640152.pdfT
B Permit Application FIR
PLAN FILE NUMBER
BUILDING
PERMIT 640152
uild*n- Inside Heavy Lines
I g
NUMBER
N "I (On N Is or liUSINESS)
JOB ADDRESS
-MULING ADDRE
SIDE YARD
/ 4
SET BACK,
REAR YARD
4,
CITY TELEPHONE NUMNOR
CiEZONE
MAP NUMBER
VACANT SITE
PAP; 09 — _�I_ 17-2 q
0 YES -�4NO
NAXE
BUILDING AREA
LOT AMA
VARIANCE NUMBER
zAl;qRESS
HEIGHT
L BUILDING SETBACKS
NOTE: ATL
N
I","
EAVE LINES
TELEPHONE NUMJJN�
REMARKS
Te
'ADD
Encroachment P it
Require
;7N0
PERMIT NUMBER STREET GRADE CHECK16
Z
deg
rl YES
CITY
TELEPHONE NUMBER
METER SIZE I SERVICE SIZE CLEARANCE ClftTPD BY
TATE LICENS11Y N UMBER
CITY LICENSE NUM"�"
RE�
LOCK TRACT
to" Trj�
$LA
�k
.,,j .. -A-
TYPE CONNEC
VERIFIED BY
PERC.TES
T NUMBER
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
El YES NO
0
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
[] YES [] NO
PLAN CHECKED BY
0
NO. OF SLOGG. PERIBLOG. TOTAL FEE
x
0
BUILDING
1 VALUATION
BUILDING PERMIT
NEW DEMOLISH NUMBER OF STORIES
2 FEE
PLUMBING
3
ADD
PERMIT FEE
RESIDENTIAL NUMBER OF
HEAT & GAS LINE
4 PERMIT FEE
ALTER
DWELLING
REPAIR NON-RESIDENTIAL UNITS
DEMOLITION
5 PERMIT FEE
_j;R__0POSED E
-
6 AMOUNT DUE
1 hereby acknowledge that I have read this all(lication; that the In-
ATTENTION
APPLICATION APPROVAL
formation given Is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state laws regu-
THIS PERAUT
This application Is not a perinit untiI
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
AUTHOIUZES
ONLY THE
signed by the Director of Building Inspec-
relating to Workmen's Compensation Insurance.
'WORK NOTED
tion, or his deputy; and fees are paid, and
NOTE: PERMIT LIMIT ONE YEAR
receipt is aclonowledged in space provided.
(OWNEI�,-OR AGENT D TE SIGNED
INSPECTION
DEPARTMENT
DIRECTqR��SIGNATURE
15� 1 4 re
CITY OF
1�5
�DATE
"PPROVEI) EDMONDS
PH 0-1107
IA S
e5i -
0-1,11 R - ( 61e,
NO
r
AV
To.S'46
..tdM'On.dsT
on ra' d' FO'r
The, su&�ssfdl' completion alsed" about $50,000 In t w 0
of ,,a � two-year lurid -raising drives. Contributions came
project will be marked In -Ed- from Edmonds area business-
monds at noon'today,'with the men and other residents.
s &�Ior con-
Igning of a�contri ;. ji�'TTLE YMCA, "of
struction of the Snolln6 YMCA THU E
Community Pool In.Edmonds. which the Edmonds group is
branch, donated $140jO00.
ESTIMATED cost of the Construction Is expected toi
stritcture, to be built at 7315- be completed by next fall.
212th Ave. SW, is *218,000.
. It will be open to members
and non-members alike.
The agreerfient for construc.
tion of the Indoor, '25.by.75-jf oot
pool, will be signed by heads
of tire Edmonds and Seattle
YNICA organizations and the
Sanford Wright Construction.
Co., Everett.
Edmonds Y M CA director
Bruce Ecklund said the group
Z,,4
'V4 RECORD OF IN§.PECTION�
Datd Passeil
Foundation
Plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Lines —
Final
a