750084.pdfBUILDING DEPARTMENT
I Applicant Fill
lpp
PERMIT APPLICATION
Inside Heavy Lines
---------------- -1.
BUILDING DEPARTMENT
I Applicant Fill
RMIT
ZONE `t u 1; Lt C NUMBER 750084
PERMIT APPLICATION
Inside Heavy Lines
J°B
NAME (OR NAME OF BUBFNE88)
I
ADDRESS 10th & Maple
Ci tv of Edmonds
PERMISSIBLE 7o ACTUAL. e/
MAILING ADDRESS
LOT COVERAGE LOT COVERAGE
It 250 - 5th Ave. No.
FIRE TYPE OF CONSTRUCTIONI STREET IMPROVED
PERMISSIBLE HEIGHT PROPOSED If EIGHT
O CITY
TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL BLDG. AREA
Edmonds. WA 98020 1775-2525
❑ RE8IDENTIAL
❑ a
LINE
t
F
J
I
Ace Seattle Corporation
G' ADDRESS
U.S. 99 & Ebey Slough
F. C11Y TELEPHONE NUMBER
g Marysville, WA
STATE LICENSE NUhIBEI; I CITY LICENSE NUMBER
223 O1 12868
Lc 1 D
gn eecrlption of Property (Show Below or Attack Four Copies)
Lots 13, 14, 15, 16, 17, 18, 19 and 20,
s Block 70,dCdtylof E�mond§, according to
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
LEGAL LOT VARIANCE OR CONDITIONAL USE
0 YES 0 NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
;EMwxxs
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t e recor e p at t ereo
PERC. TEST
PERMIT NUMBER
U
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REh[ARKB
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FIRE TYPE OF CONSTRUCTIONI STREET IMPROVED
I
SPECIAL INSPECTOR E
REQUIRD OCCUPANCY GROUP
❑
❑ RE8IDENTIAL
❑ a
LINE
C] YES ".NO
I ,J --
NEW
PLAN CHECKED DY
THIS SITE 15 LOCATED IN THE CITY
❑ ADD
NON-RESIDENTIAL
❑ SIGN
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED
RETAINING
ISH ❑ WALL
RDhfARK9
3104
EXCAVATE
F1ALTEREXCAVATE FENCE
5 P�
E]OR FILL El(.........x..........Ft.)
PN EP h10 VE
❑
REPAIR ❑
El SWI 'I
POOL
'y7` (] �A' ``
�• 1�—`, J� N ��
NUMBER OF STORIE. NUMBER OF
INC
N7T8
UNITS
NATURE OF WOR[S TO BE DONE
Demolish and removal of 500,000 gallon
Valuation
Fea Reeelpt N
metal water storage tank with valves
I'M Check Np.....................
and attached piping
BUILDING
..�� nvY...t USE
(a7
APLOT
PLUMBING
PLAN <InAlcnto Bullding setbacks, abutting streets)
5
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION ^
1. IA It /
V
PRE•MOVE INSPECTION
M�^
EXCAVATION OR FILL
TOTAL AMOUNT DUE
1 hereby acknowledge that I have read this application; that the In.
formation given Ia Correct; and that I M the owner, or the duly author.
Ized agent of the owner. I agree to eomPly with City and state )awe regu.
lating construetloo; gad 1. doles the work authorized thereby, no person
ATTENTION
APPLICATION APPROVAL
x•111 be employed In Violation of the Labor Code of the State of Weahlagton
TITIN
relating to Workmen's Compensation Ineuranu,
PERMIT
This application Is not a permit until
NOT Perm' imit One Year (Except
AUTHORIZES
ONLY THE
signed by the Building Official or his Dep -
DEMOLITIONH which
hall a amp n sly MOVED -IN DUILD[N09 shall be com-
a
WORK NOTED
uty; and fees are paid, and receipt is ae-
lat, In 1 nonthe.)
llnowledged In apace provided.
It' (OWNEll T)
DATE SIGNED
INSPECTION
DIRECTOR' IONATU
3/12/75
DEPARTMENT
CITY OFJI
TE: Applicant Subject to Pim] Check Fre
EDNIONDB
DATE
�
This 11ernllt cevan work to I,o done on prhnte property ONLY.
775.2525
Any canelructlsn an the put, domaln (curbs, rldewalke, drWeways,
nmranrrs, rlr.l x111 rranir.. separnir prr,niaalnn.
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