680021.pdf.... .. . .....
POSTED ON KHO" MAX 14U-; PERMIT
BUILDING DEPARTMENT NUMBER 680021
ION Applicant MU
PERMIT APPLICAT Inside Heavy Lines JOB ADDR . EBB
NAME (OR NAMM JQF BUSINESS)
V- 515 YARD SL7BACK YARD SETBACK
eAb BTRENT SETBACK RE
-RULMO AD —DRESS
P"cjj!;7 USE ZONE LOT ArJUA VACANT SITE
TELEPHONE NUMBER M VV.R rl NO
776 0600 HEIGHT BUILDING Althl"L VARIANCE NUMBER P.
PLOT
STREET R/W
TELEPHONE NURTIER EXISTING STREET R/W ........... FT- DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W .... ....... FT- ........ ... in.
REMARKS
w New
as
z
TELEPHONE NUMBER CHECKED BY
METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
LICENSE NUMBER CITY LICENSE NUMB
REMARKS
Letal Description of Property (Show Below or Attach Four Cc9les)
TYPE CONNECTION VERIFIED BY
v*4L-L-zY" t-t4AIE PERC. TEST PERMIT NUMBER
OF P447�S
REMARKS
jforll 9:� Ag�_ 40l/N
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
YES [3 NO
SPECLALL INSPECTOR REQUIRED OCCUPANCY GROUP
[j YES NO
GAS
LSIDEN LINE PLAN CHECKED BY
TI
NEW NON R a
E IDENTLIM
SIGN
1 Nl&ARKS
ADD RETAINING
DEMOLISH WALL
F-1 ALTER EXCAVATE FENCE
OR FILL El ( .......... x .......... rt.)
REPAIR PRE -MOVE swim
INSP. POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
19-IDPITIC)AI 71:;'
Valuation Fee Receipt No.
rlan Check No ..................
PROPOSED UBE
BUILDING
Q PLOT PLAN (IndI&A-0 —Building setbacks, abutting streets) PLUMBING
HEAT & GAS LINE
PENCE
t SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
the In- TOTAL AMOUNT DUE
1 hereby acknowledge that I have read this Application; that
formation given In correct; and that I am the owner, or the duly author -
tied agent of the owner. I agree to comply with city and state laws regu- AWENTION APPLICATION APPROVAL
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 PERMIT This application is not a permit until
relating to Workmen'o Compensation Insurance. AUTHORIZES
ONLY THE signed by the Building Official or ills Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
shall be completed In ninety days; MoVED-IN BUILDINGS shall be oom. latowledged in space provided.
pleted In six months.)
ENT) 7 DIRE
(OWYER Of AG DA E SIGNFD 7R�a SION.�.TWIE
BIGNA?U NSPECTION
be - DEPARTMENT
P �(OZ
CITY OF ce
EDMONDS —UA—Tlr
NOTE: Applicant Subject to Plan Check Fee
PR 8-1107
This Permit covers work to be done on private property ONLY.
Any construction an the public domain (curb#, sidewalks, driveways, FILE e
marque-em, etc.) will require separate permission.
I
a