820108.pdfUSE //'�, PERMIT
NUMBEIt 820 I i ci
CITY OF EDMONDS -O "ks—
- BUILDING
NAME
•
PERMIT APPLICATION JOB �r}}�`l7 _711��
/�
(OR NAME OF BUSINESS) ADOHESS / -7q/ (�(L!
_ • _ ` LCCAL OLSCHIPTION SVBDIV1510N SHORT SU11 NO
• pj MAIL
NG ADO ESS---.--------� ---
REE'r MAP
% j-i�.
O
l PV 11 PC. RIGHT' 01- WAY PR OFFICIAL ST
1
CITY
E PHONE NUMBER
f:rt lSl,NG
l7
Z
-7 ` S vRovosED
e
W
\ ` DEI'ICILNCY OF RIGHT OF WAY
Z
V
- CHECK— HV k,�
li
F
ADDRESS SEE ENGINEERING MEMO DATED__L---�-�=--�--
W
V
2
REMARKS
CITY TELEPH ONE NUMBER
NAME
METER SIZE BUILDING SUPPLY SIZE I FIXTURE UNITS
0
ADDRESS
I
c
W
F
V
— �j
O
REMARKS
3
l[
z
CITY TELEPHONE NUMBER
�. ,_�� b zI�TIN� sErZv (��
ADIf NO
V
V S,GN AREA ENV. REVIEW
STATE LICENSE NUMBER CITY LICENSE NUMBER �r
COMPLETE EXEMPT
ALLOWED PROPOSED
SHORELINE fY
1I
Legal• Description of Property (Show Below or Attach Four COples) �� / J
k
AA VARIANCE OR CU ANNI REVIEW BY DAT
23
Z
o
� G YARDS LOT COVERA
V
S _ ` /
( � n Ty+
Z
0
U
C FRONT SIDE REAR V
REMARKS
•j
Cp cv1uT p112D 5�fi°�AG1L of ZS
Q
J
O-F S
w
WAIVEfl dl �ET�UL AD u6Trn(W
J
&P-AN-tlaD one 3 10 2
❑ PLUMBING CONSTRUCTION CODE( HEIGHT�I�
❑ NEW r +' RESIDENTIAL CHECKED BY TYPE OF
(r
-
❑ NON-RESIDENTIAL ❑ MECHANICAL 1 `-7y Yt
��--,,//
t�/k ADD SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
1G/�V ❑ DEMOLISH ❑ `+IGN REQUIRED GROUP LOAD
-�
O
FENCE NO
❑ ALTER ❑ ORCFILLTE ❑
%—FT)
REMARKS
Z
❑ IM
REPAIR ❑ P
COR E•MOVE INSP./ SO
MPLIANCE INSP. POOL 1
Z
NUMBER OF STORIES •NUMBER OF _ ``,� •? [1
DWELLING
7
m
C
UNITS
LL
C
NATURE OF WORK TO BE DONE (ATTACH PLOT qZ)
/
N
W
PLAN CHECK FEE FEE
V
VALUATION
��
1
BUILDING
L
PLUMBING
C.
MECHANICAL
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
FENCE
marquees, e1c.1 will require separate pormilision.
SIGN
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 120 Days
RETAINING WALL
yl -Applicant, )It hcllait' ••� Ills .,r her spouse', heirs. assign% and
SWIMMING POOL
W successors in interest. agrees to Indent nity, detvlId and hold hanutess
J
I the ('iIy uY Pllnnmd<. K':uhinptun, it. ofYicials, em pluyecs. and
C agenl+ Intl:( :Till' alld Al ilaim, t„r danl:iges „I „'hate,'er nature.
a
x arising directly or indlrrc1ly inure the issuance of This pcnnil. Issu-
'z '137'4
D :u,ce VI this pcn III +hall not be decn,ad Io n,odiYy, ,vuirc or reduce
TOTAL AMOUNT DUE
6s
J :Illy' eel, Illr,`If lens VI :1 I1,' elly .,i11111:1 (lie Il.n limit in :, Ily' l%ay the
I City's abilityt,, etlloree .Iny' „rdlnance pn,Vi+l.,n'"
ATTENTION
APPLICATION APPROVAL
herchy acknou'ledpc that I hale read Ihis applicalion; that the iu-
THIS PERMIT
IF11\ :i t,Illa1111i1 I\ Illlt a F)erllllt
F I
forman011 glVl•n 1+ �allrk`eI: and that 1 ail( 1111` „U'itC'r, „r the duly III] I.
AUTHORIZES
until sl b>' the 111111,llll, Official or
signed �'
(zed agent of the n,a'ner. 1 agree to comply ,a'ilh c,l\' and slate I:IN's tcgu•
THE
F
Ills DeFllll\'; allli lees ark' (,all(, all/(
lacing construction; and In dl,lilg l)1,• N'�Irk :I'lsh., r(led dwreb\', tw pet,M)
ONLV
will be elnploy'ed In 1W11:1,n ,'i fhc I.-:III,lt l „de all file State o \\a+llnlglon
WORK NOTED
leceipt Il :Ill, ill(\Vlellfe<] 111 �Flale prU•
[elaling„to �%()r leW, C Ill pensatn,n Insurance.
INSPECTION
,'Melt.
SIGMA R ( E OR AG
NT,
DATE SIGNED
DEPARTMENT
DIRECTOR'S SIGNATURE
CITY OF
�^
L (ZkjCI rl f
EDMONDS
DATE
TH TE IS LOCATED
IN THE CITY
775-2525
QQ
3 - �� "C/ V
OF MONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
ORIGINAL Fde YELLWO
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
FEB 2 G
1982 PINK - Own.•I GOLD - Ass'•ss�n
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306.
I.2-11
-75" ,1
9/
3G
C
3 c,
R.00 r-
@
3 s ## _
45
Oeck
@
�o
14x 14" :p'r = 1,3(
1 4 r
7.15 ?< 14= was >�
gGrc IZ dre.
N
x
• • 7
"THE PLANNING DEPARTMENT OF THE CITY OF EDMONDS HAS MADE THE FOLLOWING
HE
TO ANT. PREL,IMI,NARY.APPROVAL •FOR• A. SETBACK. ADJUSTMENT TO ALLOW A
TWENTY FOOT,FRONTYARD SETBACK RATHER THAN THE STANDARD TWENTY FIVE
,. .. ... .. ....
',FOOT SETBACK, THIS,DECIS.ION WILL, BECOME FINAL ON •MARCH ?3�,19 �
'T,UNLESS,A,FORMAL,WRITTEN APPEAL IS FILED AM.
THE. R�AM NO. A.E.RARTMENT.....
$Y MARCH ??, 19�2...........................................................
PROPERTY ADDRESS OR DESCRIPTION:.... 179.16 .75TH. PLACE .WEST ..................
• • • • • • • • • • • • • • • • • . • . • • . • . • . • . . • • • . • • • • • • • • • • • • . • . • . • • • • • • • • • • . • . • • • . • • -
FILE# ...... N/A ...... POSTED..MAKH..IQ,..1982
ANY PERSON WISHING TO APPEAL THIS DECISION MUST DO SO IN WRITING, CITING
i
l
i
t
1EASONS, TOTHE PLANNING DEPARTMENT BY
;ROM POSTING DATE)
MARCH 22, 1982 (10 DAYS
DITIONAL INFORMATION IS AVAILABLE FROM THE PLANNING DEPARTMENT AT 505
LL STREET. (775-2525)
IS POSTER MAY BE REMOVED AFTER
MARCH 22 1982
Af 'VN A
k m
ILE
'
0
The removal, mutilation, destruction, or
concealment of this notice prior to the
date above is a misdemeanor punishable by
fine and imprisonment.
LA�oui /1-11�;1
s
REZORD
OF UirtC
0ske passed
Parch ,ors
Garage, carport
PLUMBING
Underground
Rough -in
Water service
HEATING SYSTEM
FRAMING
WALLBOARD
FINAL