640390.pdfPLAN FILM NUMBER
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Appilemant F1
Building Permit Appocation
T
BER 640�90
Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
JOB ADDR12t 43P
ff546L
Be hi, - zle s ton
0. AD.468
SIDE YARD
SET BACK REAR YARD
1241 25th South
CITY I,ELE PHONE NUMBER
USE ZONE
MAP NUMBER SITE
Edmonds, vrashe F11 6-5346
YES [3 NO
NAME
BUILDING AREA
LOT AREA
RIAPTCE NUMBER
1k
ADDRESS
11T
BUI LDING SETBACKS
NOTE: ATI'T'EAVE
LINES
CITY
TELEPHONE NUMBER
REN—�S
NAME
Associated Heating & Air Cond. Cos
10—DRES8
rAcroacbment Permit PMUM NUMBER
STREET GRADE CHECK
316 Iffestlale North
Required
rl YES r-1 NO
o:
CITY
I PHONE NUMBER
METER SIZE SERVICE SIZE! CLEARANCE
CHECKED BY
Seattle I Wash.
Mk 3-1252
—LICENSE
STATE LICENSE RU—MBER Fiff
REMARKS
297 74988
LOT BLOCK TRACT
TYPE CONNECTION
VERIFIED BY
PERO. TEST
PERMIT NUMBER
FIRE -ZONE TYPE OF CON 70
oi
YES 0 NO
Z
SPECULL INSPECTOR REQUIRED OCCUPANCY GROUP
[3 YES n NO
PLAN CHECKED BY
WORK TO BE DONE
NO. or BLOCS. PERIPLOG. TOTAL PER Z
Install on -version a-irner
BUILDING
i
1 VALUATION
'7conomite 200-02-5
BUILDING PERMIT
NUMBER OF STORIE
F-1 NEW DEMOLISH
2 FEE
PLUM13ING
I
3 PERMIT PEE
El ADD
HEAT & GAS LINE
ALTER RESIDENTIAL NUMBER OF
4 PERMIT FEE
.37—
DWELLING
El REPAIR NON-RESIDENTIAL UNITS
DEMOLITION
5 PERMIT FEE
I
6 AMOUNT DUE
I hereby acknowlt�jge that I have read this application; that the in-
ATMNTION
APPLICATION APPROVAL
formation given 13 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-
TIUS PERMIT
This application is not a permit until
lating construction; and In doing the work authorized thereby, no person
AUTHORIZES
signed by the Director of Building Inspec-
will be employed in violation of the Labor Code of the State of Washington
ONLY THE
relating to WorkmeWs Compensation Insurance.
WORK NOTED
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space pr ovided.
NOTE: PERMIT LIMIT ONE YEAR
TE
SIGNATURE (OWNER OR AG)Wy) DATE SIGNED
INSPECTION
DEPARTM12 NT
10/21/6h
CITY OF
EDMONDS
DATY
PLOT PLAN CHECK & APPROVED
PH 6-1107
FILE
L
P. -..
M,�
Appl. No . ............. . .
APPLI AT
0 ION BUILDING PERMIT 7
Permit limit" one year
;.":CffY,CF EDMONDS "Nang Depa"Ment
ct the following work, in accordance with 111, e.acoom,
APPUCATION is hereby made for a permit to constru
panying plans and specifications. Two set, are submitted herewith for approval.
Offst.
new',--'. alter., /0
—7—e-cul ........................................ . ..... Parking . . .. . .. . .............
Workaddn repair ..................................................................
....................
4.11.z.. Fire zone.'
Occupancy ............................... Cohst. type ............................... Use zone
. ........................ ......
........................ 1.4ot, ..... ............. Blk ....................... Addn....
Septic tank ......................................................... J
Lotfrontage .................................... I... Area. .......................... ................
ide .......... .............. 1. side .......... ............... rear ...............................
Bldg. sd4xwb front ............................ r- 6
................
..... fo-- 7:Ltl .......... ........
,e,f —.' ,,,/ Address. ......... ..... .... Tel.
........ <
Own
Tel. No
zgt .......................................... .......... I
Builder ............. *-tAl ........ . .. . ................... Address .........
0 .............................
. . ........ Tel. N
............. ....... .... ....
Plans by ................................................................... Address ...........
. .... . .........
............
Reinark& ...................................................................................................................................... I ..........
-this
ent, and I agree 1,applicable Codes and State aws regulaOng
The,above is a correct statem to comply with al
work.
er/Agent]>Z,4�4.c/ .......... DW ............ ...... ...... S7
Signed Own
A
ns com liance with the ap,
PERMIT for the above work is hereby approved, subject to the above conditio and to p,
proved plans and specifications, and Building Department notations thereon.
permit fee ...... Z-., by.... ............
Valuation ................. 5��v ......................
.................... Recd
........ .......
Date ... .. X/42 .......... S ................
................ ...................
Building Department, By .................. I ---
Fdn, OK
INSPECTION RECORD
Frame, OK
This Permit does not cover Plumbing, Sewer or Electrical installations.
J
Al