660338.pdfbl!
11iDlInG DEPARTMENT Applicant m
PERMIT APPLICATION '"'do Heavy unes
[AW0 (OR NAME OF BUSINESS)
'e a. "elc a
WELNPIRLUVE NUMBER
0
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a
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N
PERMIT 660338
NUMBER.
SET 9 ACK REAR YARD PETBA
A I VACANT SITE
[3 YES 13 NO
:D"Mption of property (Show Below or Attarb Four Copies)
E CONNECTION
PERC. TEST
T NUMBER
FIRE ZONE TYPE OF CONSTRUCTION
STREET IMPROVM
E3 YES 0 NO
up AL INSpEcrou REQUIRED
13 YES [] NO
OCCUPANCY GROUP
PLAN UaZUKED 13Y
VALUATION
2
BUILDING
VALUATION
J40,
==LO =rAL=F.96
WORK TO BE
DONE
2
BUILDING PERMIT
FEE
car Sle il e
3
PLUMBING
PERMIT FEE
14
4
HEAT & GAS LINE
PERMIT FEE
NEW
SIGN
DEMOLISH FENCE
NUMBER OF STORIES
5
6
SIGN PERMIT
FEE
DEMOLITION
PERMIT FEE
_—RESIDENTLILL
ALTER
REPAIR NON-RESIDENTIAL
NUMBER OF
DWELLING
UNITS
7
PLAN CHECK
1 FEE
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 allthOr-
Ized agent of the ovmer. I agree to comply with city and state laws regu-
latIns 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 Wortrmen's Compensation Insurance.
(Except Demolitions which shall
NOTE. Permit Limit One Your be completed In ninety days.)
IIGNATP13B (OWNER Olt AGENQT) DATE SIGNED
'00�/ /Z"/; 111_1e*f'Z I ';z? 4
Applicant Subject to Plan Check Fee
This permit covers work to be done on private Property OINJUX-
Any construction on the public domain (curbs, sidewalks, drivew"s,
marquees, etc.) will require separate permission.
81 AMOUNT DUE
ATTENTION I APPLICATION APPROVAL
Sk
I
to
THIS PERMIT This application is not a permit until
AUTHORIZES signed by the Director of Building Inspec-
ONLY THE
WORK NOTED tion, or his deputy; and fees are paid, and
I receipt Is aelmowledged in space provided.
INSPECTION 6 F
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
UVW5
quarter of Southeast quarter of Section 13, Township
Pt Range 3 East, W.M. described as follows:
Inn ing at the point of inters ection of the centerline of Second
6t with the center line of Newport Avenue, all as shown on the
Inal t of North Edmonds, Washington, according to plat there
ft
g pla h County,
recorded in volume 2 of plats, page 75, records of Snohomis
re
,�*.-. . -'Mashington; thence Southwesterly, along the said center line of
t'o the true t of beginning of this descrip
Str 54 feet poin
eet;
ti 6 n - thence, from said point of beginning, run Northwesterly, paral-
Southwest-
lei with the center line of Newport Avenue, 150 feet; thence
.
with the center line of Second Street, 80 feet; thence
orly, parallel
southeasterly, parallel with the center line of Newport Avenue, 150
center line of Second Street,
feet; thence Northeasterly, along said
80 feet to t he point of Igeginning.
RECORD OF INSPE&IONS
Date Passed,
FOUndation
Plumbing (Partial)
(Rough)
Frarne
Furnace & Fuel Lines
Final