640413.pdfj
�. - . . . _.. . . . � __ .- - . __ - 11 . _ __._______' I f I
PERMIT
NUMBER 640413
ZZs' MB11;R
CITY TELEPHONE NU
USE �O NE
MAP NUMBER
VAUA�'K OKKM
1A1 /77
[j YES 13 NO
NAME
BUILDING AREA _FLOT
_AREA
VARIANCE NUM"BUS
//y IF jov 0 C_
ow
ADDRESS
HEIGHT
L BUILDING SETBACKS
NOTE: EAVE LINES
CITY
TZ"PHONE NUMBER
REMARKB
NA
71 e 1&,.17
ADDRESS
j_aj�
Encroachment Pereal
PERMIT NUMBER TIM 'GR&DE CHECK
Required
YES NO
Z
CITY
LEAR"CE CHEC� 13Y
STATE LICENSE NUMBER
CITY CENSE Nu�..
REMARKS
LOT BLOCK T
TYPE CONNECT N
VERIFIED BY
PERC. TEST
PERMIT NUMBER
-TYPE or CONITRUCTION STREET IMPROVE
bl"
*'LA NO
SPECIAL INSPE7REQUIRIP
OCCUPANCY GROUP
YES No
PLAN CHECKED BY
WORK TO BE DONE
h
No. or st.10(as. PERIMILDO. TOTAL F99
A? .00
BUILDING
I VALUATION
BUILDING PERMIT
2
DEMOLISH N MBER OF STORIE
FEE
PLUMBING
I
3 PERMIT FEE
0- ADD
HEAT & GAB LINE
ALTER RESIDEN! rLA.L NUMBER OF
4 PERMIT FEE
DWELLING
REPAIR NON-RESI UNITS
DEMOLITION
5 PERMIT FEE
PROPOSED USE
6 AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
ATTENTION
APPLICATION APPROVAL
form tjon given in 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 PERNUT
This application I * S 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
tion, or his deputy; and fees are paid, and
relating to WorkmerVa Compensation insurance.
WORK NOTED
receipt is acknowledged in space provided.
P MIT LIMIT ONE YEAR
I A U NER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
I TUBE
IMIRRECT NATURI
L
CITY OF
ATE
EDMONDS
P APPROVED
.7
PR 6-1107
F.-'.LE
IA At
II It I c z !If 4 Mot
I dI It If
01 r' ;It I It
It It I I k" N. I 'pit IN r ;I p
I I I I I
I P. I %I 'I I I I It I 1 .1, 1 l, I � I I.
c 'Ij I I I " I - I I . I I I I t I I 1 4 1 P.
r" I it 0" J; I 1 1. 1
PH 1 4
NI, I
I f I It 'j: It, P, I Z' 1. , z It I t 4k
I P., I VIP. I
4 1 0 1 NIP,
I It Py .1 1 m
It I
If
X, I k' I PC 'to
0 It Nk' iiq
it I
It
I. I If
1 4
fl I
44 1 1 1 1 '1
fil. I I I SO I
It
P4
fIf
If I
NPd
et4
la'fl
If
11444:!V 'I It I
%lot W,
41
I, It" I It
I
If
If
It I
I IN
1
I 1 4 1
It
If
Im,
I
It.
'4L I
fJ
I t PI
If, I
At PI
'PP'i I i
INN P
It
It j,' vj��e . 9
Pq' IN I t
I
I P I If! I I P, p
I NIIJIA
-'-TNP' wt
13
4 1
If
IT
Itt I �,t P; I
1. .1 1
It I I
I I 1 44 11 1 . I .
It I I I I I I
it %� - I. I . I
I
t.�� to Pr I I I
It 11, 1 1 1 1 1 1 1 1
fit r.
It
It
"j 1, 1 P.,
I If
It I PI I
PP b C
� 41t
Ii.P
lt
NP I
It.
71 1 1 1 1 1 1".
It 'L I I
Id
Phi L
I 1. '4
'41
P. I
4
.1
If I I
'Id
If
it
rL
It
it)
I
C
" t IONS
RE ORD OFINSPEC 'V':
�' 1 11
I t I I I I I I I I I 1 .1 1 1
Date. Passedl
RjOhditibil
, .:'/'
if
4 ; I I I I I , - I I It I
f Plu nibing P -,i rtial
p
I I I I I ILI
L I I t
It
411, igh):
I PIP LI
f Fra m Px
I I I I I I I I I I I I LP I I I I I I I I I I I I I I
I pL 41 1
I
Furnace-& Fuel Lines
t i I I I I
I If
Final I
:p 4 1 Id
It
41
P, I
64
It
4 1 ILL 4
tr