670340.pdfPOSTED UN _XROLL MAJ? NO.: PERMIT
BUILDING DEPARTMENT Applicant FM
NUMBER 670340
Irmilde Heavy Linea
PERMIT APPLICATION
joB ADDRESS
NAME (OR NA ME OF BUSINESS)
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CITY I LZPHONM NUMBEr
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VARIANCE NUMBER
NAME
L i S DES i V03
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T101aursiON&I NUMBER
STREET X/W
EXI DEFICIENCY THIS PROPERTY
STING STREET R/W ........
CITY
tA M A. '30
COUP. PLAN ST. R/W
REMARKS
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SIZE 8ERVIqM
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VjCiff TELEPHONE NUMBER
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_RATE NUMBER
REACARKS
LICENSE NUMBER orrx: LICENSE
14-5 C)
TYPE CONNECTION
VERIFIM
is
L4914 Description of Property (Show Below or Att"IL Four Copies)
Wo n E�o N L_j JN6 REMARKS
FIRE ZONE TYPE OF
SPECIAL INSPECTOR R5
[3 YES NO
PLAN CHECKED 33Y
GAS
RESIDENTIAL I= REMARKS
NEW 1:1
LIXON-RESIDENITIAL SIGN
ADD ..j RETAINING
1:1 DEMOLISH WALL
EIALTER EXCAVATE PENCE
OR PILL ( .......... x .......... Vt.)
PRE -MOVE swim
El REPAIR INSP. POOL
DR OF
DWELLING
UNITS
NATURE 0 WORK TO BE DONE
Plan Check No ............ ... ....
PROPOSED U13E
V__ jN M t L� Ll "4 BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets) PLUMBING
10,
HEAT & GAS LINE
j Lii) PENCE
3rt 40 1 -0 t SIGN
0-r , N
081, RETAINING WALL
SWIMMING POOL
DEMOLITION
A
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given to correct; and that I am the owner, or the duly author.
ized agent of the owner. I &Me to comply with city and state laws regu. ATTENTION
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 THIS PEMKIT
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Your (Except DEMOLITIONS which WORK NOTED
ghaja be completed in ninety days; MOVED -IN BUILDINGS shall be com.
plet a nix months.)
III ATURE (OVWER OR AGE DATE 81 NED INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee PH 6-1107
This permit coven work to be done on private property ONLY.
Any oonstructIOD, on the public domain (curbs, aldevmlks, drl%vways,
ragrquees, etc.) will require separate permission.
NSA I �_Illice
Valuation I Fee
'�2. / 0
M
9.04
Ic/7-3-01 a?ol
APPLICATION APPROVAL
This application is not a pernilt until
signed by the Buiiding Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
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APPLICATIC-4 & WORK PERMIT on IF
AppliCELU N09 ..
Building Department Permit Limit, One Year
CITY OF EDMONDS
no ru Plans
RifIt ct the following work, in accordance with the accompanying
2FIrAIOLNrishereby made for a permit to co
.-. I I
NUMB:
2
New Residence ........ Ground Arm, .... 1.11're.1.111.1 ............... No. StorIesvv,1..1*.1.11
�Xew/Addn.
Galt
1.110
G Henrikson Consto Coo.2 Inc* Frame Height...
Const. Type... ......... ......... a...
.......... .. . ............ ...
Swat12
801 a,v 12th Avenue NoNo Fire Zone...'"""""'
Address ......... ....... ... . ...... Use Zone ... "eve
N''. le No. I sewered
.1ewood Villac
..... ever .. ... I .... I., ..... N0.06*.00 ... .... 0^
Block ............. ..... AMna
251* Sides,101
0115OX80 80 fte Mine Bldg. Setbacks, Front and
... Width.
Henriks on Consto Cool II
Address. 2136 eve NoWe 98th Ste
Phone," SLJ 011,11
ZINI ?.�:z jNIIA- I I I
Rztg%5--.y ov NO'..
". I 1 4
'.NllA I
0 .. I Col§per & Sawers Associates Addr 3206 are NoEe 12�thl
:1 Phm
--- 55A'a 1,qIIlNA..l NlNJJ ..I'; Seattle
A
A, --or1j"Al A
A
n Consto Coop. Inc* Address Same as above .... eve
...... r7o,Hdnrikso
N! All IN- by** - - ---------
I..
rd
IN
...........................
Heating
all IN,
Remarks ....... all
lea a I"
all.11111".
*0*00 belle
one, . . . eve *%*&a Pa.*& . . . . . . . . I I . I I . I I I I I . 0 . . . . . . . . . . . . . . . . . . . .
and I w" to comply with all applicable codes and State IAws regulating the worX
The above to a correct stat"t -low-ee l,
P
=F1
DateJ/A/**6**a5a.N,1I1
I
PERMIT for the above work is hereby sapprovedt subject to the above conditionst and to compliance with the approved plans
and specifications and Building Department- notations thereon*
IN. Are PERMIT F—MM
VALUATION
01111,
Bldge & 0 a 0 $ ....... 100.000
00, re
a,#*/
I . 0 ;1 9
Kvu�.ffif 2
Date......... ......... 6.7b ..... I ..........
BuILDiNG DEPARTMENT
AXP.. 11.1 ........... *0 ......
Plbgs a 0 0 0 $11,0vall"111.1111 ....... ..a
Heat a 6 0 a
Elect. 0 a a a $./.,i
Others
72
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NOTES* No work requiring Building Department or City Engineees inspection shall. be covered before Inspection and Wrovalo
Twenty-four (24) hour notice requested, Contact the City Engineer prior to construction of all site utilities, such as ;J
curbs, pavingo driverwaysp Bawer, water and street connectionse
IN
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