Loading...
750323.pdfNATURE OF WORK TO BE DONE Valuation l { i flan Check No ..................... BUILDING DEPARTMENT Appuoant Fm ZONE R PERMIT 20NE 5C NUDiBER -7r)(1323 t ` __. BUILDING PERMIT APPLICATION I Inside Heavy Linea '-•; ADDRESS -10 -/ -� � ✓ �.0 a, PROPOSED USE NAME (OR NAME OF DUSINE ) / /l/ /��j�/S LOT CO ERA ^• ACTUAL -- LOT COVERAGES LOT COVESiAOE M f MAILING ADDRESS PERMIUSIBLE HEIGHT 2 O / PROPOSED ISEIOHT Al �' 1` O O CITY �J TEJ PHONE UMBER A�1'UAi. LO'[p}Y�A Rsp`E'sJA�1/,`J Tr�� _—� TOTAL BLD!. AREA /i/�ODEQUIR Afl Utl PROPOSED 1'Al/Da F tU NT SIDE HEr�AR FRONT � i fMs VP NA AfE -L �SIIDE 'HEAR -5' CZ ✓ A 7 AUDHEtla I . LO'r VA ANCE Oli CO ITIONAL USE ES NO PERMIT NUMBER NING UE T. APP O 1/ CITY TELEPHONE NUMBEK STRELYrIt/t EXISTING S EET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. O a 1Wd RETAINING WALL NAME REMARKS x toC F W SWIMMING POOL DRESS ADDRESS 7�/�/ z-/ �7 y% O'!Z ae.GV C ��� CHECKED BY C TELEPHONE NUMBER I 7 7 �5 S DIETER SIZE I SERVICE SIZE CLEARANCE CHECKED BY C PRE -MOVE INSPECTION O G - j STATE LICENSE NUMBER CITY LICENSE NUMBER Legal Description of Property (Show Below or Attach Four Copies) REMARKS r TYPE CONNECTION VERIFIED BY TOTAL AMOUNT DUE / 3: CI 6 'J. G I 1 hereby acknowledge that I have read this application; that the in- y formation given le correct; and that I are, the owner, or the duly author- PERC. TEST PERMIT NUMBER d ATTENTION REMARKS , I /� /,-I A m y� �-✓ /X�2`, FIRE ZZIE TYPED OF CONSHUCTiON STREET IMPROVED] ILII YES ❑ NO Will be employed In violation of Ne Labor Cade of the Slate of Washington ,"Ij I relnting to Workmen's Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS whichWORE ONLY TIIE �ECIAL INSPECTOR REQUIRED OCCUPAN_:.Y Gil. UP NOTED IYNO I 1 . ElGASYES RESIDENTIAL LINE NEW ❑ NON-RESIDENTIAL 1 1:1BION ® ADD ❑ RETAINING DEMOLISH WALL ALTER OR FILLTE ❑ PEN C X. Ft.) ❑ REPAIR ❑ INPPOOL O POOL PLAN CHECRE Y THIS SITE IS LOCATED IN THE TY % � OF ED BE COLOCAL DED 31.04. SALES TI AX REMARKS � J DEPARTMENT Z - NUMBER OF STORIES NUMBER OF DB DWELLING --" Npplicd)ft Subiert to Plan C!)cck Fce Thl. i'ennit a• cork lu be done on private property ONLY. UNITS 1 Any <.miD.rfI l on the public dumaln (curb., sidewalks, efirl—y., NATURE OF WORK TO BE DONE Valuation Fee Receipt No ' flan Check No ..................... BUILDING 17— c/� 6 )3 v U �.0 a, PROPOSED USE .6 PLUMBING PLOT PLA (Indlente Hullding setbacks, abutting streets) HEAT & GAS LINE 7 FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE / 3: CI 6 1 hereby acknowledge that I have read this application; that the in- formation given le correct; and that I are, the owner, or the duly author- ized agent of the owner. I agree to comply with city and elate Tawe reg' ATTENTION APPLICATION APPROVAL Inting construction; and In doing the work authorized thereby, no person Will be employed In violation of Ne Labor Cade of the Slate of Washington THIS PERMIT This application is not a permit until relnting to Workmen's Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS whichWORE ONLY TIIE uty; and fees are paid, and receipt Is ac - ,hall be completed In nicety day.; MOVED -IN BUILDINGS shall be cam- NOTED knowledged in space provided. pletcd ht months.) S Ulti: (OWNE Oli AGENT DATE ZONED INSPECTION DIRECTOR'S a fA RE � J DEPARTMENT Z ,s- CITY OF DB Npplicd)ft Subiert to Plan C!)cck Fce Thl. i'ennit a• cork lu be done on private property ONLY. 75.25OTE: 7 775.2525 1 Any <.miD.rfI l on the public dumaln (curb., sidewalks, efirl—y., marquee., ele.) will require separate permission. FILE ...... . _ ...USE 11 TELEPHONID NUMBER F I Gl STATE LICENSE NUMBER I CITY LICENSE NUMBER 20NE NUMBER -. -: ' ;'J BUILDING DEPARTMENT Applicant Fill PSC ;. , / { Plan Check Na ..................... `. PERMIT APPLICATION Inside Heavy Lines AD _ I AnonEse J _ (llf�y. �? ❑ VATI,i.IN.. ALTER ❑ ORFILLEXCAVATE c`E PENCE ........... Ft.) 0 REPAIR INNPMOVE El NAME (OR NAME OF BUSINE88) J PERMINtlIBLE ^ ACTUAL LOT COVERAGE; I�t LOT COY ESYAGE �— NUMBER OF STORIES NUMBER OF i j- .'iJ�-�;:�� / HEAT & GAS LINE UNITS V MAIWNO ADDRESS PERMISSIBLE }fEI611T r^I PROPOSED HEIGHT ^' •a PLOT PLAN (Indicate Building eetbneks,. n a}ling streets) 21 C'Si�c� �G FENCE O CITY TELEPHONE NUMBER A/�TL LOQ� AREA t _ TOTAL BLDG: AREA �)�✓LIQ F1'2�Y .__. SIGN -? J �� ,-��/�//�•(,,. / �!=' -' - Rt;VUllt IYAIiUN PROPOSED YARDS RETAINING WALL JNAASE"' FRONT W_BEAR FRONT BIDE REAR N • I ; L.GA7. I.OT VAR ANC -f E OR CON 1TIONAL UNE W DEMOLITION ADDRESS l] -YEN NO PERMIT NUMBER PRE -MOVE INSPECTION 5I,ANIdIN6 EPT. AFI'I O I `` U / EXCAVATION OR FILL C CITY TELNUISBEIt 11/1Yl < STREET p ' EXISTING 8T EET R/W ............FT. DEFICIENCY THIS PROPERTY b NAME COMP. PLAN ST. R/W ............FT. ............FT. W A' f� - 'F �� r-1// TOTAL AMOUNT DUE ,•, <: <_ : // ` •'L�LG.-. REMARKS I hereby acknowledge that I have read this application; that the In- ' ADDRESS m formation given le correct; and that I athe owner, or the duly author- N//A L-Jv FIRE /Z�1NE TYPFyU=CON; RUCTION STREET IMPROVED - YES [] NO SPECIAL INSPECTOR REQUIRED OCCUPr GROUP [ YES bG O PLAN CHECKED pY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX m m NATURE OF WORK TO SE DONE a7 CITY TELEPHONID NUMBER F I Gl STATE LICENSE NUMBER I CITY LICENSE NUMBER Legal Description of Properly (Show Below or Attach Four Copley) / r / .:. .;' .•�. i -i'-� r _ Plan Check Na ..................... � r% � %�`! n• %�/ 1'7'i- f - U .fir � t f /�t.,�i/ ❑ VATI,i.IN.. ALTER N//A L-Jv FIRE /Z�1NE TYPFyU=CON; RUCTION STREET IMPROVED - YES [] NO SPECIAL INSPECTOR REQUIRED OCCUPr GROUP [ YES bG O PLAN CHECKED pY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX m m NATURE OF WORK TO SE DONE Valuation Fee NEW ❑ NON-RESIDENTIAL ❑ SIGN ADD .:. .;' .•�. i -i'-� r _ Plan Check Na ..................... ❑ DEMOLISH ❑ VATI,i.IN.. ALTER ❑ ORFILLEXCAVATE ❑ PENCE ........... Ft.) 0 REPAIR INNPMOVE El POOL NUMBER OF STORIES NUMBER OF DWELLING I HEAT & GAS LINE UNITS N//A L-Jv FIRE /Z�1NE TYPFyU=CON; RUCTION STREET IMPROVED - YES [] NO SPECIAL INSPECTOR REQUIRED OCCUPr GROUP [ YES bG O PLAN CHECKED pY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX m m NATURE OF WORK TO SE DONE Valuation Fee Receipt No. � .:. .;' .•�. i -i'-� r _ Plan Check Na ..................... BUILDING .61 40 U 0 PROPOSED USE _ .- ...: /. PLUMBING HEAT & GAS LINE •a PLOT PLAN (Indicate Building eetbneks,. n a}ling streets) 21 C'Si�c� FENCE SIGN RETAINING WALL N • I SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE ,•, I hereby acknowledge that I have read this application; that the In- m formation given le correct; and that I athe owner, or the duly author- ized agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person will be employed In vlolnlloa of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen'; 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 - shall be completed In ninety days; MOVED -IN DUILDINOs ;hall be core- knowledged in space provided. pleted.ln six months.)' SIGNATURE (OWNER OR AGENT)' DATE 816NED INSPECTION DEPARTMENT DIRECTOR'S B NATURE - .. ..-.._.._-r. CITY OF r r. EDMONDS DAT • � /Cr NOTE: Applicant Subject to Plan Check fee 775-2525 r This Pettit covers wank to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways. INSPECTOR mntre—it, eu.) will regmre .ep..tc P-111.0on.