750130.pdfI
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USE PERMIT ['
"°MBS` 750130
BUILDING
DEPARTMENT Applicant
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PERMIT APPLICATION Inslda Heavy Linos
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ADDRESS ^ f� ' 1 2 — �- 7 7—
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NAME (OR NAME OF RU INESB)
NAME
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Ca rg J of l Fes.�T
PERht I8s2OLE ^ ACTUAL
COVERAGE. � [�� LOT COVERAGE o<
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MAIWNO ADU 'BB
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PERMISSIBLE IIEIG f PROPD 1!'IOHT
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\511 8 �' 9 �- A arc • �✓
TOTAL,.— AREA
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TELEPHONE NUMBbR
ACTVAL LO AREA
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REQUIRED YARDH ROPOSED YAftDB h
FRONT SIDE REAR FRONT SIDE REAR
NAME
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LF.OAI. LOT❑ VAIt1ANCb OR COMM',— P-113
3 BOJ
ADDRESS
Q YES NO PERMIT NUMBER Y _
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PLANNING DEPT. 'R AL -
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y
CITY TELEPHONE NUMBER
e
BTNEET R/W 0
EXIeTFN6 STREET R/W ............F7'. DEFICIENCY THIS PROPERTY
NAME
COMP. PLAN ST. R/W ............FT, ............ F,T•
Of ��
REMARKS
M
ADDItEBB
'z
BY
Cp
CITY I TELEPHONE NUMBER
(CHECKED
METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
V
STATE LICENSE NUMBER CITY LICENBE NUMBER
REMARKS <
.
Legal D—fll (len 1 Ynroperty (dhow a ow or Atlnch Four Cople.)
/J/A
TYPE CONNECTION �+IaVERIFIED BY
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PERC. TESTPERMIT NUMBER M
07
REMARKS re
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N/4
FIRE��Z��O//N TYPE OF C"WATRUCTION STREET IMPROVED
I �j(rJeN►i
I
JJJ� ❑ YES [3 NO
SPECIAL INUFNC``T``OK REQUIRED OCCUPANCY UP
6A8
® RESIDENTIAL LINE
❑ Y.X'
El NEW
PLAN CHECKED777' Y THIS SITE IS LOCATED IN THE CITY
LOCAL SALES TAX
NON-RESIDENTIAL E:] SIGN
SI EDMONDS.
SOULD 8E CODED 31.04.
ADD
❑ yE AWING
ALL
REMARH9
❑ DEMOLISH
PENCE
,Q� u,a,uc f&7z ugC /973
ALTER E]EXCAVATE ❑
i.......... Fl.)
El REPAIR ❑ IN P. Elswim
POOL
T
/ �d 2� Tm�
NUMBER OF STORIES NUMBER ON
DWELLING /
UNITS
NATURE OF WORK TO BE DONE
Valuation Reeelpt N o.
X Z1d� L`
O N
. /Fee
/�
Plan Check No..................... / 2
BUILDING
z
W PROPOSED USE
PLUMBING
U
PLOTPLAN (Indicate Bulming eetbaeke, abutting street.)
HEAT & GAS LINE
FENCE
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read Ode applle.tlon; that the I.-
formationm given Is correct; and that I ethe owner, or the duly author.
ised agent of the owner. I agree to comply with efly and .late law. rago-
ATTENTION
APPLICATION APPROVAL
laltng construction; and In doing the work aulborlied thereby, no person
Will be employed In violation of the Labor Code of the Stale of Washington
TIUS PERMIT
This application is not a permit until
relating to Workmen's Compeneatlon Insurance,
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
Uty; and fees are paid, and receipt is ac-
ehall be completed In ninety days; MOVED-IN BUILDINGS .hall be com-
knowledged in space provided.
pitted In .ix month..)
816NA URE (O\VNEII OR AGEN ) DATE BIONEU
INSPECTION
DIRECTO BION
^ /) i 3 �� ^
- (�
DEPARTMENT
7
_ 7
.C)Z. ti -L/lr'L
CITY OF
NOTE: v Pplirant Sllbicrt to PImI Cbrck Fre
EDMONDS
775-2525
DATE
T
Thi. Permit c n wMk to be done on private property ONLY.
Any eonelruction nn the public domain (curb., .Idew.lk., drh'eways.
FILE
nmrquee., etc.) will require .eparate permission.
L)f 77
z m,
/
l" PERC. TEST EF
I �
W REMARKS
O '
IJIA
FIRE ZON I TYPE OF CON TRUiC JON
I] YE' [] NO
RESIDENTIAL
6A'
USE PERMIT t
BUILDING DEPARTMENT
AppueantFLU
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❑ NEW
PERMIT APPLICATION
I Inside Heavy Lines
—j -0W
ADDRESS 2 Z vv
THIS SITE IS LOCATED IN THE CITY
NAME tOR NAME OF BUSINESS)
OY
NON-RESIDENTIAL
`
) F•j 1
S
y I �• q e
PERM ItlBIBLE ACTUAL
LOT COVERAGE �� LOT COVEjj
r� /
m MAILlNO ADD EBB
ADD
PERMISSIBLE HEI HIT PROPOSED HEIGHT d
RETAINING
gry CC p ^
SHOULD BE CODED 31.04.
CITY
TELEPHONE NUMHER
ACTUAL LOT AREA TOTAL II .AREA
EcIViiUI'1C15
PRS -93 Q
sFav i'B
REQUIRED YAIIOH / ROPOBI.D YARDS
NAME
a ❑
OR FILL (..........z .......... Ft.)PRE-
FRONT BIDE RF.AIi FRONT BIDE AFAR
SWI
El
�•�-- ' 1 pL�
TQ S' S(4cTIO
ADDRESS
N ITIO
IMAU LOT VARIA NCI. OR CONgIyU /
NUMBER
.5 v�JEGj'
f+
VPLANNING
C CITY
TELEPHONE NUMHER
C) YE' ❑ NO PERM
L,
DEPT. A PR AL of (J DATE:
—2:
NUMBER OF STORIES NUMBER OF
STREET R/W
DWELLING /
I
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NAME
UNITS
COUP. PLAN 8T. R/W ............F1'. ............IT. W
.
L� /
REMARKS
C ADDR� B8
Q
Fee
X
. /!//J f/%l. .lC >✓ / l- /\ ZJL /) -e-
BY W
i F CITY
TELEPHONE NUMBER
(CHECKED
.
O
BUILDING
METER BILE I SERVICE SIZE I CLEARANCE I CHECKED BY
L)f 77
z m,
/
l" PERC. TEST EF
I �
W REMARKS
O '
IJIA
FIRE ZON I TYPE OF CON TRUiC JON
I] YE' [] NO
RESIDENTIAL
6A'
❑ YES Lj'NO
❑ NEW
E
LINAN
PL CHECKED BY
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
I []slcx
OF EDMONDS. LOCAL SALES TAX
ADD
RETAINING
REMARKS
SHOULD BE CODED 31.04.
DEMOLISH E] WALL
ALTER EXCAVATE FENCE
-4/_/ GVDI�/L ,fr'oz U6C /973
a ❑
OR FILL (..........z .......... Ft.)PRE-
SWI
El
�•�-- ' 1 pL�
TQ S' S(4cTIO
REPAIR ❑ INSP. ❑ POOL
.5 v�JEGj'
1C �N
-
NUMBER OF STORIES NUMBER OF
DWELLING /
I
UNITS
NATURE OF WORK TO BE DONE
Vnlualion
Fee
Receipt No
. /!//J f/%l. .lC >✓ / l- /\ ZJL /) -e-
Plan Cheek No.. ...................
BUILDING
1.1 Cj
PROPOSED USE
`y)
PLUMBING
e�
O
PLOT PLAN (Indic to)midi g, e>itD� abultln6 streets)
HEAT k GAS LINE
Arl/:1�//:,;�,� V
FENCE
'ION
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
�� O
I hereby acknowledge that I have rend this apDlicatlon; that the In-
formation given 1' correct: and that I am the owner, or the duly author-
lzed agent of the owner. I agree to Comply with city and Blots law' rag"•
ATTENTION
APPLICATION APPROVAL
luting oonatruetlon; and in doing the work authorized thereby, no ysrson
will be employed In vlolatlan of the Labor Code of the State of Washington
TINS PERMIT
This application is not a permit until
rela.ting to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS whicb
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is ac -
.hall c—holed In Waty days; MOVED -IN BUILDINGS shall be corn•
knowledged in space provided.
plated In ala months.)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
D)RECTOB'B SION}ATYRE
it I
{
DEPARTMENT
�'T / (.;! I
CITY OF
NOTE: AQQlicant Subject to Plan Check Fce
EDllIONDS
DATE
775-2525
be Bane property ONLY,
This Permit civ,. work topublic
Any construction (c b.,privatesidewalk.,
e publle domain (carat, ,driveways.
INSPECTOR
, t
marVueet, ale.) will reaulre aeparole permleslon.
permission.
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