750129.pdfo
FRONT 87Dg REAR FRONT BIDE '—
PERM
SONE 750129
ANE
EPARTMENT Appucantirill
EJ- NUMBER
i�
BUILDINGy
LEOAI. LOT VARIANCE OR C GaIONAL
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PPLICATIOP! I- Heavy Linos
,OB
ADDRESS O/,WYA
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PERC. TEST
7—N!AMP(OHF BUSINESS)
'Sff�,eP x
PERDIIBBIBLE �
COVERAOF.e0
LOT COVAGE
rIAT
TELEPHONE NUMBER
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11 16 IT
PROPOSEZ&j02�� lAAE�
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NAME
,M//.�,,IA/� //PERMISSIBLE
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A TUAL LOT AMA _ ),
'rOTAL BLD11.
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REMARKS Driveway slopes not to exceed those
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FRONT 87Dg REAR FRONT BIDE '—
ANE
G7
BUILDINGy
LEOAI. LOT VARIANCE OR C GaIONAL
/ 7
AD BB
I$ YES 0 NO PERMIT NUMBERSJt�.c.Y
PERC. TEST
PLANNING E T. PROVAL ` 1- DATE:
t4
CITY
TELEPHONE NUMBER
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TREE R/W �7-
EXISTING STREET R/♦W/.FT• DF,FICIENCY THIS PROPERTY
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NAME
IK'• (�%. ..FT.
COMP. PLAN ST. R/ ... .. ...,.....
a PLOT'PLnN (Indlents Bulitl(n6 aetbocks, abutting streets)
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REMARKS Driveway slopes not to exceed those
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ADD B8
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C!
indicated on Standard Dwg No. 103
CHECKED BY
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CITY
TELEPHONE NUMDER
SIGN
Q -7 _ 99
METJ�R. SIZE SERVICE SIZE CLEARANCE E
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STATE LICENSE NUMBER+7 CIT LICENSE NUMBER
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i Lrenl DeaerinNon
- 0I -� 1.27/
a[ P[oPertY tBhoW Below or ALlflch Four Caples)
REMARKS
.I , l may, , /1 , 1 Q -/l ,) ex y
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Plan Check No .....................
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BUILDINGy
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3 PROPOSED USE
PERC. TEST
PER T N A1BER a
,(
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PLUMBING
Tait/ �fl/IJ e �t'�Se
I W
W
t
a PLOT'PLnN (Indlents Bulitl(n6 aetbocks, abutting streets)
HEAT & GAS LINE
REAtAAKB
C
O
—�—
SIGN
e
RETAINING WALL
aFIRE
SWIMMING POOL
ZONE
TYP OF NSTRUCTION BTREE IMPROVED
I // ES NO
1
yam"%
SPECIAL INSPECTOR REQUIRED
❑
OCCUPANCY GROUP
PltE-MOVE INSPECTION
EXCAVATION OR FILL
RESIDENTIAL
OAB
LINE
YES
R.
r
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
NEW
J❑
r�
I
PLAN C}IEC
D Y
THIS 51 I� LOCATED IN THE CITY
TAX
izea agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
NON-RESIDENTIAL
SIGN
�/
SH EDMULD BE S. LOCAL SALES
SHOULD BE CODED 31.04.
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
nDD
relating to Workmen's Compensation Insurance.
RETAINING
WAIT'
M B
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TI(E
{YORK NOTED
uty; and fees are paid, and receipt Is ac -
DEMOLISH
FENCE
[�//G�r/c/J.r!'i:/G
•7'ecl.tJ
1�e:� c�dC i /�7S
�..---•--''-"
ALTER
EXCAVATE
OR FILL
El
(..........x .......... Ft.)
DEPARTMENT
REPAIR
ElPOOL
SWIM
CITY OF
EDMONDS
Ci Q/y
�/ Y �+
NOTE: Applicant Subject to Plan Check Fee
❑
INSP.PREh10VE
This Pe It a ark to be done be private Property ONLY.
%fn•_IZ
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Any construct inn on the public domain (curbs, sidewalks, drWewys,
NU.IBER OF STORIES
NUMBER OF
marquee.. ete.) .111 require separate permission.
DWELLING
/
UNITS
NATURE OF { OAK TO
BE DONE
Velunllon
Fee
Recclpt No.
Plan Check No .....................
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BUILDINGy
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�7 .—
/ 7
}4
3 PROPOSED USE
{I
PLUMBING
Tait/ �fl/IJ e �t'�Se
t
a PLOT'PLnN (Indlents Bulitl(n6 aetbocks, abutting streets)
HEAT & GAS LINE
O %+'�' /✓ L9
FENCE
—�—
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
j
PltE-MOVE INSPECTION
EXCAVATION OR FILL
ry`I�cSZ!
J
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
r�
I
formation given Ie correct; and that I am the owner, or the duly author-
izea agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL
toting construction; and to 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 Compensation Insurance.
AUTHORIZES
Sighed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TI(E
{YORK NOTED
uty; and fees are paid, and receipt Is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS eltall be cam.
11nowle ged in a ace provided.
plated In six months.)
�..---•--''-"
SIGNATURE (OIVNER OR AGENT)
DATE SIGNED
INSPECTION
Dl ECT B 11 ATURE
DEPARTMENT
'
CITY OF
EDMONDS
'D TE
3
NOTE: Applicant Subject to Plan Check Fee
775.2525
7�
This Pe It a ark to be done be private Property ONLY.
Any construct inn on the public domain (curbs, sidewalks, drWewys,
FILE
marquee.. ete.) .111 require separate permission.
t
BUILDING DEPARTMENT USE PERMIT
Applleant Fla zoNE it NUMBER v:_
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF HUBINESS)
ld ld MAILING ADDRESS /
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CITY - TELEPRONE NUMBER
NAME
W ADDRESS U -
JOB
ADDRESS / rZ
/ � 6 �/
( :l
70
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PEII..131BLEACTUAL
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LOT COVERAOE
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LOT COVERAGE T li
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PERMISSIBLE HEIGHT
PROPOSE EIGHT
C
ACTUAL LOT AREA i
TOTAL BLDG. AREA
0
REQUIRED YARDS
PROPOSED YAHUB
FRONT HIDE
REAR FRONT SIDE REAR
C
LEGAL LOT VARIANLVE�NDITIONAL USE
0 YES E3 NO PERMIT NUMBER
INBP. ❑ POOL -„ li L?.. r'-c� T TD (_I/t/
NUMBER Or STORIES I NUMBER OF
..�f DWELLING /
UNITS
NATURE OF WORK TO BE DONE
PLANNI G DEPT. PPROVAL _ DATE:
Valuation
Fee Receipt No.
G
CITY TELEPHONE NUMBER - ✓�
J! p _J STREET R/5V C"
" i %/. /,/ , /' / SSI .3 i /'- -` / EXISTING STREET R/W DEFICIENCY THI9 PROPERTY
d
C
NAME n�I.FT.
COMP. PLAN ST. R/V./O:J.�Y'.FT. ........FT.
0
BUILDING
, //.
/ (/1 i>,/ %[/ IJ REMARKS
Drive`wiy -31ope3 not to exceed 'those
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ADDRESS T
incii.cated on StandArd Ihae. No. 103
j/'/j; CHECKED BY
C
w
PLUMHIN6
'4_15 -
-(5-1—TY TELEPHONE NUMBER
f
F
V
/
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i,•'�'(J(J/(1 I ' 7 -� :SET}'.R SIZE SERVICE SIZE CLEARANCE
I
j)HE KEP 8Y
.TATE LICENSD NUDIHEIt CITY LICENSE NUMBER
%y
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m
': ; /:.� - �... �' ._ I•-? REMARRS
77a
FENCE
Legal Description of Properly (Show Below or Attach Your Copley) J'/j
/ ,7 Z
7T//�/// �/ TYPE CONNECTION VERIFIED BY
SIGN
If nr
f'
D
PERC. TEST
R
n
W
REM�7)UU
m
A
a
OV
I I
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
A
A
DEMOLITION
T•Lr•' 6'--J rfr� OYES 0 NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES p'NO `1 '_ /
C] YES j -
RESIDENTIAL
EXCAVATION OR FILL
LINE PLAN CHEC D d)Y
NEW r,.... � THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL /f OF EDMONDS. LOCAL SALES TAX
SIGN
�'i %/ �•�� SHOULD BE CODED 31.04.
ADD RETAINING '
—
�REMARKBI
DEMOLISH WALL
ALTER EXCAVATE ❑ FENCE �'�'/,'/.t'i/f/I/ /./l:�G-�%��/.V �G:F✓ %/f;_� jY J.
❑ OR FILL (..._................Ft.)
rormatlon m given Is correct; and that I athe owner, or the duly au thor-
REPAIR PRE -MOVE SWIM
INBP. ❑ POOL -„ li L?.. r'-c� T TD (_I/t/
NUMBER Or STORIES I NUMBER OF
..�f DWELLING /
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee Receipt No.
Plan Check No.... .................
0
BUILDING
�
PROPOSED USE
PLUMHIN6
'4_15 -
f
-/
I
PLOT PLAN (Indl,,e}ale Bulitling setbacks, ¢bultln6 elicele)
NEAT & GAS LINE
FENCE
SIGN
_.. .. -
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
i
PRE -MOVE INSPECTION
EXCAVATION OR FILL
—
TOTAL AMOUNT DUE
I hereby acknowledge that I have rend this application; that the In-
rormatlon m given Is correct; and that I athe owner, or the duly au thor-
ze
id agent of the owner. I agree to comply with city and state laws regu.
ATTENTION
APPLICATION APPROVAL
laling 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 Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
✓
NOTE: Permit Limit One Year (Except DEMOLITION& which
ONLY THE
WORK NOTED
ut and fees are aid, and receipt is ac.
P P
"—"
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
knowledged in apace provided.
o
pleted In six months•)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTOR'S SIGNATURE'. ,
DEPARTMENT
EDMONDS
DATE
!
NOTE: Applicant Subject to Plan Check Fee
775-2525
This Permit covers work to be done on private property ONLY,
(c
Any construction on the public dsmaln (curbs, sidewalks, dritroways,
mnrnures, rlr.l 1,111 rrnulrc srPnratr Derndssisn.
INSPECTOR
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