660564.pdfI
POSTED ON KROLL MAP NO.:
BUILDING DEPARTMENT
77
Applicant FM
PERMIT
NUMBER
660564
ION
APPLICATION
PP ICAT
Inside Heavy Lines
n do avy Linea
jai H:
J013 ADDRESS
!PERMIT
�o F BINES
NAME (OR ! ME OF IBIUSINESS)
AM ( NA
I _R
CH R M e y rfi ET
CHARIE3 M. mAmfiRET
1
E OSS
E. ROSS
SIDE YARD SETBACK STREET SETBACK
REAR YARD BE
DRESS
MAILW�)7582 J� J� t I
2 1; 2 /j, Poy nr
USE ZONE LOT AREA
VACANT SITE
I CITY TELEPHONENUMBM I I [] YES [3 NO 0
_,3/A HEIGHT BUILDING AREA VARIANCE NUMBER
NAME Seattle Fki r, t .00 1- 1 1
—FL—OT PLAN APPROVED 04
Legal Description of Property (Show Below or Attach Four Copies)
Lo'us 2 nnd Assors Plat of Luschen's
_9ERC. —TEST
PERMIT NUMBER
addi-Lion T40. 4 as T)er at recorcd
FIRE ZONE TYPE OF CONSTRUCTION STR T IMPROVED
YES NO
in vol. 20 of -Plats on pare
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
[]YES 0 NO
rno.in-dr, of Synyllomlo'� Qnvmt�L
PLAN CHECKED BY
VALUATION TOTAL FXIE
WORK TO BE DONE
BUILDING
1 VALUATION
Z
Conntruct .erlice huil-dinr, con2istin
BUILDING PERMIT
Z FEE
of a 12X�01, A im-r-lc 2hoi-
PLUM33ING
3 PERMIT FEE
al-ca' lallrdry r00711' an,
:7�tor'�rre nn7l�la 4
HEAT & GAS LINE
PERMIT FEE
NEW
ADD
DE2sR
0 SIGN
FENCE
NUMBER OF STOR�IES
ONE 5
SIGN PERMIT
FEE
DEMOLITION
PERMIT FEE
ALTER
REPAIR
RESIDENTIAL
NON-RESIDENTIAL
6
=rELELINGF
Ro —
I UNITS. 71
PLAN CHECK
FEE
8
AMOUNT DUE
-)02.'1r1C0 M:'ca. I W - fbl U I
I hereby acknowledge that I have read this application: that the In-
formatlon given Is correct; and that I am the owner. or the duly author- ATTENTION APPLICATION APPROVAL
Ized agent of the owner. I agree to comply with city and state laws regu- THIS rERMIT This application Is not a permit until
lating construction, and In doing the work authorized thereby, no person AUTHORXZES
will be employed In violation of the Labor Code of the State of Washington ONLY THE signed by the Director of Building Inspec-
relaUng to Workmens Compensation Insurance. WORK NOTED tion, or his deputy; and fees are paid, and
IE1c,11 Demolitions which shall receipt is acknowledged In space provided.
NOTE: Permit Limit One Year be completed In ninety days..)
INSPECTION
SIGNATYILE (OWNER OR AGONT) DATE SIGN DIRECTUR1,11IGNA, U
DEPARTMENT
7D CITY OF
NOTE: Appli"nt Subject to Plan Chech Fee EDMONDS TE
PR 6-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways, FILE
marqums, etc.) will require separate permission.
I
I
-1 -.11-1....-1-1 -1.--....--...
6 IM-
9
Drainage
Sewer
Parking
Landscaping
Fire Dept,
RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Paill.al)
(Rough)
Frame
Furnace & Fuel Lines
Final