750101.pdfPERMIT APPLICATION I Inside Heavy (Anes
NAME (OR NAME OF BUSINESS)
3R0Ce A. RE-jr-)
m MA1L1N0 ADDRESS
C1 TELEPHONE NUMBER
Ma NAS 775 l8. Z.
JOB 2&
i
ADDRESS (`//–J�'(X/���—({
PERMISSIBLE ACTUAL
LOT COVERAGES LOT COVE OE
PERMISSIBLE HEIGHT PROPOSED HEIGHT
ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
FRONT BIDE REAR FRONT SIDE REAR
LEGAL LDT VAti7ANCE OR CONDITIONAL BE
YEB NO PERa[IT NUMBER
YES Ej NO
YES C] NO
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
Fence requirements - section 12.14.040
attached.
NEW
RESIDENTIAL
yADDRESS
,SI
pLANNINO DEPT. APPROVAL DATE:
C CITY I
e
TELEPHONE NUMBER
STREET R/W
NON-RESIDENTIAL
❑
SIGN
STAINING
❑
EXISTING STREET R/W ....... _... FT. DEFICIENCY THIS PROPERTY
NAME 1
ALTER
COMP. FLAN ST. R/W ............FT. M.
AVATE
O W N 1\
REMARKS
FENCE
II A RE (OWNER O GENTI AT BIGNPPPD
AUDIiE88
OROFILL
(CHECKED BY
CITY.
J
O
TELEPHONE NUMBER
METER SIZE
I SERVICE SIZE I
CLEARANCE
I CHECKED BY
YES Ej NO
YES C] NO
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
Fence requirements - section 12.14.040
attached.
NEW
RESIDENTIAL
H
LINE
❑
ADD
[yr
5, PROPOSED USE
NON-RESIDENTIAL
❑
SIGN
STAINING
❑
DEM61I8H
AUTHORIZES
ALTER
HEAT & OAS LINE
AVATE
51
Plcle six menthe.)
FENCE
II A RE (OWNER O GENTI AT BIGNPPPD
❑
OROFILL
DEPARTMENT
�� s.r.%...¢..Fl.)
CITY OF
REPAIR
❑
PRE -MOVE
O
SWIM
poor,
7UIIBER OI•' STORIES
NUaIDER OF
DEMOLITION
PRE -MOVE INSPECTION
,r,1,i,•rr, rtn.� „111 rr,luirr nrl'o— (,rrmirnlnn.
DWELLING
i
UN1T8
YES Ej NO
YES C] NO
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
Fence requirements - section 12.14.040
attached.
Fee
O
i
S
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.
D1R TOR'8 G(VATUIII,
DATE
J
FILE
TOTAL AMOUNT DUE
Plan Check No .....................
•r.
formation given le correct; and that I am the owber, or the duly author-
BUILDING
Iced agent of the owner. I agree to comply with city and state laws regu.
[yr
5, PROPOSED USE
lating construction; and In doing the work authorised thereby, no person
r�
Ting PERMIT
PLUMBING
AUTHORIZES
NOTE: Permit Limit One Year (Except D MOLITIONS which
HEAT & OAS LINE
Z PLOT PLAN (Indicate Building setbacks, abutting streets)
51
Plcle six menthe.)
FENCE
II A RE (OWNER O GENTI AT BIGNPPPD
INSPECTION
SIGN
DEPARTMENT
CITY OF
RETAINING WALL
EDMONDS
N
SWIMMING POOL
775-2525
ThisPermit aa work to be done on private property ONLY.
DEMOLITION
PRE -MOVE INSPECTION
,r,1,i,•rr, rtn.� „111 rr,luirr nrl'o— (,rrmirnlnn.
EXCAVATION OR FILL
Fee
O
i
S
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.
D1R TOR'8 G(VATUIII,
DATE
J
FILE
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
formation given le correct; and that I am the owber, or the duly author-
Iced agent of the owner. I agree to comply with city and state laws regu.
ATTENTION
lating construction; and In doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State of Waabington
Ting PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except D MOLITIONS which
ONLY TRE
WORN NOTED
.hall be completed in ninety days; MOVED -IN DU OS shall be com-
Plcle six menthe.)
II A RE (OWNER O GENTI AT BIGNPPPD
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
775-2525
ThisPermit aa work to be done on private property ONLY.
Any reentrant lonanthe putlllc Aomaln (cacao, eldeaalke, drlrewaye,
,r,1,i,•rr, rtn.� „111 rr,luirr nrl'o— (,rrmirnlnn.
Fee
O
i
S
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.
D1R TOR'8 G(VATUIII,
DATE
J
FILE