680010.pdfM
C I I - 4
,
UILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION Inside Heavy Unes
NFAMIG (OR NAME OF BUSINESS)
C
ON KROLL MAP NO.:
PERMIT
NUMBER 680010
)RESS
ARD BETBATUX
STREET SETBACK
'REAR YARD SETBACK
LOTAREA
VAU
C3 YES 13 NO
BUILDING AREA
VARIANCE NUMBER
OVED
!R7W
EMSTING-11TREET R/W Dillria=CY THIS PROPERTY
COUP. PLAN ST. R/W
ADDRESS 7
R el- 5-s 02-
CITY TELEPHONE NUMBER
1=-,d P" S I Pif - 6 - I P0 0-
K-u ;i_ y twr dh w /_)i o�iy
r
A Na To s) aLl To
lyrsk 4N da f S'hol A
A .4 A � -) / —t-1- I-- __r,_ D A 10
NEW
ADD
ALTER
REPAIR
RESIDENTIAL
ro NON-RESIDENTIAL
1:1 DEMOLISH
EXCAVATE
OR FILL
PRE -MOVE
INSP.
El
El
El
GAS
LINE
SIGN
RETAnUNG
WALL
FENCE
.. ....... Ft.)
SWIM
POOL
[] YES %No
PLAN CHECKE
EB
NUMBER OF
DWELLING
UNITS
TATURE OF WORK WO BE DONE
,A A tj R o e;n
Plan Check No ......... ....
PROPOSED USE
M 4 kl'#? e 00 14 fy 6001
BUILDING
PLUMBING
PL PLAN (LnWCat6 BUttaing sett)Rcitm, abutting streets)
HEAT & GAS LINE
FENCE
t
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION On. FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
formation given In 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.
lating construction; and in doing the work authorized thereby, no person
ATTF"ION
will be employed in violation of the Labor Code of the State of Washington
TMS PZRMT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TIM
WORK NOTED
shall be completed In ninety days; MOVED-XN BUILDINGS &hall be com-
pleted In mix months.)
INSPECTION
DEPARTME24T
Orry OF
EDMONDS
SIGNATURE (OWNER OR AGENT)
irgi"
DATE SIGNED
1 12
__
NOTE: APPlica"t Subject to Plan Check Fee
PH 6-1107
This permit coven work to be done an private property ONLY.
Any construction on the public domain (curbs, sidewalks, drivewars,
marauscov etc.) will require separate permission.
I
[] YE13 13 NO
loup
Valuation
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-
Imowledged in space provided.
IT
T, PIT I wf� -I )I' TO eMlIt I T,,
IT. III f T T IT T. 1 1. .'It 1 4 T 'IT I I T
It. T I It IT I 1 1 1 I_,
IT. I I I i 43 : it j i ipe �V,q
IT
t.IM. 'A I IT IT
:0 IT IT 0 1 1 t I I I I It
I' I.I. ;d IT � " I Ill. L k I
11 1 1, TL T I I I I It ITT T' ",t, 4 1. 1 1 IT I I I'd I I - I ,LI I I IT 'IL IT I. I - I I i,
T, I T T "I. I", ITT F .1 1 1
IT ' I t e " I
ItI' Ili ., ', ' I I I I . � - I - j IT
IT If 'I T I I I -) . I
p-
I IT 1 1 1
IT: I
ot, ld
, L'� I'l , 1 T IT d.., 41 1.
I. - I IT I. I IT T T I I IT
I. T I I I I 1 41
4
Ile Ti,jL I r I I I
0. T, It"
11 ITT? I I I 1. 7 1 1 Lit I
ITO 1 TL Vt,
�jte? I- - I I It r I I I . T
I L e IT I I I I I I I I 1 1 4 1 1 IT 'L L L L IT I pt
I IT A IT I L I I I I I ... ... I IT It I, llt� 4L
I I
L I ITT I I I IT I . e
IT I L I.
ex . . . . . I L I I 1 4 1 1 .1 1
4 . 4 1
It IT I T I I I L I T e I I I I I T 'I'T IT IT le. IT
I + I
id el 1, L I I I + it L I It L L, 1 1, 1 L I I ;L L
IT, I I I I L I I I 1 11 1 1 , I I . L
IT L I I I t I I Tle I I I it T I
I , I L I ' T. I L 41
IT' 4 t I I M L I T IT , I It j t
r
t I I lit I' T. 1 4 '?' I L t , 1111 1 1 1 IT L L IT I L I 'I L L I It j L
.'I , "IT I I L L r I I IT
I I Ili I t I I t , I . I. I r I I I I I I - I 1 4
Tin I ;ll I I A I I L I L L I
IT, 1 41 1 1 r I
. Z I I. I . t I � I L I It, I I
Up I
I I I I I I I +
I r I I I I I 1 1. 1 1 1 1 1 1
)' I I I f I ; I
I I I 1 4 1 1 1 1 + I I L,
I 1ITUo' It I T IT iL
IT lllii� T I I 1 14 1 L 4
i I I I I I , I : r ir
ii ITT
ITT
I it.
I I I �.
I IT III 1 0 1 'All
f.,
it il ZL I
IT. i-
I
IT
t
IT
I
IT IT
401
r I
T
r
It I I
I .
I
I
I
I 1 4
IIrr
IIII IT
I1lid
+
I d
+ WSW:. A, r
itid k I ITIITITIITI 4 IIIIIr IT
IIt0 , +
14 IITII I 0 rT.,4 r it Il1 II0 4 It j,
IIII 1 r r IItITL itr I I I JA + 4
IT% IIIlITilIII", L. Iloi Td II 4 I
iItI
r or A
itI1 4 1 L I1I4 iL4 IITRECORD OFINSPECTIONS
II + ITT L 1.
IL rr ;'Jr t 'L L
'3 1 1 It. IInfe PasitidU r_
I4,
D Ir. mow Ill. kL
I1IT... L rL 14
I+
I4 I4L IIt L Ir' W IITIITIIIL 'r 'I L L 10 1 4 L I I I I
Foundation II
IA; I1. 'Ir r I r L plu mbin Partial) 1 IIk I 'L IIIIRoug h) IT "l 1 L iIIIItL tr
t ILr L Fra m-% IT I I
IIIIITIL ITT 1d I I I1 1Fu mace IIIIt L 4 111 LIT I I I Ill IIIL & Fu el Li ne I I I I IIITL 4 IT 4, 'r I I . II . I I . It ItI I I I IT Tinal ITTITI III I L I+ 1 1. 1 ITfi+, P, -I I i4t_ IT II I I L IIt'll, I I. I I I I - % IL t I It I I IItitIIIII
I I I. I IT , kL
T) ' it
ItI1111II1IITTI,- I
. . . I I + I It ITI I IIf I I I . I I . . .
II1ItL ITttIIT4 L It L I 1IIItITI;LM IM L I I I ITtITItIItI4 , Ir . I I I IIII1IT . I I I I I L . . I I I ..
III1Tr
IIIIITIL L L jL I I ki L ITL t1itIIt I IIITI
ct
e