660051.pdf'OSTED ON KROLI,
BUILDING DEPARTMENT Applicant M
PERMITAPPLICATION Inside Heavy Lines JOB ADDRESS
NO.:
1 NAM (OR NAME OF BUSINESS) 47 -2- 7 3 7-
4MIO N
RAMON J. GOULD SIDE YARD SETBACK STREI
AD
11 r=MjjA"LING ADDRESS
I
X 1 us ZONE 0
0 XX 19225 — 92nd West
CITY 1,10"MONE; NUMBER
33
E M 0 1] HEIGHT BUILI
dmonds, Wash. 17 6-8632
IS I NAME none PLOT PLAN APPROVED
none
Legal liescript
Sac. .4.eW
01 Frp
�MdLqlu
��4qOW Wg2� At
7-t �C
4-1 -7 167-0L3�0
PERC. TEST
CiAe. SEC.
7rH 09A4
Al 0 e5 7
17V(./.,:T)( ,
I= ZONE TYPE
-4ry
7-,Y A/
d4of
L= or " ry fai,
53 '.ZV * J4/
SPECIAL ID r"T"Il
YES [3 NO
r#
PLAN CHECKED BY
BUILDING
WORK TO BE DONE 1 VALUATION
finish one basement room; 11 x 11 BUILDING PERMIT
2 FEE
by adding one wall, paneling, a — 13LUMBING
3 PERMIT FEE
�ije6?jt6,�loset, ceiling tile, HEAT & GAS LINE
y 0 4 PERMIT FEE
1:1 NEW El SIGN NUMBER OF STORIES SIGN PERMIT
5 FEE
;4 ADD I DEMOLISH FENCE DEMOLITION
RESIDENTIAL 6 PERMIT FEE
EROF
E] ALTER B_ NDUV =ELING — PLAN CHECK
REPAIR 1 1:1 NON-RESIDENTIAL I UNITS 7 FEE
bedroom 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
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
will be employed In violation of the Labor "o of the State of Washington ONLY TILE
relating to Workman's Compensation Insurance. WORK NOTED
(Except Demolitions which shall
NOTE: Permit Limit One Year be completed In ninety days.)
SIG7�TURE (OWNER Olt Gk;Lm.w) DATE SIGNED INSPECTION
1 2-9-66 DEPARTMENT
/9,4C I - CITY OF
NOTE:'Applicant Subject to Plait Check Fee EDMONDS
PR 0.1101
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, drivewaYs.
marquees, etc.) will require separate permimmlon.
PERMIT -_ 660051
NUMBER
YES E3 NO 0
VARIANCE NUMBER
;k
[j YES [3 NO
: I -- 1 .3- Z%Ld
:W,� k �ej�
APPLICATION APPROVAL
This application is not a permit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is aclmowledged in space provided.
FILE
E
I L
I
pt t
wk
toy o
10
I k 14
I r
I
bGO
4 1 1 1 1 r I t
; 4L".
1 1 1
I I I 1 5 4
RECORD,OF INS tbTiONS.A.
Date
Pasted'..
Foundation
I'Plumbing (fartlaly�.
I d r
Frame
Furnace Fuel Lines
Final .3
I'
I
I
I
I ot