680080.pdfING
DEPARTMENT
IT
APPLIC
Applicalat Inn
Indds Heavy Unes
MWA
S'
REFIT NTIAL
GAS
LINE
NEW
NON-RESIDUNTLILL
SIGN
RETAINING
F1
WALL
ALTER
DEMOLISH
EXCAVATE
Pl"IVE I
'Z q.Xt.)
OR FILL
(.19-...
El REPAIR
F1
PRE -MOVE
INSP.
SWIM
POOL
DWELLING
UNITS
t
N
I
0"05-�
PERMIT -0
NUMBER 68008
13 YEB C3 NO
R/W DEFICIENCY TWO PROPERTY
comp. PLAN ST.
[3 YES 13 NO
Mu Check No ............
BUILDING
PLUMMNG
HEAT & GA13 LINE
FENCE
SIGN
RETAINING WALL
SWnadING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR 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-
ATTENTION
I&Ung construction; and In doing the work authorized thereby, no person
will be employed In violation of tha Labor Code of the State of Washington
THISPERMIT
relating to Work=&Ws Compensation Insurance-
AUTKOR11ZE8
NOTE: Permit Umit One Year (Except DEMOIATIONS which
ONLY THE
WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS shall be oom-
pleted in six monthm.)
3IGNATU 0 OR AGE DATE SIGNED
INSPECTION
7rlz
DEPARTME24T
CITY OF
EDMONDS
AVOTE: Applicant Subject to Plan Check Fee
ra 6-1107
This peemit covess Work to be done GO private Property ONLY -
Any condmMon ou Uw public domain (carbso sidewalksp driveways,
nserqueeg, Me.) wili require sepme" permission.
rn� �E
Fee
APPLICATION APPROVAL
No.
N
This application is not a permit until
Signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
)mowledged in space provided.
� I I
I= it f
IN,
01
OATIONC. BUILDING PERMIT Appl. No.
�,,,,;OF EDMONDS Bulkling Deparhmmt Permit limik one year
is hereby made for a permit to construct the following work, in accDrdan
ce with the acoom,
4sid specifications. Two sets are submitted herewith for approval.
alter 6;i Offst.
dn repair ..... .......................................... Parking
....... Const. type ............ ............ Use 'Zone ..... Fire zone ... B ..................
.. ...... ............. ....................... Blk ........................ Addn ............
............. . .. .........
f ........ ....................... Septic ta
;ont
t
C> ............. A . . .................... nk ........ . .........
" T%�Z
A
set+acks f t.
J5 .... +... r. side ........ 7�+
........... 1. side ...... + rear .....
.......... Addres& ... 14E
.................... Tel. No ...........................
.... ............... ......
Addres& ..........
......................................... Tel. No .............................
-------- — ----- ....... .
Plansby ................................................................. Addrm ................................................... Tel. No .........
....................
Rernarks. .................................................................................................................................................
..................... . .........
The above is a correct statemenLand I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owner/Agent ... .... ................. ... ...... ... �ddress ........................................... Date_..i�.::�47#
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap.
proved plans and specifications, and Building Department n*otations thereon.
Valuation
. ............ Permit fee ...... ............. Recd. ................. r.. ...
- Z.0 ..... t. .]�
........ by...Z.Y%
Building Department, By ........................ 164).
... 57
.T --nlk ........ . ................... Date ....... 2��114_= . ... % ........... .............
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK ......................................... .. .. ... F 1,
ina OK .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
APPIMATION (��IUILDMQ PUNIT
WIT. OF IMMONDS Bulldog DepufflneW
Appl. No. ........
Permit limit, one year
construct the following work, in accordance with the acoom-
I APMCATION. is hereby made for a permit to
plans and specifications. Two sets are submitted herewith for approval.
Off'st.
rnew alter'
.......................................................... Parking ......................
n
rk'., a repair ....... j4llz�..
. ........ Fire zone .................. ..........
..................... Use zone ........
............ Const. type ..........
Blk ........................ Addn ......................................
.. ... ......... ........ Lot .... e��
.......... Septic tank...., ............ .........
e ..... ......... Axea .... . ...... 41 ...........
Q� n
front......... ........ r. side .......... L�---7 .......... ................................
jj� T.
,7
------- ............. ... Tel. N -.:�Y
i 0 �f-dr Ole-- ArIcIrpm ...... o.f
I
................ Address. .........................
Address ..................
Tel. No..
................
Tel. Nol'�I. ff 372=��
. .........
tate aws regulatin this
The above is a correct statement, and I agree to comply with all applicable Codes and S I g
w k
or
4
-f. Signed w n e r A t Y P n K; 7k. A t! Addresse'.7ZA ......
to co ap,
PMMIT for the above work is hereby approved, subject to the above conditions, and mpliance with the
proved plans and specifications, and Building Department notations thereon.
Valuation ......... ............ permit fee ..... 5.4.-� .......... Recd.
z
. . ........... Date. 7--?- -
Building Department, By .......................................... ... e� C;x .....................
NOTE -- This permit does not cover plumbing, sewet, or electrical installations, nor does it permitany work to be
done in the Right of Way areas. Driveways and walkways must be Planned to meet the official grades of streets
and alleys, and Plans for future sidewalk development -
I
7- 7
Ulf
a . 1,
1; ��'a W ril.111 4) z 1; In -Ab!url , ,g* Iplqf�,
of the Southeast
Portl" of. tho.3camwest quarter qvartW.
4t $40tion MdRUM � 00) $1 TOMIUMP TVMtr-offda (27) AWth', R"O lbr@W,
%at Wix$$Aibii��" ralowl,
U 'O"t - oflAtANOSSUM, of' the oenter Ltw of S000vA
s' 1', '" I
NOW -A
lii* fho" ��Alft Of, Port "Me In the OrIgIml MAt
Ar to thWpTAt th~ reOrded In
2 of PUts, page 75@ reeiirds of Srahmlsh Caxft# Waddr 0
4tioM then 0
acuthwateft alom the � ofatar UM,of'Seeond Street ).34 f"tJ theme.
wrew"tafte "ftuel i&th - tb*'*MtW ]Lft*,Of 110"K A"Met 150�
WgInaft ot4 OU dasorlamms theme ffts.l.
palat,of t
said joint of beginning. "MUGL With Nel"ft
Aten so a -distmoo of ILSO ftetu *666o viorthewtudys ;11;lllklll�MA "Aft,
Seowd. Awmeg 134 f"t to tho *wAw :Lkw of 11"Vort Awwml.,tbsmo
seathusteftp a2zg said owter Une of Illa"irt Avmo# 3L_V feett
3L,* rwt.,
theme southwestelm to the joint of bftlmklngo
VT the IlorthessUft 1141"t th~O
TOG== W17H an savessat ftr lagmes, egms wd utUlties over mid
acloss the fouOvIngs
BOSIMIUK at the point of Intersectl" of the ceater line of SOMM
Street, with the center Ilm of Newpor Avmo,lnUk* OrIgIml Plat
of *Ah ftwrtb, s000rdift to;% Plat U41040f recorded in vamw
2 of platee page 73* recoNs o Sncb=lsb Cotuft Waskingtoul theme
along the owiter llne of Somad Street IL34 fftt to the
tm point of begimim, of this Ries U R I; theme =rOwn'taft
Aft Newport Avaso a distame of IL50 1041 theme -8 U-
IM S I I AVOM 22 fOWtJ theme IthSW*Agly panua with
qn1r.9sm"taly i::to
Avems a disteme of 150 ftsti thems 22 *"t the, "Int
of beglimime
. . . . . . . . . .
T
-w)qml RTOIA
J
C
APPUtCATION & 13UILDING PMWT No
Permit
CATION is'he'reby made for a permit to construct the following work,, in*
ce with the accompaning plans and specifications. Two sets are submitted
herewith for approval.
�;:(nev alter off-st
�-,'-.(addn v1 repair) .................
......... parking,* ...
........... Coast.Type'....Use. ..... oo.Fire Zone ........... so
s
Let ........ M ..... o ..... s o o sAddno 9 o # ...... I ...
rontage ......... Area ....... I.A15L ..... Septic Tank., .........................
Ag ..:set -backs. —Front ........ W.side ........ L. side ............ Re�ar. . .
ers.
ddress ........... .... AO*Tel.Noo .64.0
;A
er. ..........
. ........ *.*so oes..009
Plans by,* .... ...... *so .... *so ....... 0
0 ... 0 ..... 00 .... Dos
Remarks ..................
.......... 0.0
.,.The above is a correct statement, and I agree to comply with all applicable Codes
and State Laws regulating this -work.
ed Owner/Agent&QA).. A. �. .1-1 -Address...
...... —Date.
PMWT- for the abovelric is hbA* approved, subject to the above conditions,,
and to compliance with the approved plans and specifications and Building Depart-
ment notations thereon.
....... Permit Fee ..... /. ....... Reed by
Valuation...
Build ing Department, By.. '&W
.do A ......
a .............. D eatt so
INSPECTION RECORD
Fdn. OK ........................ Frame OK ............... ... oFinal OK...... ...
This Permit does not cover Plumbing, Sewer or Electrical installations,