660289.pdf1: - ..
0
_NKROLLMAPNO.:
BUILDING DEPARTMENT Applicant Fill
PERMITAPPLICATION Inside Heavy Lines JOB ADDRESS
NAME (OR NAME OF BUSINESS) Yr-7
or
Z
W
ff /
01'FivoAr OV60
2&erurio Pv6o gy ^eoaAso
IV 00� NUMBER OF STORIES
ADD I
NEW I DEMOLISH FENCE
ALTER RESIDENTIAL NUMBER OF
DWELLING
9`�PAIR I Ej NON-RESIDENTIAL UNITS
PROPOSED USE
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.
Ized 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 Workmen's Compensation Insurance.
(Except Demolitions which shall
NOTE: Permit Limit One Year be completed In ninety days.)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, drivewayn,
njurquees. etc.) will require separate permission.
........... ... ..... ..
PERMIT
NUMBER 660289
r"a ae� . 01
0 YES 0 NO
HEIGHT—
BUILDING AREA
VARIANCE NUMBER
PLOT PLAN APPROVED
REMARKS
REMARKS
METER SIZE SERVICE SIZE
CLEARANCE CHECKED BY
I
REM -ARKS
TYPE CONNECTION
VERIFIED BY
PERC. TEST
PERMIT NUMBER
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
I [3 YES [3 NO
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
0 YES 0 NO
I
BUILDING
1
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
SIGN PERMIT
5
FEE
DEMOLITION
6
PERMIT FEE
PLAN CHECK
7
FEE
8
AMOUNT DUE
ATTENTION
This PERMIT
AUTHOIUZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
16--a � 0 C7
_10TAL FICK
0
C)
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.
DIREqTO�R.-s IGNA
1_?
FILE
-Ikr -a' c 41
vic-�, to vol. 3 0 '7 -
a
&3.(S J�dmonds So 47
tbat portion 0 scribcd as 10110vis- BAAP -3
Snohomish County* do hol-Ice north O'j 281 1211 Last
-ornor 0
'6 41000rds Of f tract 15 t
I I orth of . s);j c
and IL111 N 1,10st t:-o- 2001 par -"I
East 9
-ho Ea:�'U- coNorth W)1141 13
lino 1591 ULM uth 0"29 10" wo s 'U* -3119
p1rallol to t 1. " &
3ai I�5L,16� thonco 20
-L Iin a Uract Djjjjj[;-,Of parcol "B
UO tho Soutl a of I, fro,,, tjio bc.,p*,i
IG (TV 0.5t 15 -'ant 13 1
L j: land 201 'In
a strip 0
0.31 thonGo so t'
--id ov('r
aL
-13AAP Or;, VLAO '-lost
a-, 0ascillant fol'
also " I
in cjoscrjj)od as f 0110"Ws
d-'h t1-10 ccl"6c)r 1� 1:1 outi-I 6cp L14, 1 13"
Ij. U .1 - .11 —10 Sjj co:c-nor, thonco s
f tract 16' 1931 north OIL ul loss to a point Wllic'fl is
I :-Lne o I '- _,p
East parallel to uho Oou-h
Jim 211.U0 M01 on
toCethov ,.I:L,,Uh an easell, -L 01
i;ractjQ .
1001 ..Test of -'U-'Ilo cast 1-inc
- 4 *, e lillo ovax- a strip
of said
of Jand
21 in
h , -1-10 cejy�ar which Is
i-lidt U
tract 16, 19-71 West
r
..jate ) -T) J., 1014s BAAP
doscri�o�l as 'O'l '
on tjna
South b9undory Of
1,jort*h 6`531113" 'West 37 151
of tho Sou-'cji East Corner
tharoof,
thenco
or
Loss to a pbint on t*no south
a -t
Thonce nort-h b'�).1161 13" E,
113 -61
r-'Oro
line 0*.�p papcol A
I