670180.pdfFBUILDING DEPAiRTMENT Applicant FM
PERMIT APPLI, I Inside Heavy Lines
1160rNAMM (OR NAME OF "7, T 71
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WAIMNG ADDRESS
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ED ON KROLL MAP NO.: PERMIT
/0 YA/ I NUMBER 670180
LDDRESS -64-
Ez a 6- -- 4 cc,
YARD SETBACK STREET SETBACK REAR YARD SETBACK
I M I %-A 'a It') ' M I %�-1 I / s. % M
ZONE L'U'r AREA VACANT SITE
[3 NO
HT I BUILDING AREA I V"I&NCE NUMBER
STREET'R/W
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. .... ....... FT.
REMARKS CHECKED BY
Z
14
METER SIZE I SERVICE SIZE I CLEARANCE CHECW BY
\j
�Zl —11 1
[U,--4i0S 0 NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
13 YES 'C3 - No
PLAN CHEC D BY,/
GAS
RESIDENTIAL. j 1
1:1 LINE RKMAAKS
NOW -RESIDENTIAL
DADD PXTAINING
DEMOIAASH WALL
PENCE
ALTER EXCAVATE
OR FILL .......... x .......... Ft.)
E] REPAIR PRE -MOVE SWIM
INSP. POOL
__9UMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
k Ale Uj A5 91 D E A/6 a
Valuation Fee Receipt No.
Z
Plan Check No .....................
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Building setbacks, abuttin g streets) PLUMBING
HEAT & GAS LINE
PENCE
Q: 11i
r OP �A t SIGN
N
RETAINING WALL
I F_ SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In- JAI
formation given to correct; and that I am the owner, or the duly author-
ized agent of tile owner. I agree to comply with city and state laws regu- ATMMON APPLICATION APPROVAL
iating construction; and in doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington THIS PERBUT This application is not a perritit until
nimUng to WorkmeWs Compensation Insurance. AUTHORIZES
ONLY THE signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which 'WORK NOTED uty; and fees are paid, and receipt Is ae-
shalt be completed in ninety days; MOVED -IN BUILDINGS shall be com- knowledged In space provided.
pleted^ six months.)
SIGN T RE (OWNER OR PENJ�W DAT OVER INSPECTION —DIRECTOIVE SIGNATURE
DEPARTMENT
CITY OF
r f EDMONDS
NOTE: Applicant Subject to Plan Check Fee Pn 6-1107
This Permit coven work to be done on private property ONLY.
Any construction on the public donmdu (curb@, sidewalks, driveways, FILE
marquees, etc.) will require separate permission.
I
LEGAL DESCRIPTION
FOR LOT C
-z
67018
..........
Ul
T�ir, So 41
FEET OF THE NORTH 162 FEET OF TViF WEST SO
FEET OF TfiC EAST 100 FEET OF THE FOLLOWING Dr,�ICRIBEQ 7RAC7,
C014 JENC 114G AT 111E
SOUTtivicsT CORNER OF THE NW I /4 or NW 1/4 OF
2�)) T27NO
UEO W-M,0 TIJENCE CAST 810
NoRm 192 FECT To
T14C TRUE POINT OF BEG114NI14c., '11<14CC. NORT11
'330,3 FCET TO MID
"NCE WV.5T 177 VCr -T
EXISTING FENCE I -INS; T11L
Ttiv-4cc iOUTH 330.3 FEET; THEM C, E EAST 177 FEET TO THE POMT OF
BEG I 1414114G.
Vt
no
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APPLIOATION
eirry OF EDMONDS
BUILDING PERMIT
BuMna DeDartment
Appl. No . ..... . ....
Permit litn% 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.
Off -St.
new alter
Workaddn repair ................... ............... ......... ............................................... Parking ......... . ..... I ......
WOO/
.............................. Use zone ...... 4t .... . ............. Fire zone ...........................
Occupancy ............................... Const. type..
......................
Address ........ .........
��.:d . ....................... Blk ....................... Addn ................
..............
Lotfrontage ........................................ Area ........................................... Septic tank .........................................................
Bldg. set -backs — front... ..... 62 .............. r. side ............. . ........... 1. side ............. sO .......... rear ................. I .......... I ......
Tel. No..29� ......................
Owner .... ;6L-Cel xld ... .. ........... .
..................... Addres&.J�
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.
.............
Signed Owner/Agent ......................................................... .... Address. ..............................
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.
................. ........... Recd. by ......
Valuation ........ ...................... Permit fee... ........ ......
Building Department, By .................... XO./* ................. . ...................
.............................
Fdn, OK ............................................ Frame, OK ............................ w ....................... Final, OIL .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
INSPECTION RECORD
APPIJOATION WILDING PERMIT
Appl. 140 . ...........
BulMing Department Permit unit, one year
CITY OF EDMONDS
APPMATION is hereby made for a permit to construct the following work, in
accordance with the accom,
panying plans and specifications. Two sets are submitt erewi for approval.
Off St.
alte!
Work addn repair .....
........................ Parking . . ...... . ...........
U
Occupancy ............................... Const. type ................ zone. ... 6u ..... Fire zone ...........................
Address..... ........ /. ............ Lot ....................... Blk ........................ Addn ......................................
Lotfrontage ....................................... Area ........................................... Septic tank ..........................................................
Bldg. set4yacks front ............................ r. side ............................. 1. side .............................. rear ...............................
L
Owne ....... Address ... 5.?z2Z.—..e ......................... Tel. No?5W1f42...T11.
..... ... ....
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.
Signed Owner/Agent-Z2*�.�.:..eU
Date.2—/-7.n%P;;
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.
............................. Permit fee..t----:� .. ............
Valuation .... .. .. Recd. by ... A . ....... . 7tee--� ..............
Building Department, By
M
Date..................................................................
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OY . .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
7.