670126.pdf-,77
77
BUILDING DEPIRTMENT Applicant MU
PERMIT APPLICATION Inside Heavy Lines
or
Me IV,
STREET IS/
EXISTING ILEET R/W !..FT -
COUP. PLAN ST. R/W AW-FT.
q
1, (
PERMIT
NUMBER 670126
Tt4-,d
M VX_
NO
DEFICIENCY THIS PROPERTY
... dLin.
� I I I b131 I I --r-r7� 1 1 a -fie 0 No
[3 YES
L!:I—RESIDENTIA
L 41
LBITGON;
NON -RESIDE TIAL
RETAINING
WALL
ElDEMOLISH
ALTER
EXCAVATE
OR FULL
FENCE
( .......... x .......... Ft.)
I
REPAIR
El
PRE -MOVE
INSP.
SWIM
POOL
-RU—MBER OF STORIES
NUMBER OF
DWELLING
UNITS
Valuation I Fee
Plan Check No .....................
r 'an Ch e ck
PROPOSED USE
N
BUILDING
B I G:
4G
PLUMBING
P 7
UMB
PLOT LAN (Indicate Building 8
t
streets)
HEAT & GAB LINE
HEAT & GAB!!E
E
PENCE
]6ENC
E
SIGN
SIGN
ratreeta)
RETAINING WALL
RETAIN
SWIMMING POOL
MI
EMOLITION
D M LI
RE -MOVE INSPECTION
P p E Mo
I;zl
EXCAVATION OR FILL
J
r
Ff
TOTAL AMOUNT DUE
TOT L
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 allthor-
Ized agent of the Own0r- 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
r*I&Ung to Workman's Compensation insurance.
NOTE: Permit Limit One Your (Except DEMOLITIONS which
"I be completed In ninety days; MOVED.IN BUILDINGS shall be com-
pleted In six months.)
Py
NOTE: APPlicant Subject to Plan Check Fee
This Permit covers wor to be done on prvate property ONLY.
Any construction on the Public dOmsin (curb@, sidewalks, drivewitYso
marquees, etc.) will require separate permission.
��t4 I /��, I e�?
No. I '
ArrF,NTION APPLICATION APPROVAL.
THIS PERMIT This application Is not a permit until
AUTHORIZES signed by the Building official or his Dep-
ONLY THE
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged in space provided.
INSPECTION DIRECTOR'S SIGNATURE -7., 17
DEPARTMENT
CITY OF
EDIVIONDS DATE
PR 6-1107 ks. —
Film
fir,
.4
1 It. �X;r if 1p I f r
.14
I vl
lf�
14,
j.4 it 7 1 . I
If f
If d
'fr
ft
f 4 Id 4
t j,>
10
I I r r
I d
If
.4444111
11
I p
rr 14
i 4 If If d f
.41
r f
If I
If
.41 If
If
r4 4
If
'f pr r
I d
ff ..... I
4 1 1
If
r jf� r r r
r I
3
el —1
z1-
'i
'If
I
4 p
OF 4 r
REC IM 'r
f I.. Date PW*ed
Sewer
f ii. Parkin&
Landsc f
F ept
I d
If I I INSPECTIONS
I V�
Dat Wd
'p P�
I. Lp
If
;3 A
Foundatio" f
I
L. L L f I I Plumbing (Partial)
L Noah) I
Frame L :zIi& 5 7e 'L
e I'
FurnaC L
L FinW L
L f
f'!pr zp.�