YARDS
urn4. REAR FRONT RIDE / REAR
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NO
EXISTS BTBEET R/W ............FT. , FIC[ENCY THIS PROPERTY
COMP. PLAN ST. R/W ............F'r. ............ FT.
N (' REMARKS
I CHECKED BY
I TELEPHONE NUMBER I v
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FIRE Z E TYPE OF CONST RU ION BTREET IMPROVED
�^ I 0 YER
SPECIAL INePECTOR REQUIRED I OCCUPANCY^GROUP
0 YES NO _<-',,�`JJ��
PLAN CHECKED Y THIS SITE IS LOCATED IN THE CITY
' OF EDMONDS. LOCAL SALES TAX
� SHOULD
2("AdTI►\Cr 31-04.� 6 �
ICE—MARKS
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NATURE OF WORK TO HE DONE
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Plan Check Nn .....................
El
GAS
INE
EDRESIDENTIAL
NEW
a PLOT LAN (Indlcnlo Hultding eetb eke, abutting streets)
HEAT k GAB LINE
a U't" 1
0
PENCE
1ST0 r7'
❑
NON-RERIDENTIAL
❑
BION
ADD
SWIMMING POOL
6=,vC ruV C M 1149
1
de 0" 1• c` A N -10
DEMOLITION
PRE -MOVE INSPECTION
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❑
DEMOLISH
❑
WALL
ALTER
❑
EXCAVATE
OR FILL
TOTAL A3110IINT DUE
FENCE
(.......... x .......... Ft.)
REPAIR
❑
INSPhiOVE
ATTENTION
SWIM
POOL
NUMBER OF STORIES
NUh1BER, OF
THIS PERMIT
to Worhreen'e Compensation Insurance.
AUTHORIZES
: Permit Limit One Year (Except DEMOLITIONS which
LNOTE:
ONLY THE
tVORR NOTED
I
In x month..) tE (OIVNER Olt AGENT) DATE SIONEU
INSPECTION
1DIVELLING
DEPARTMENT
UNITS
CITY OF
ti /a.
FIRE Z E TYPE OF CONST RU ION BTREET IMPROVED
�^ I 0 YER
SPECIAL INePECTOR REQUIRED I OCCUPANCY^GROUP
0 YES NO _<-',,�`JJ��
PLAN CHECKED Y THIS SITE IS LOCATED IN THE CITY
' OF EDMONDS. LOCAL SALES TAX
� SHOULD
2("AdTI►\Cr 31-04.� 6 �
ICE—MARKS
JE:�i ST CPiZ► VG'
NATURE OF WORK TO HE DONE
^nDu1(jlR(�(� WN ICI-( GLer04CNOS
Plan Check Nn .....................
BUILDING
PROPOSED USE
� q r W ¢ •e
y,AtA/tj
PLUMHING
a PLOT LAN (Indlcnlo Hultding eetb eke, abutting streets)
HEAT k GAB LINE
a U't" 1
0
PENCE
1ST0 r7'
SIGN
i` l -f A Jl l� (1 O r M()
RETAINING WALL
1/IVo
L -_ - - A114 OI;F I
SWIMMING POOL
6=,vC ruV C M 1149
1
de 0" 1• c` A N -10
DEMOLITION
PRE -MOVE INSPECTION
� fj v_ /.c G/4 Tats O,v
N Q Yti L o T
1
EXCAVATION OR FILL
1 a1
j�Jrl 'T n rU n-1 rRo
/4a' i tea r 7A ret -
TOTAL A3110IINT DUE
hereby achnowledgo that I have rend this application: that the In -
on given Is correct: and that I am the owner, or the duly author-
nt at the owner. I agree to comply with city and stale laws regu.
ATTENTION
construction; and In doing the worK authorized thereby, no person
employed In violation of the Labor Code of the State of Washington
THIS PERMIT
to Worhreen'e Compensation Insurance.
AUTHORIZES
: Permit Limit One Year (Except DEMOLITIONS which
LNOTE:
ONLY THE
tVORR NOTED
completed In ninety days: MOVED -IN BUILDINGS shall be com-
In x month..) tE (OIVNER Olt AGENT) DATE SIONEU
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTL: Applicant Subject VPtan Check Fee
775-2525
This Per it rrs
ark to W done on priv.le property ONLY.
Any constructionon the public domain (..,be.
sidewalk., drR•en'ay.,
nn,runrre, rle.f „111 rrnnlrr nrpnrnlr I�rrinl eslnn.
Fee
SIS-0
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.
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FILE