670497.pdf7 BUILDI NG DEPARTMENT
PERMIT APPLICATION
(OR NAME OF IJUBINESS)
NAME
P_ tstruction
P_ SmIjaillor-sen Cor
Applicant F III tJdl j�:
Inside Ileavy Lin JOB ADDRESS j / 4f 0!�' —
Construction Co.
PERMIT 70497
NUMBER 0
ll)�iB�NG'STREET R/W ............ FT-
DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ........... XT-
I
_�_UXCIC9
BY Z
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Z
IQ
S 1001 of N 2101.2x W. 180, of S*Y2 Of PERC. T
i#�Kof WY2 of NEY+j(7:r6%ction. 30 Townshi�p
3 1 Grill"tZr REMARk
I
01 f
Rh along w line. and E ?61 of S.-100' 0 .310
W. -18e, eil 9- )i ef W !� ef �* ef NE14 Of
FIRE zC
�Vlon 30, Township 2-7-N range
-+of Secti
W.M. —777
��VnT.�
RESIDENTIA
0
GAS
LINE
NEW
I
NON-RESIDI TIAL
SIGN
D"�
RETAINING
WALL
DEMOLISH
ElALTER
EXCAVATE
OR FULL
FENCE
( x Ft.)
.......... ..........
REPAIR
F-1
PRE -MOVE
INSP.
swim
POOL
—F
—NUMBER OF
2
DWELLING
UNITS
I I � �', -I --v -P &
Plan Check No..:4L—kJ
PROPOSED UHN
BUILDING
PLUMR[NG
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
FENCE
t
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL A31OUNT 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-
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
relating to Workinen-5 Compensation Insurance.
NOTE: Permit Limit One Year (Except DE31OLITIONS which
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
shall be completed in ninety days; BIOVED-IN BUILDINGS shall be com.
pleted in six months.)
INSPECTION
DEPARTMENT
CITY OF
31ONATURE NER—OR AGENT)
VATN UIUNED
I
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
JIB 0-1207
I ';Z 0 60, 5"01 W eq I'll
.0
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.
marquee&, etc.) will require separate permission.
I
&HIM
THE APA BUILDING... HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this — 26th —day of NOVEMR -19 68
CHIEF BUILDING OFFICIAL By --j --
This certificate shall be posted In a conspicuous public area and shall not bhe remov , mutilated or obscured and shall be main-
tained in legible condition at -all times. Any change of occupancy requires a new certificate.