670233.pdfF.
BUILDING DEPAXI RNI Applicant F111
Inside Heavy Lines
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
Josep� CVA.&VCAV-0V;CA1
zu— I'Ave. 119.
r- PHONE NUMBER
AV^0VjS. Wv%. S 4436
dill
:)RZSS
T — I TELEPHONE NUMBER
!M
etsca�dz
DRESS
20&4;re,oy% %,&
TXI�ONE NUMBER
44 Le - Of f
x #4 3 - 01 - 4S G +
Legal Description of rroperty (8111
1 �4- /_ 7"�' -,
11
or
RESIDENTIAL
El
GAS
LINE
NEW
NON-RESIDENTIAL
SIGN
RETAINING
WALL
ALTER
DEMOLJSH
EXCAVATE
OR FILL
PENCE
( .......... x .......... Ft.)
REPAIR
PRE -MOVE
INSP.
swim
POOL
NUMBER OF STORIES
NUMBER OF
DWELLING
UNIT$
AID
PERMIT
NUMBE11 670233
-f
oe
0 YES
13 NO
UMBER
EXISTING STREET R/W ............ rr- DEFICIENCY THIS PROPERTY
0
COMP. PLAN ST. R/W ............ FT- ..........
REMARKS
Z
CHECKED By
14
ME WE SEE I San FE SIZE CLEARANCE CHECE3M BY
TYPE CONNECTION
VERIFIED BY
PERC.TEST
PERMIT NUMBER
REMARKS
FIRE ZONE— OF CON13TRUCTION STREET IMPROVED
7 1 [1 YES [I NO
INSPECTOR REQUIRED
OCCUPANCY GROUP
[3 YES 13 NO
I
-
Plan Check No ................ ...
PROPOSED USE
BUILDING
PLUMBING
PLOT pLANgj*j&jp iufdlng Beth "Outting streets)
—
HEAT & GAS LINE
FIR
FENCE
'Me! 1
oar%
SIGN
RETAINING WALL
SWIMMING POOL
40� SF
DEMOLITION
PRE -MOVE INSPECTION
2-4
EXCAVATION OR FILL
-6
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given is 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-
bntlug construction; and in doing the work authorized thereby, no person
ATTENTION
will be employed in violation of the Labor Code of the State of Washington
rel&ung to WorkmgWs Compensation Insurance.
NOTE: Permit Limit One Your (Except DEMOLITIONS which
TIUS PERMIT
AlUTHOWZES
ONLY THE
WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
OR AGENT) _5XTE SIGNED
INSPECTION
DEPARTMENT
CITY OF
Li EDMONDS
NOTE: Applicant Subject to Plan Check Fee PR 6-1107
Tian Permit covers work to be done on private property ONLY.
Any construction on the public domain (curb#, sidewalks, driveways,
marquees, etc.) will require separate perml§8100-
Valuation I Fee I Receipt No.
I / ;?— s— 0 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.
1-5--67
FILE
N, —
TO 1. 0, ON
to INW., "N.0 11
or, 1 1 1 1
rort4 I or ... ... or,
if
dr� I . 1 .1 1
or .1 1 1. it I
to' I 'd
r,
I I or I for
Or:
r IN, or I Nor
� I 1 11 A or. 'o;
or :,p 1 1 6 1 1 1 ;� ro� or;
1p: f
or
oi
Or NI
I I or 4 1 1 1- 1 it Or. I I I; I r 14.6 or of .4, 1 1 .1 or, 11 1. :1 r . I . . %o
to No
it
14 1
k"
:, .I . I ; , I ]i i t I�l j % 4
L
It. I I I
I .,or 4 1
It to
Np
IN
I V., I Oil, ING. I r, I I I I I, I I I
'A n ' 4 IV I or No
to,
or 6
OLI
et of
Nor roor, Or or
it I —or, 4
N-I v , , I I I or It
Iij I.
oj� 'ro' If irro,
ro'
ir
floor, I, d Z
4 1 1
k vb-
roo� O,;� froo, riot —.ror". I I I I 1 .1
ON toot'? N,, I ri, I
I
ZrO% I
N 4 Or I I r I I . I . . I . . I
to , or I I I
:p
4. 1, k, - Oo,
or
4
I No
I P:
IN
or
or,
PON, 4 0 or
6�� " I . I I r fro I or I I
p Ir rO' .1
rr to
t'r or I
'41
Or I
N; ON, i, r I orr`orrr� I I I I I I I I
I . I I I . I i I I Nor I
INN, .1 ol, t
Nor, to r'-- I
No
I Ly 1 4
% I
po
IT for"I" tor I t To
It
t- I or; t -'al
o 4 j f . Of, It ok
4.
IT kI I I.
N',
of. or
root to So I
0
To
) ioo� ort
ON
or"!
0, 1 111 IN 'S V. I it 1. 1 1 1 1
r' I ' 16
I or 4 0
or
T,
r
I ON
I of , :
r . "i or IN 0 '1 ON, or, I ON No I or I Cr I �r . I . . . . OO�I NO 'Lro'Nr` f No . I . . . . or I r I
or.
to
1%r I
ro
OL f To
W,
or If I j ',I I or I or
or
'of:,
N r,
N or
ri I
I tor or I
rotor
& too,
I or
,eo?
4e
,t4r$uv
too, i
I P. I I
4
% rr
if -to
If
f No r. I I 4ro;)L
41
.1 or
do I t I
1%
or r
or
or I
RECORD-rOF INSPECTIONS
IL L' -'rr, I r... 171 1
or
r, If
Ir r
Date Passed
I I or, If I to, ON 'I,
It I '.L; ;4k It I, I I Orr
It
"It
f .1; IoNo I. I - % I.
I or I, r
Foundation
I or r or I I L 'N I I I I ir
I T I. I or I I I I or I I I 1 0., 1 .1 1 1'r "tro f r I It I
I to, 0 111 r ol 'V% r
P'
Plumbing (Partial)
I r: or 1
I I jt� yr Tit I I I
or"
to, (Rough) 1-1
I
I I r ; , 1 1 1 � 6 do., 7 7 1 0 1 1 � or I Tro,
Fra
me. 1
I LL I
'4 or
I
Furnace Fuel Unes
11 1 or I
I I e 4 1 1
LL I I I
.4
or: or
Op"o,
L Final
I or I I '.I I
I I tI I I I I I N. I I I I I or I I I t I 1 4
q I I
or I I I I 1 1. r I
I 1 4 1 1 1
1 11 or I I I 1 5 1 1 or 1, 1 Or 1 1 j
I or I N I I I I
it I I
I I I or;. i r I I I I
I L! I . I I a or 1 4 No I I Lj rf I
I NO 1, 4
or I I or rL I I% r
IN.d f'o
or 1 '4
0' ;4roor
o 111 4 . I . I . . I
Or I I " ,
I I or or I i or
r It 1 .1; �k YIN or 1 1 IL
N,ro, rrT'rj' J, j I
.1 1 1 1 .1 1 Or I or I I I, ki I I I t I, I I I Nori, "'r Nor, .4 1 tji- or
j roof I'%% t I 1 1. 1 1 or., v N to I q%pr p. fori I o"..Itiort, or . S ro
oil ro 1 r" orr: No I I N 11; 1 1
Or IL ' " ii I I :r, I NI , 1; it I North tj rp Ky7f�rL 0 No ropprr�r
" . v — I I I
% r,d b tj IN to 'r or 7N WC51,
Nr.:
It NO 1, , 4 ! - B
q I or or
ri� orr L, I p ji^ - I or IOL it I, " I I I i
I I to or o I 'N", % I
T.! It . I ." 1, it IA
it N, frot,
If
4
rrrro�orrcj