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750259.pdfPERMIT NDFiBH)R 750259:. - A3�a6 - '77 AACTUAL OE '•^••T LOT COVEAAGE••� NAaW FRONT RIDI.' REAR FRONT SIDE REAR BUILDING DEPARTMENT Applicant FIB an ZONE `r-- PERMIT APPLICATION I Inside Heavy Lines ion ADDRESS THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX BE CODED 31.04. C CITY TELEPHONE NUMBER STREET R/W NAME {OR NAME OF BUSINESS) NUMBER OF STORIES NUMBER OF relators to Workmen's Compensation Imuranu. AUTHOIHZES EXISTING STREET R/W ............Fr. DEFICIENCY THIS PROPERTY / U h) T NU 1S LOTC VER LOT COVER COMP. PLAN ST. R/W ............FT. ............FT. hi N _d MAI NO ADDRESS Q3 y06 - 78_& A bC . W PEithl[SSIHLF knowledged In space provided. CITY �.j...ne.nAe 1-7-77 TffiLEPHONffi NUMBER ACTUAL LOT PERMIT NDFiBH)R 750259:. - A3�a6 - '77 AACTUAL OE '•^••T LOT COVEAAGE••� NAaW FRONT RIDI.' REAR FRONT SIDE REAR ❑ ❑ GANE RETAINING WALL FENCE' G.........x.......... POOL eUl ADD[tESS LEGAL LOT VARIANCE OR CONDITIONAL USE F, O YES 0 NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX BE CODED 31.04. C CITY TELEPHONE NUMBER STREET R/W < NUMBER OF STORIES NUMBER OF relators to Workmen's Compensation Imuranu. AUTHOIHZES EXISTING STREET R/W ............Fr. DEFICIENCY THIS PROPERTY NAME NOTE: Permit Limit One Year (Except DEMOLITIONS warn. COMP. PLAN ST. R/W ............FT. ............FT. uty; and fees are paid, and receipt is ac- REMARKS ' t: ADDRESS knowledged In space provided. CHECKED BY ( CITY TELEPHONE NUMBER T V I METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY YES ❑ NO NEW FADD ALTER REPAIR I S I I RESIDENTIAL Li NON-RESIDENTIALsrax DEMOLISH ED DEMOLISH EXCAVATE OR FILL ❑ INSP. eIOVE ❑ ❑ GANE RETAINING WALL FENCE' G.........x.......... POOL Ft.) ❑p } LANSCHECKEl❑BYO THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX BE CODED 31.04. REMARKS ao Person erson will be employed In Violation of the Labor Code of the State of Washington THIS PERMIT This is not permit until NUMBER OF STORIES NUMBER OF relators to Workmen's Compensation Imuranu. AUTHOIHZES s Signed by the Building Official or his Dep - the Builds i DWELLING NOTE: Permit Limit One Year (Except DEMOLITIONS warn. ONLY TILE WORK NOTED uty; and fees are paid, and receipt is ac- be Completed In ninety d¢ys; MOVED -IN -IN IIUILDINOS .inn be win - knowledged In space provided. UNITS pissedrt six mgntha,) pl.te 1 IIONATURE (OWNER OR AGENT) DATE SIGNED • INSPECTION NATURE O ORK TO BE DONE DI TOR'SlI�NAT E Valuation Fee Receipt No. — tY V /s CITY OF ,'f�,t Plan Cheek N. ..................._ DATE / EDDfOND3 NOTE: Applicant Subject to Plat) Check Fee_ L O t� 6r PROPOSED USE - This P Null eaten work (a be done an private property ONLY. 775.2525 BUILDING – PLUMBING IiEAT A GAS LINE marquees, ere.) wlll require separate permission. FILE aPLOT PLAN (Indicate Building setback., abutting streets) 21 FENCE j j i SIGN I RETAINING WALL N SWIMMING POOL i DEMOLITION PRE -MOVE INSPECTION EXCAVATIOFL—OR FILL hereby acknowledge that I h¢ve rcotl this application; that We In - TOTAL AMOUNT DUEV Iormntlon given Is correct; and that I — the owner, or the duly author- APPLICATION APPROVAL Izedlati agent tr the owner. I ¢gree to Comply with city and eeblate Irtwe ATTENTION toting conetructlo¢; and le doing the work authorized Hereby, ao Person erson will be employed In Violation of the Labor Code of the State of Washington THIS PERMIT This is not permit until relators to Workmen's Compensation Imuranu. AUTHOIHZES s Signed by the Building Official or his Dep - the Builds i NOTE: Permit Limit One Year (Except DEMOLITIONS warn. ONLY TILE WORK NOTED uty; and fees are paid, and receipt is ac- be Completed In ninety d¢ys; MOVED -IN -IN IIUILDINOS .inn be win - knowledged In space provided. pissedrt six mgntha,) pl.te 1 IIONATURE (OWNER OR AGENT) DATE SIGNED • INSPECTION DI TOR'SlI�NAT E / l..r ` DEPARTMENT �,t,i•N .tI:C.'ir/f L��k/Li tY V /s CITY OF ,'f�,t DATE / EDDfOND3 NOTE: Applicant Subject to Plat) Check Fee_ - This P Null eaten work (a be done an private property ONLY. 775.2525 Any construction on the Pab1iC domaln (curbs, sidewalks, drlVew¢ys, marquees, ere.) wlll require separate permission. FILE i BUILDING DEPARTMENT Applicant FW USE NUMBER ] l �- PERMIT APPLICATION Inside Heavy Lines NAME (OR NAME OF DUSlNE88) MAILING ADDRE88— , o rte.•. /.: � , CITY TELEPHONE NUMDER EE S qU C tm U JOB ADDRESS �) 411�� ! ) j i PER1,11138"BLE °' LOT COVERAGES ACTUAL LOT COVERAGE REMARKS PERMISSIBLE HEIGHT PROPOSED HEIGHT HEAT A GAS LINE ACTUAL LOT AREA TOTAL BLDG. AREA I CLEARANCE REQUIRED YARDS FRONT SIDE REAR PROPOSED YARDS FRONT SIDE REAR TYP N VERIFIED BY PE C T D P `R NUMBER LEGAL LOT VARIANCE OR CONDITIONAL UBE M YES M NO PERMIT NUMBER © RESIDENTIAL ❑ NON-RESIDENTIAL PLANNING DEPT. APPROVAL. DATE: STREET R/W j i i 1 D. REMARKS I PLANNING DEPT. APPROVAL. DATE: STREET R/W Plan Check Na ..................... HUILDIN6 EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS Icate Building setback,, abutting streets) HEAT A GAS LINE CHECKED BY METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY REMARKS FENCE TYP N VERIFIED BY PE C T D P `R NUMBER REMARKS © RESIDENTIAL ❑ NON-RESIDENTIAL 11 \ s, Plan Check Na ..................... HUILDIN6 TOTAL AMOUNT DI I hereby acknowledge that I have rend this application;]b.—. the In- FIRE ZONE TYPE OF CONSTRUCTION e I ROVED Icate Building setback,, abutting streets) HEAT A GAS LINE ATTENTION Idling construction; and In doing the worit authorized ... ersan I ❑ YES (:] NO will be employed In violation of the Labor Code of the State ngton THIS PERMIT FENCE AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ❑ NE{V © RESIDENTIAL ❑ NON-RESIDENTIAL ❑ ❑ GA6 LINP•. SIGN [3 YES ❑ NO I PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY Of EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. ❑ n0 ❑ALTER ❑ DEMOLISH E EAVATOR ❑ ❑ RETAINING WALL PENCEx REMARKS DEMOLITION ❑ FILL PRE -MOVE INSPECTION .......... Ft.) ❑ REP.IIR ❑ OVE MWIT INP. El %iS-2$25 ro work he done property ONLY. This .rue (UMBER OF STORIESNUMBER OF erwI.M. ep—t, mnrpuees, etc.) will require ,,parole pernleslan. DWELLING UNITS 7ATURE OF WK ORTO 1, BE DONE I Valuation I Fee Recclpt No. � fit. ; �1T��. it V s, Plan Check Na ..................... HUILDIN6 TOTAL AMOUNT DI I hereby acknowledge that I have rend this application;]b.—. the In- PLUMBING Icate Building setback,, abutting streets) HEAT A GAS LINE ATTENTION Idling construction; and In doing the worit authorized ... ersan will be employed In violation of the Labor Code of the State ngton THIS PERMIT FENCE AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which SIGN ' RETAINING WALL N DATED INSPECTION BWIMMIN6 POOL DEPARTMENT DEMOLITION PRE -MOVE INSPECTION CITY OF EXCAVATION.OR FILL 1."" ' . 6-r7 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. D TE _ INSPECTOR s, TOTAL AMOUNT DI I hereby acknowledge that I have rend this application;]b.—. the In- formation given 1s correct; and that I am the owner, or thethor- Ired agent of the owner. I agree to comply with city and .trosu- ATTENTION Idling construction; and In doing the worit authorized ... ersan will be employed In violation of the Labor Code of the State ngton THIS PERMIT relating to Workmen•, Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY Tt[E WORK NOTED .hall be completed in nloety day.; 31OVED-IN BUILDINGS com- pleted In six months.) iiGNATURE (OWNER OR AGENT) DATED INSPECTION DEPARTMENT CITY OF EDMONDS NOTE: Applicant Subject to Plan Cheek Pee %iS-2$25 ro work he done property ONLY. This .rue .. Public (c bs,Private a driveways, Any can.tructtan on the pwillc donnalequine erwI.M. ep—t, mnrpuees, etc.) will require ,,parole pernleslan. 1."" ' . 6-r7 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. D TE _ INSPECTOR