640447.pdfPLAN FILE, NUMBER
BUILDING
Applicant Fill
Building Permit Appli—cation I Inside Heavy Lines
PERMIT —1
NUMBER
NAME (OR NAM OF JSLIULNEISS)
JOB ADDRESS
We V. Thompson
18112 - 80th Ave. We
C4
MAILING ADDRESS
SIDE YARD
SET BACK
REAR YARD
18112 - 80th Ave. We
7-1/21
25'
251
CITY TELEPHONE NUMBER
USE ZONE
�NURBER
VACANT BITE
Edmonds, Wash. PR 6-2B75
RS-12
120 NE
0 YES )n NO
NAME
BUILDING AREA
LOT AREA
VARIANCE NUMBER
881
ADDRE138
HEIGHT
ALL BUILDING SETBACKS
NOTE: TO EkVE LINES
CITY
TELEPHONE UMBER
REMARKS
NAME
Walter E. Burfitt
ADDRESS
Encroachment Permit PERMIT NUMBER writNEw GR_%DE, CHECK
5914 - 190th Pl. S. We
Required
ri YES Fl NO
CITY
m"ruolsis NUMBER
METER SIZE SERVICE SIZE
CLEARANCE BY
Edmomb, Wash.
I PR 8-7868
I
ICHECKED
STATE LICENSE NUM51SIA
UAWX LoLUENUE NUMBER
REMARKS
LOT BLOCK TRACT
5 Admiralty Acres
Less the West 1651 of the South
TYPE CONNECTION VERIFIED BY
801 thereof.
PERC. TEST PERMIT NUMBER
FIRE ZONE TYPE OF CONSTRU,CTION STREET IMPROVED
0 YES &3,No
SPECIAL INSI OR E OCCUPANCY GROUP
YES P'No
PLAN CHECKED BY
WORK TO BE DONE
NO. OF SLOGS.
PERIBLOG.
TOTAL FEE
z
BUILDING
41 x 221 storage shed on 61 x 221
I
VALUATION
275.00
BUILDING PERMIT
crInnrAtA Sl
2
FEE
3.00
4
NEW
DEMOLISH
NUMBER OF STORIES
—
PLUMBING
I
3
PERMIT FEE
ADD
—
4
HEAT & GAS LINE
PERMIT FEE
NUMBER OF
ALTER
RESIDENTIAL
I [R]
DWELLING
I UNITS
DEMOLITION
REPAIR
NON-RESIDENTIAL
Ii
PERMIT FEE
PROPOSED USE
Storage Shed
6
1 AMOUNT DUE
3.00
1 hereby acknowledge that I have read this application; that th In-
ATTENTION
APPLICATION APPROVAL
formation given is correct; and that I am the owner, or the duly alor-
Ized agent of the owner. I agree to comply with city and state laws regu-
THIS 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 Workmen's Compensation Insurance.
WORK NOTED
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
NOTE: PERMIT LIMIT ONE YEAR
INSPECTION
DEPARTMENT
SIGNATURE U OR A T)
DAT SIGNED
DIRE�TPR7 SIGNATURE
11/30/64
L�a�
CITY OF
DATE
EDMONDS
PLOT PLAN CHECK & APPROVED
PR 0-1107
F71LE
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