650322.pdfol
IING DEPARTMENT
AIT APPLICATION
�Donald H. Bowen
4051 N.E - 57th
CITY
Seattle
NAME
ADDRESS
CITY
ADDRESS
CITY
8
STATE LICENSE Nt
All that
Legal Description of
5ec 7 TO�Fn
at the East
Applicant M I /Vo /VC -
Inside Ileavy Lines JOB ADDRESS f —7 ,
LA 4 0319
y (anow Beiow or AttuC11 iour copies)
ion of GOV Lot 2P
p 27 N. R..4 E.W.Me
of said Sec 7 &' then
IN. 1011'45" E. 437.35' thence W.
I Q 13 6 1 - Tbenee N. 111101-615coll E
5-7 V —0
0 to the most southerly corner oil
true point ofthe beg, Thence N.
WORK TO BIC DONE lf+�)—If+_� - LU- VV. J-O!D.; Tin
14.44016'50" E. 70';_tbence south
45'J43'10'v B, 165', thence S. W
16'50" Wo 70' to true -Pt of beg.
11�
C
INOPA00:0;
�Talbot Road
SIDE fARD—;BETBACK STREET BETPACK AR YARD SETBACK
Construction of residence
NEW
ION
NUMBER OF STORIES
ADD
I
DEMMOLISR
FENCE
ALTER
51 RESIDENTIAL
NUMBER OF
FI
REPAIR
1 F� NON -REBID]
DWELLING
UNITS
Residence
I hereby acknowledge that I have read this application; that the In-
formation 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-
lattog oonstmetion; and in doing the work authorized thereby, no person
will be employed in violation of the Labor "a of the State of Washington
relating to Workman's Compensation Insumnee.
(Except Demolitions which shalt
NOTE: Permit Limit One Year be completed In ninety days.)
NOTE: Applicant Subject to Plan Check Fee
This Permit oovars work to be done on Private PrOPertY ONLY.
Any construction on the public dornstn (curbs, sidewalks, drivewayso
rnarqueem, etc.) will require separate pemilsslon.
, / —z,— 1 llr550
TYPE
0 YES ,
BUILDING
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT I=
SIGN PERMIT
5
ESE
DEMOLITION
6
PERMIT FEE
TPLAN
CHECK
ipnM
.8 1 AMOUNT DUE
YES
[3 YES
4
13 NO
13 NO
0 a)
ATTENTION I APPLICATION APPROVAL
THIS PERM[IT This application Is not a Perrnit until
AUTHORIZES
ONLY THE signed by the Director of Building Inspec-
WORK NOTED tion, or his deputy; and fees are paid, and
I receipt Is acknowledged in space provided.
INSPECTION
DIRECTOR'S SIGNATURI
DEPARTMENT
CITY OF
EDMONDS
DATrr'
PR 6-1107
FILM
0;
)L
POSTED ON KROLL MAP NO.: BUILDING
PERMIT
BUILDING DEPARTMENT 1.� :2
Applicant Fill Alo Av�,: NUMBER
PERMIT APPLICATION Inside Heavy Lin.. JOB ADDRE87;7/
NAME (OR NAME OF BUSINESS) Tnj.bat Road
SIDE 7ARD SETBACK STREET SETBACK REAR YARD SETBACK
MAILING AMORE
57th USE ZONE LOT AREA AM 81TE
110 Ir.r-C 1 -1 1
CITY TELEPHONE NUMBER YES [3 NO
t D HEIGHT BUILDING AREA VARIANCE NUMBER
1A
NAME
j PLOT.PLAN APPROVED
ADDRESS
REMARKS
CITY TELEPHONE NUMBER
House never started. Plans have been destroyed,.
NAME 11-2148
REMARKS
ADDRESS
J METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
CITY TELEPHONE NUMBER 03
RKS
REMA
STATE LICENSE NUMBER CITY LICENSE NUMBER
TYPE CONNECTION VERIFIED BY
Legal Description of Property (Show Below or Attach Four Copies)
PERU. TEST PERMIT NUMBER,
All tnat, �clA LoLn of 0 o v L 0 If-, 2
�e-.Zr3!ci%lbod ps rono-,.,, 1_�� ��`k 1) V FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROV ED
V-er
V t S R F11 L 0 0,.-1 0 YES 0 I -TO
1 e-N-r 7 SPECIA.1, INSPECTOR REQUIRED OCCUPANCY GROUP
-5 b ES
y
PLAN CHECKED BY
0 to V-�e; r..acnt eou.Lln�lrly o0rnt,_� 01
L 10 L, 40 1., t.1 I-; Ll Ll� ', V: �L,IA '.j I A. k.Z;C.j :, 1 1, �j k�
VALUATION TOTAL FEE
true 1�01rjt of. t,�-.c 1--a 1`1 e r) _iUILDIR�G
WORK TO BE DOIJE 441-)-44
U jj, VALUATION
cil 7 (,'1 Scutt! BUILDING PERMIT
4�.440i6l
I
2 FEE
I t-15
PLUMBING
16'50" `d- 7 0 to rl--u(q ,,-t of
3 PERMIT FEE r�
corwtruct)ion of, I-e HEAT & GAS LINE ::f
4 PERMIT FEE
NUMBER OF STORIES ------- 7
SIGN SIGN PEIUUT
Eiji 5 FEE
NEDWD DEMOLI FENCE
DEMOLITION
F-1 ALTER RESIDENTIAL NUM13ER OF 6 PERMIT FEE
DWELLING PLAN CHECK
REPAIR N UNITS 7 FEE
PROX
R,_t� e r c 0 8 AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
formation given Is correct; and that I am the owner, or the duly author- ATTENTION APPLICATION APPROVAL.
Ized agent of the owner. I agree to comply with city and state laws regu- THIS PERMIT
lating construction; and in doing the work.authorized thereby, no. person AUTHORIZES This application is not a perritituntil.,
will be employed In violation of the Labor Code of the State of Washington ONLY THE signed by the, Director 9f Building Inspec-
relating to Workmen's Compensation Insurance. WORK NOTED, tion, or his deputy; and fees are paid,'and
(Except Demolitions which shall receipt Is aclmowiedged in space provided. !"j;
NOtE: Permit Limit One Year be completed In ninety days.)
SIGNATUR�E, (OWNER OR AGENT) INSPECTION DIRECTOR'S SI
D;TE IGNED GNATURE,
DEPARTMENT
CITY OF
EDDIONDS
NOTE: Applicant Subject to Plan Check Fee
rn 6-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
otrA will maulre. amarede Dermistion. INSPECTOR
I