670541.pdft
BUILDING DEPARTMENT Applicant Fin
Inside Heavy Lines
PERMIT APPLICATI N I
N,%M (Olt NAME OF BUSINESS)
GLEN DALL CONSTiWMON
CU-
MAILING ADDRESS
23728 91st P1. West
CITY
AM MBI
Eidnionds, Washo
Pr. 6-2482
NAME
GLEN DAIE CONSTRUMUN
CO.
AD 88
23728 91st Fl. 'Jest
CITY
TELEPHONE NUZA
Edmonds, *,Iash.
PR 6-2482
NAME
GLD1N DAje CONSTRUCTION
CO.
ADDRESS
23728 91st Fl. Uest
CITY
TE"PELONE NUM
F4wnds., Vlash ington
I
PR 6-2482
STATE LICENSE NUMBER
I CENSE NUj
223 01 863
1
Ecoml Description Of Property (Show Below or Attach Four COPIC
F71-
NEW
RESIDENTLA
"A"
LINE
R
NON-RESIDI TIAL
SIGN
0
---
RETAINING
r_1 WALL
ElALTER
DEMOLISH
EXCAVATE
PENCE
OR FILL
ED ( x Ft.)
REPAIR
PRE -MOVE
INSP.
.......... ..........
swim
1:1 POOL
NUMBER OF
DWELLING
Single
2'
UNITS
Farail-v
N KROLL MAP NO.: PERMIT
�,7n 541
NUMBER
103 Ae�
-
E88
/ 9) —
M SETBACK
STRjtET SETBACK
REAR ETBACK
Z-/
I n' f
n
LOT AREA
Es 13 NO
I BUILDING AREA
I VARIANCE NUM Ad
STREET R/W
EXISTING STREET R/W DErICrWCY THIS PROPERTY 0
COUP. PLAN ST. R/W
REMARKS I
By
04
METER SERVICE SIZE
CLEARANCE CHECKED BY
REMARKS
[] YES
PlanCheck No .....................
PROPOSED UBE
BUILDING
PLOT PLAN (Indicate Building as abutting streets) PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
I PRE -MOVE INSPECTION
A W ON pie tv�. EXCAVATION OR FILL
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 Iowa regu- ATTENTION
luting 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 PERMIT
r%olatlng to Workmens Compensation Insurance. AUTnORIZE9
ONLY TIM
NOTE: Permit Limit Oite Year (Except DEIMOLITIONS which WORK NOTED
shalt be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted In IX the.V)
GNA7U/ /ENT) INSPECTION
(OV�/N,F.J, R ALF DATE SIGNED
DEPARTMENT
CITY OF
EDMONDS
NOTE: ApplicanASubjcct to Plan Chcck Fec PR 6-1107
This Permit covers work to too done an private property ONLY.
Any construction on the public domain (carbs, sidewalks, drNmays,
mLrqums, etc.) will require separate permission.
Valuation
0 YES 0 NO
Fee
6-0
;?,-5 0 1 (4- ('No
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.
DJRE "TQn'S III 9IppuRE 9
/ I — V" r
FILE 8.15
I
I
-The South 73-00 feet of the North 156.00 feet of Tract 31, Skelton's
lake McAleer Five Acre Tracts, according to the Plat thereof recorded
in VOlLune 6 of Pldts, on Page 21, Records of Snohondsh County,
Washington; EXCEPT the "Jest 111-00 and EXCEPT the East 80.00 feet thereofi
lt�!eLIAJ
C/,- jd� 4 016
As/, daps�v C,4, 77�1�r
kp /1 -0 Ce ae_kt_01 A Pe C IV61)f
Ile 4,�
S41
RMORD OF INSPECTIONS
ho/ Date Passed
7�- dold "e.1 'A��
FOUndation
Plumbing (Partial)
(Rouoo
)4
/to ele 14 61r� Frame
-3
A/W Furnace & Fuel Lines 4- F M
Final