660266.pdfBUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BU
^eg 1v e. E
W-ILILING ADDRESS
ol
NAME
ADDRESS
CITY
NAME
ADDRESS
0
or
Lj NEW I [:] I " SIGN
011 ADD DEMOLISHI F_1 FENCE
PHONE Nub
ALTER RESIDENTIAL ��BER OF
W W
E
EL NG
REPAIR F� NON-RESIDENTIAL UNITS
I hereby adc-owledge that I have read this application; that the in-
formation given Is correct; and that I am the owner, or the duly author-
lzed agent of the owner. I agree to comply with city and state laws regu-
lating construction; and in doing the work authorized thereby, no person
will be employed In violation of the Labor Code Of the State of Washington
relating to WorkmeWo Compensation Insurance.
(Except Demolitions which shall
NOTE: Permit Limit One Year be completed in ninety days.)
1 4;�-'
NOTE: Applicant Subject to Plan Check Fee
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbst aldewa3ko, drIvewayst
marquees, sic.) will require separnle perIxtission.
13 YES
50
— � I
42kc/
Aliu
BUILDING
I
VALUATION
BUILDING PMEHRMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
SIGN PERMIT
5
FEE
DEMOL174ON
6
PERMIT FEE
PLAN CHECK
7
FEE
8 1 AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
--- - -- --- -- - -
BUILDING
PERMIT
NUMBER 660266
T
.'5Z_ r
EET SETBACK
REAR YARD SETBACK
�Gr=
AREA
VACANT
13 YES [3 NO
LDING AREA
VARIANCE NUMBER
E
JOLEARANCE CHECKED BY
VERIFIED
PERMIT NUMBER
NSTRUCTION STREET IMPROVED
0 YEB 13 NO
AM
7UPANCY GROUP
VALUATION
TOTAL FKK
Z
'R/6
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 acknowledged in space provided.
DIRECTOR'S SIGNAT
-7
FILE
0
Pit,
LC
.41 A I I Ad %,Q , ZJIP "I I� 0'r. I, I :id 4 loor
III If. I Idd,4CC6 J."C I I d :l I ?A r "'Idt I I PC I III I, �. I . y
Lq I III. , fqj
il;"�6 'Xvid t I- A,TjV
1 ." Idt UP
P It". I ddd�j I'd
11,Ii Hit l to. I I.d. I.IT.d 1 6 1 �A d� I I A, I Id, I, Ilid I
C4 L It
Iz : ; � �.! ! , I ', I I I I I . 7 .... .. I: p e 1. 4 1 It I , I I I , I I I I. ... , . I " I . I I . 1 0 1 0�1� CIA lt?� i
r p .1 , I. I , I I C: L I I
w-, 't4L ti"d V it 40' b I I �ttd ' I j 1, It I, I � i: , P�. F:�', I 1 1 i Iml I. it CAI It I
'tj It I j ' L ' I L Af L tdti�,W
�d. It I I t ":t', I I IFIA ijfdi�
I I . I , , C 1 0 C I PC -t I it 0 d I I I I, t
I d C.'! it" lIjI.1 tj I If 1 1
It I
t I
I Cold I t I I I It, XI I 'I� it l,e
A15" N43 — I , I i . 1, , I I I I I PC 1 4 1,
I dd'j I'd
ldd�, ;. Ir I , t?, 4d4"C i
dZ' IId IId 1. , I , I L I t d 1 4 1p, IIIIIt 1ttItttIIk It1� till Ik 6 4, 4 L
ItIII IT t 0
4 IItI IIf 4.1 ItItdo 4' 1 tI ItIL I It tItdd d 'k IL I
r ItIit10 It4 ItIt + I
IIIfI k I tII I k d
p- 4 r d IIt4
I d 4 I4
I4 k I d1If' I 1P IIIt I I I I t It
t :1� r
k, I d 4 k d I I I . . . tL k I . I I I I 'L I 1 4NNL��- k
II1 4 Ik, k I 4
IP k IIttIfIII1 .1,
Id 1 1
IItP2 I& d I1 11 k I
k
d;
ILk I '4' d I k I1 1. 4 I Pid, .4 1 4 If t I
k Ithe II.1.1 Id IL L I L L I I P. I
I 1 1. r t:
4 It4 1 1 L 'I I4 C Ilid I L" d r
k 4 I
II r . . .
ItIt I It I t IItI L k P k
Lp L. I IC L
t k d I t1It CI1 4 IIII II4, k It I 11I14 14 L IIfJL 6 t I t I I . I . . . I I I 14 I d L I
IIt d
r 4' t I . I . . . . 4 I'k k Ik Itk fL 1 6 k 4 Lt
1A, IItIk 4!'L d I I I I IIk 1.
I 1 4 If I tI.. Ik
I k t . I I I . I . d r Ik
k tk r I I I kT Id. I , I
IdI I k ItIfII. Id k I4 kL L d 1,1, 1 4 Ifd L
L L If 6 I 71 1.., +
I I ItI I Ito I',, I I. - . I k I "LIP 'p 4 It' I 1 4
tIk I+1 k k tI It I kI L 4 It4
d P I PC e' d r4 IIIj P. IIIIttL Ik.
IIk ItIt
1I f_p
d;L L Of of I L IItC.IliL k 4 d
I_p IdL I t L P. I
d
k, It L 1 4 I I I a I I" fL I4 IC if I. '. ' It.4 IIItIIL I L, Zd $'I 4 11I�Fj IL L I d L I IIIItItk It
%d IIt I tj k IIIk'
I d I ItI4 4 ;.RECORD OF INSPECTIONS C� 1 1. 1 1 1 1 1 If I 13 1? q .1 4
. , tL g),litt � I , "
I I I It L, k I I C I I 1. —1 I I
k I k I I 4 If 4 1 I I I I I I I I I , If. L. Date Passed
4 1 1 1 I I I , — L ' .+ 1 11 IIk — I t I Ifd L I L, I ICt Lk, IdL PC PIL kid, IId 11 t I 4 I I II, d
14 1 11 if Z, T C
.,1, 114 Ill i "itt, dIdd 1 lid 4 It!,X. 1 1; 1 k , " /I
4 III I Id k I it. II1I% k 4 I d I I . LI I . ItI Foundatl n----
IIIf' I L 'L 1 d Ik IIdj d k
d
I L I 'L`L 4 k
k.
t..21
41 1 I d 4, d It n(Partial) I
L 4 IP4
Id .4 11 k Id IIItk r t. . I I .. . . I . 1+ 4 d tItFra me� I I I . . I I Iitd.
d , 11Id d t L dL' 4 1 1 '1 1 1
L I p
1r r4 'I r I
m #%a X 1AIIII "rr It 't "p'
11 L 6 k Itk Irs, ,p 04; I 3r itle t 'rI, tFinal
r 'it j+ ItII
I i, f r
Itr 1d Ekk d r I I r d r r 6 r Itk r I I 1 4 k I
4 1 1 1 1 L , , r 3_ k ttIfk
d Id r d k r I r d:
k
k I IL
Ir k k . I I C, k I
r tpr
4 1
L It
4 r
r I L 4 4 It4 dd