660508.pdf7BUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINEES)
- I & I-ol
or
NO
CM. �
ICROLL MAP NO.: BUILDING
PERMIT 03 0 8
NUMBER 660'
IM? / z --.j —77—V-P� -
SIDE YARD SETBACK STREET SETBACK REAR YARU SETBACK
USE ZONE LOT AREA VAC SITE
C] YES [3 NO 0
HEIGHT BUILDING AREA VARIANCE NUMBER
PLOT PLAN APPROVED
h ot
NEW
SIGN
NUMBER OF STORIES
ADD
DEMOLISH
FENCEI
I
ft
ALTER
RESIDENTIAL
NUMBER OF
REPAIR
NON-RESIDENTIAL
DWELLING
I UNITS
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-
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.
11x,,11 Demolitions which shall
NOTE: Permit Limit One Year be completed In ninety days.)
NOTE: Applicant Subject to Plait Check, Fee
Thin Permit covers work to be done on private property ONLY.
Any construction on the public dumain (curlim, sidewnlks, driveways,
nutrqueem, etc.) will require separate pernilmKinn.
[:I YES
TYPE OF
01=9
0 YES 0 NO
6
Z
BUILDING
1
VALUATION
It'-5-00
4
BUILDING PERMIT
2
FEE)
3
PLUMBING
PERMIT FEE
W
HEAT & GAS LINE
4
PERMIT FEE
BUT
5
FEE
-0
—
-i;EMOLITrON
6
PERMIT FEE
PLAN CHECK
7
FEE
8
AMOUNT DUE
0
ATTENTION
APPLICATION APPROVAL
THIS rERMIT
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
receipt Is acknowledged in space provided.
INSPECTION
, SIGN El
DfRV N
DEPARTMENT
4
CITY OF
DATE
EDMONDS
PR 6-1107
FILE
, j
W1111
APPLICATION � BUILDING PERMIT Appl. No.
CITY OF EDMONDS Building Department permit limit, one y
APPILICATION is hereby made for a permit to construct the following work, in accordance with the accom-
re submitted herewith for approval.
panying plans and specifications. Two sets a M
lot,
new alter Off -St.
....................... Parking ............. . ....... .
Workaddn repair ............. ...............................................
Use zone ..... jf�z ....... Fire zone ............................
Occupancy . ......................... Const. type� ..............................
-rD
Address.... z ........... ...... ................. .................. Lot ....... ................ Blk ........................ Addn ......................................
Lotfrontage ....................................... Area ............................................ Septic tank ........................................ ..........
side. ............................. 1. side .............................. rear ............................. . ;F.,
Bldg. set,backs front .......... . . .........
. ......................
........................... W
-1-4- — Y )� ........... Tel. 'g
Owner.A . ..... .............. Address.Zf?�O'
Builder.... Address. ................................................... Tel. No .............................
Plansby ................................................................. Address, ................................................... Tel. No .............................
Remarks..................................................................................................................................................................................
The- above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
*3
-Address ............................................ Date.. = .. ....
Signed Owner/Agent..-22:��--461�'�"-k ........... I .... .... ... . .
-7 ......
PERMIT for the above work is hereby approved, subject to the above conditions, and to comphmce with the ap,
proved plans and specifications, and Building Department notations thereon.
............ ...........
............. Recd. by.2/*`�.�i
........................................
Valuation .... Permit fee ........
Building Department, By .................. . ...................
................... Date .............................................
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OY . .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
APPLICATION BUILDING PERMIT ..... /-t;:r-r,67t
Appl. No . ................. .
CITY OF EDMONDS Building Department Permit limit, one year
ail ccom,
APPLICATION is hereby made for a. permit to construct the following work, in accordance with the a
panying plans and specifications. Two sets are submitted herewith for approval.
new alter Off -St.
Workaddn repair ........................... t ..................................................................................... Parking ..... . .. . .. . .......
Use zone ...... ......... Fire zone ...........................
Occupancy ................................ Const. type ............................... f.
Lot ............. ...... Blk ........................ A d d
Address .... All ..... ......... ......... ..........
Lotfrontage ................. 7 X.1 ....... Area ............................................ Septic tank .........................................................
e
Bldg. setbacks front ......... r. side ............. e� ............ 1. side .......... :!�� .............. rear ......... ........
........... ............. / .. .......... ........
Own ... Address.-:L "f 41 ...... 6 ......... Tel. No ...
Builder............. .................................................... Address ................................................... Tel. No ........................
Plansby ................................................................. Address ................................................... Tel. No .............................
Remarks..................................................................................................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
A
Signed Owner/Agent"4�',Y�Z� 'O.VJI� c . .. .... ddress ............................................ Date!2::
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap-
proved plans and specifications, and Building Department notations thercon.
Valuation .... z ........... Permit fee ................................ Recd. by .... .... . ....
'7 47T2
BuildingDepartment, By ..... . ............................................... ................... Date ............................ / ...... Z�/ ....................
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OK .......................................
.This Permit does not cover Plumbing, Sewer or Electrical installations,
I
APPLICATION BUILDING PERMIT
CITY OF EDMONDS Building Department
Appl. No. ........
Permit limit, one year
APPLICATION is hereby made for a permit to construct the following work, in accordance with the accom-
panying plans and specifications. Two sets are submitted herewith for approval.
new alter Oft"St.
Workaddn repair ....... 5 ... ..... r<-.- �-- ........ �; ................................. Parking ......................
Occupancy ................................ Const. type ....... Use zone ... 41 .. ........... Vire zo ne .....
7�-,--2 . ..........
Address...... ........................ Blk ....................... Addn ............ : A
Lotfrontage ....................................... Area ............................................ Septic tank .... ............
1. side ....... �25 .. ......... rear.. ...........
Bldg. set -backs — front ................ r. side ......... ...............
Owner ...... ....... Address. .... Tel. No..e
Address.................................................... Tel. No .............................
Builder ...................................................................
Plansby .................................................................. Address .................................................... Tel. No .............................
Remarks.............................................................................................. *"*-* ..... *"** ... * ... **** ... ** ....... *,**"* ..... **"*"**** ....
................................................................................................ ................................................................................................
................................... ............................................................ ................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owner/Agent .... .. ...................
Address ............................................ Dat'7�' 2� 7
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specifications, and Building Department notations thereon.
Yy
Valuation ............. .............. Permit -fee� ........ �0 ........... Reed. I .... ....... .. ....
Building Department, By .............................................. i4r-14 .......... Date ...... ...... 6? ..................
This Permit does not cover Plumbing, Sewer or Electrical installations.
I
i
14
APFUGATION BUILDING PERMIT
CITY OF EDMONDS Building Deparhnent Permit limit, one year
APPUCATION is hereby made for a permit to construct the following work, in accordance with the accom,
panying plans and specifications. Two sets are submitted herewith for approval.
new '--� alter Off -St.
Work addn repair ............ ................ Parking .. . .......
Occupancy ....... ...... ;':� onst. type .......... .............. Use zone ..... fZ:::. 9 ......... Fire Zone ..... Z5 ..................
Address.... ....... ........ .... Lot ........... Z ....... Blk ....................... AddnCP
...................
Lot frontage ............. . 4 ..................... . Axea ........... 7!a.2!Z.�! ....... Septic tank .........
If I
1. side .......... 7/ ... :t ...... rear ..... 1.5.1 .. . .........
Bldg, set -backs — front ....... ............... r. side ...... .... I .........
erul—,z), Tel. No .... 46: ...
Owner .. q ................. Addres&,:�.2e��:2ft� ........ 2 ....... .........
Builder ................ ..................... Address ................................................... Tel. No .............................
.......................... —
Plansby ............. 7 ................................................... Address .................................................... Tel. No .............................
Remarks.................................................................................................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.� Z-2
Signed Owner/
Address ............................................ Date.!��.2de:5�x
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specifications, and Building Department notations thereon.
...... .. 6-0:0) ....
Valuation .... .............. Permit fee ...... S1 ................. Recd. by. .......... .................
-7 .........................
Bu ilding Department, By ........................ ta:y . ...... .................... Date ...... �51:5-0 .. ....
INSPECTION RECORD
I-P
Fdn, OK ............................................ Frame, OK ............. . ..................................... Final, OK .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
I