670239.pdfPOSTED ON KROLL MAP NO.:
BUILD106 DEPARTMENT Applicant FM
//f &or
PERMITAPPLIC Inside Heavy Lines
J013 ADDRESS
NAME (OR NAME OF BUSINESS)
Y 5-0 71
BIDE YARD SETBACK STREETS]
T6 0 g Gr
ZONE LOT AREA
UR
j
Wrl TELEPHONE NUMBER
� I a, I
QD 1-4 0 rn V- ov i
HEIGHT BUILDING
NAME
CoHxYL L.E% C LAU E_
PLOT PLA PP OVED
01
STRKPT IL/W
EXISTING STREET R/W
CITY TELEPHONE NUMBER
J !2.m.
COUP. PLAN ST. R/W ..
—Iffi—LARKS
NAME
V i� 13 w i &.,o wrL c,
ADDRESS
S �tw_ A�'%OWILWO
ME
MM SIZE SERVICE SIZ3 CL
CITY TELEPHONE NUMBER
C(
r TZ V - a %-k
STATE LICENSE NUMBER CITY LICENSE NUMBER
A-2 — 15- C) I- el,
Ra�A;_
TYI��ONNECTION
gas , of Property (Show Below or Attach Your Copies)
4
Z
*2 7-3
Is t-3 Co. V6_3
GAS
RESIDENTIAL LINE
r
NEW
11:1 NON-RESIDENTLILL D SIGN
ADD RETAINING
WALL
DEMOLISH
0 EXCAVATE PENCE
ALTER
n OR FILL D ( x Ft.)
.......... ..... . ...
REPAIR PRE -MOVE swim
El INSP. POOL
ra
TWO
NUMBER OF
DWELLING
UNITS (0 M
NATORE OF WORK To BE Dorir4
0 �Ze'*'r TZ L) C-r ej I K�p C,
PROPOSED USE
AA&MLICate
BtulalDg fiCtO&CKa, Abutting 8trcQt5)
A
117. A,
c"
j.
lo 't.-
l..o
I hereby acknowledge that 1 hsv6 read Ulls 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-
taunt conStMCUOU; and in doing the work authorized thereby, no person
will be employed In violation Of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit Oita Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be oom.
pleted in six months.)
NOTE: Applicant Subject to Plats Check Fee
Thin Permit covers work to be done on, private property ONLY.
Any construction on, the public domain (curbs, sidewnlks, driveways,
marquees, etc.) will require separate pemissloa.
YES
Plan Check No.
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
A7=NTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDIWONDS
PR 6.1107
PERMIT
NUMBER
2
YES C) NO
VA—RIANCE NUMBER
PROPERTY
13 NO
ROT�
!SIS
I VP�_6�,a5s I
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.
3
q
I JltA
I -I "I III I I I I I I . I I I I � l I I I J II I 10 1. 1
tlz - I I J I l 1 4 11 1 IS" , I 1 -1 1 1 1 1 1 1 , I � I �' I I I' �,
JI J? I ;I I I I I I P, I .... It I , 1 1
ILI "t ... I I l I I I I I I I , .,I. l; I I , I I I 'I"II LIt '1 1
I, r 1 41
�4 1 1440
It
r
P' I p
p
.1 ll d
141;1 1 c T,
d
I d 1 1, It ItIOloo
I p
NkI p
P
It
I � I I , I I I I , ; I , I - t I I I 1 -4 " , I , p
It @IL l,' I p I—'
t�, 1 4'.0
4
d
'd I I 1 11 1 P
'L t
d
P, lII-dI ;L
4 1
d
L
d 4 1.
d II
1, 4 1 d !J I
JI 4 4 1
Ob
p I I I I . 1 1.4,
d
L
7d
d
N WILP
'p AN
rp I
3
4 I'J, I It
k
P_ I
I P;T1.
I ,.I LLLLLLLLLLLLLLLLLLL LLLLL
4 1, 7 L 'I
I , L I . I '_ I I � l I . I . I , I ' ' I I � L _, I I I I I I I : r , , I , I I I L ;
I I I I p I 1 1. 1 1, : ; . I I
ls 4 N; I j t N % �'
-I I,, I "Ir IT "'Il ol
11 1 1 11 L" I> — I I I N I I 1 .4 1 " I Y,
f l4 J
-J Tounclatlon,I1,
P,
� I I- t:� I
P1 U
I"t 1 4 1. mbing (Part
d (Roul
I I p 1 9 9
1 4 1 4. L 1. 4
I r I I i K; 'J F
Jp I L' ro; rame
o t�V i—1 1AI 14 .JI 4 it 4. 1
p
0 � I I, � III I I I - -- I I : ri
I I d. Furnace & Fuel
I d I It I I .... I I
to 11,,t
Final
d
III I�v, 11 1
f It
I p
LI
oy�." - I I I
It I
I I
V I I "."I
.1 '"l A I L
J
5�.Jfi ;�tkt Jill
Ll
I d
t
IT
14 JI I I I tJ
4i.
Jl4' 1
p I I
I'L
At
I oif� 1 '4
L
d
It
d
d
d
I
4
r
L
I
I p
k I Ld
Id L L L L
4 f
IJ I
t f
I Ilt I, I I
p
L
p
I r
k I
3
I L k
I d
k
6 1 p 4
4
d I
k I
p I I t d I r
p J, , I I I Ij I p I I .
4 d I I
e%
L I
L L 4Z ;I
k
L J:I
10 4
k
L 4
d
d
p
p
L I
k d
I. t k I L
k
I k . I I L I L I
p d I
r I,
p
d
LI
pp
LLI I
'k
1 4
I It p 10 It
r I I - L t
I I r k
4
or
tII I
IN
'I(31� d t 1 0 1
p
t"f, %J7 ;ltt7I
III'llId'I'l
p
IL I
-Ji I
Id
It I L
I— k
k . .
It L
p
p 4