670031.pdf7
BUILDING DEPARTMENT
PERMIT APPLICATION
MW
CITY
W]
Z_
F� NEW
ALTER
REPAIR
.5'.
..-.a R
&,Q.sx -
5�A-
Applicant Fill
Inside Heavy Lines
PHONE NON
PCITHY LIAA1
Show Below or Attach Your U01)
P1
aRESIDENTIA
0
Z
NON -RESIDE TIJ
F�
!IG'N
DEMOLISH
RETAINING
WAIZ
EXCAVATE
PENCE
OR FILL
( ........ . x . ....... Ft.)
PRE -MOVE
INSP.
swim
POOL
-j S'r� 42-
DWELLING
UNITS
P C.A.
,
-SO
EXISTING STREET R/W ............ FT -
COMP. PLAN ST. R/W ............ FT.
V4,10:
YES [3 NO
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
t SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given is correct; and thst I am the owner, or the duly authar-
ized agent of the owner. I agree to comply with city and state laws regu-
ATMNTION
I&Ung construction; and in doing the work authorized thereby, no person
will be employed in Violation of the Labor Code of the Slats Of Washington
THISPERMT
relating to Workma" a Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TIM
WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted In 0"ouths.)
IIGN WNER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
02-6-67
F
CITY OF
EDMONDS
VOTE: Applicant Subject to Plan Check Fee
PR 6-1107
This permit coven work to be done On private Property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
PER IT
NUMBER 670031
0 YES
;TBACK
NO
MER
DEFICIENCY TWS PROPERTY
.......... 1".
Valuation
00
13 YES 13 NO
1 .3,00 1
APPLICATION APPROVAL
This application is not a permit until
signed by the Building official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
IV
A�
FILE
50
'7
is If
I Lt
I t
e I - I I 'I? I -
it
t, ILI r
0, Nt Xr, 'I t% � I I I I I I I z I it If 4 IsIxti, $gpla-tf
r �,It .I �w r� � W" ti
A
r I ft .11)rd, f4f�fr -ft 4jcs:�, 5 V �j 't, Ile, "stll 0
I lt
I *S4 it S1
I lL f� , ""L t , j 0, 1
sip 311 , It ti;:.
1,St; Alf! I
Ist JiLSMI.%. 44��. w A Yj
fs_)� . ir. Ot, 0 1 1
'VI'l, V I - V119 0 , r: I I
A-1-444�1 s; woo, It, I l I , I
TY ;S-4 W; I :I,'. St :IS', I i -
tLSI-IfIr 'J.'r
tts� Id
Soft Ittlo
IS �'t Lj
tsf�. If 'fIL I r or Is '11741A, 9�
fT 'I sI -,- W IS I I�l r-`d IS S v1. It I aI J�'Lff, j'If -
stfl,. 'ge I I.. r �7, � I I j r, ls
.1 s.r t ;IS tl; IQ, N
Is,
r
t.1l I 't
,of 1 91. "t " , . . I .
41 r 4 1 Lt. k1orVA st"i 'A Is s4 ... I
"fit'
It
It, Iff fff-_%'kL'� 1;7,4 ot. It Is I I ��-d IS k if I
,I I e S Is III 4� tU
�-X�pr, Sp t I 'r " I .
'ILL
lu -LAA" _;�3
I I-S Its' 4L S 1.�
_411 V "'i 'fAjL �Aif� ssjlf�, fat 'L 'LI,,
Z:S-F�kvji , " ws
AI: )I," �i,:) la fWfs
,�,Jttl t,L, . I It I I I Ill l. I L I I- , , L , I 1, 4
4 f.I I'd' IF I I ITS ,
I tL sti'Ll
71 f:, j St rf . l"I . t 7 1 1 1 It
ir f-S I& 6W if If I `%I t;'Ij I I IV
Its. 1. .1 1 Ap jr.L, I I L�Sfr L
je'� _,tg
'10 ",4 It it ts' 'I�'Vttf' , l,, L
y4.jfs'
, 14 Iss "t's t.
fit
I Lr
"�t`L'S X04�11,Jji t."f""
KA q V, , '�jl , ' F "t
"Aq I. k'VS I IfALt', Is
Its, l4tw4II, t L' 1, 1 "d
I . IV I ..'I e".ff 1.
Lt --s; L?
It's. 11 L I'llp It t, L
If I Lt' t.1, 4 1 1' lt. I All I L L, 4 , I, 'I ." .' R�' I. I
kt,l :,tl. ;j'r fT,4
lIz , I
frf,
rjt,;;;ts , , ;IIIJ-11t d
r,4 IL41 �( ... .. 1 0 ..... I.
':1 4
r, ftfttItIIIIsffI
fts11 4
1ItLt4.d e r Lt III r r r r, .1 1 It LF .1 f IfIt)r
L .1.
fItLytt,ts,'PI 4,1 1r 'r I
sdr
% r If r I IIftIIfIddd 0 IfIW I sSSfILtfI1fttI t.1 jr, I... sr
s4111t4s IIrLI-
IL 1. tIIIp ft r,,, Lt tLtLt�; , L . II . I - 4
r
4
4 1
L % L. If
0 LL Lt L I L I Irr -L r
r I Id I r r r
r L r Id r 'r. r r r 1 1tIt L,
Ltll tItLIfqA m
IFj r r I L r I I I Ifirfl., 1IdL r L ItIft4 L
k I ttItL rr., r. r II . . . I . I J_ r
4 It I% I
fr 14 4 , . L L,_� tI4,rA; T r IIItI 4
ItL I I ' I
tIsItt
4;,v r t1It L
r sts, L lito It14 L 4 r II SIIL U 'L'_ 'r IL 4 Istile t,�AL!tt
I90 s 'L 1 4 ;t L ItLLL
Ir I ' It
Ittj
1t'Idj, k r ts I1r
ItIt. I . I I . I I . . I I I . . . . . . . .
?,I, " ' . L I . + IftIItr REC
.V' tFL*'NS'PECTIONSL
II . I 1 11; 1 . 1 3
1t I 4 Date,, P, assed.. . - L "I'. 1 4
. 4 L 'L I1 '4 '44
tiLlFo und ISation. 14 ITI I-1 s.t 1 14 1 . r 1 I sts4 Plumbihi (Paittial);-
IsIt%
IIts(Rough)
II I I I tt4 1 3 ? sk
I % I 4 L f 4
I I - L - - tFrame I L II . . ......... ft4 I I I A I
tNmaceII& Fu I u '44 It 1 1, 6,1 4� Q L ne I Is
Lt 1:77 tIt1.
ItL
It4
e %
IItf I tIr
4 ftt