680212.pdf7�1POSTED
BUILDING DEPARTMENT
ApplicatItmn
ON KR0LJ' MAP 1W.'.
i4RU3T
NUMBER
PERMIT APPLICATION
Udde Heavy Linea
JOB ADDRE1313
YARD SETIIKGII� STREET SETBACK REAR YARD SETBACK
A4
NAME (ox NAME OF BUSINESS) 774 449 -7
RIME
�J& P_ 'T4C- K- L ;)'t E- Al 09 A)
MAILING ADDRE913
-7-2 46
USE ZONE L6T �AREA VACANT 0 ITE
C3 YES 0 NO
r10 tJb _S 1?74-dff
TELEPHONE NUMBER
7 9
HEIGHT 13UUMT AREA VARIANCE nUAIMMUS
NAME
X�6 EM q A)
PLOT PLAN APPROVED
146— g,
- LEPHONE NUMBER
-7 7c(
STREET RIW RTY
EXISTING STREET R/W .......... XT- DEFICIENCY THIS PROPE
COMP. PLAN ST. R/W ........ ... FT. ........ ...
REMARKS
NAME
------ "
CHECKED- 'BY
CITY
WN PHONE NUMBER
METER SIZE SERVICE SIZE
CLEARANCE
CHECKED By
STATE U01014811 NU�Elt
CITY LICENSE NUMBER
I-REMARKS
Legal Description Of Property (Show Below or Attach Four Copies)
L4-.j ( L L Tl 0(-d -ri 66 CIO
TYPE CONNECTION
VERIFIED BY
W6 e- f2 1 #0 7- 69 67
PERO. TEST
PERMIT NUMBER
COW ;;,z
REMARKS
FIRE ZONE TYP OF CONSTRUCTION STREET IMPROVED
13 YES 13 NO
SPEOULL INSPE QUIRED
OCCUPANCY GROUP
13 YES 13 NO
NEW RESIDENTIAL
NON-RESIDENTIAL SIGN
PLAN CHECKED BY
REMARKS
ADD RETAINING
DEMOLISH WALL
ALTER EXCAVATE PENCE
F� OR FILL ( ......... x .......... Ft.)
REPAIR PRE -MOVE swim
1:1 INSP. POOL
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO -BE DONE Z_1 (IIA16 13/ 0�1 Aol,15'
19 PV0 e ;7So Kg 41- k 4fioiao
Valuation
Fee
Receipt No.
Plan Check NO ......
PROPOSED USE
9 /'V /'8FA)c
BUILDING
0 b
PLUMBING
PLOT PLAN (Indicate BUIldt12g netbac", "utting streets)
BEAT & GAS LINE
FENCE
t
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby wknowledge that I have read this application; that the In-
formation given Is 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-
latIng construction; " In doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of WashiugtOU
rsl&Uug to Workmen's Compeneition Insurance.
NOTE: Permit Umit One Your (Except DEMOLITIONS which
"I be completed in ninety days; MOVZD-IN BUILDINGS shall be com-
plated In all months.)
NOTE: APPlicant Subject to Plan Check Fee
This Permit coven work to be done an prinote property ONJUX.
Any condruction an Iha pablic domWn (cusba, aldewalks, drlvvw*Ys,
marquacs. ek.) Will require 58PArAte Per"Nslon-
TOTAL AMOUNT DUE
ATTENTION
THIS PERBUT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
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.
'. �r -0
J
PPLICATION BUILDING PERMIT Appl. No . ...... !L�� .... .............
%��t&-011 EDMONDS Building Department Permit limit, one year
CATION is hereby made for a permit to construct the following work, in accordance with the accom-
9 pla ns and specifications. Two sets are submitted herewith for approval.
Off'st.
new 1-- alter :�7
addnrepair ................ ...................................................... Parking .......................
...........................
ancy ................................ Const. type ................................ Use zone..e47 ... ....... Fire zone.
...... ................................. Lot ........................ Blk ........................ Addn ......................................
60 X 1,2v
.......... .................. Area .................................... ....... Septic tanlL ..... .. ......................... 7"
t r. ..... ............. 4;� ............... rear ........ .............
1.36 side ........ 6-/4 1. side ........... .......
'0
Z �7 el.
... ... Address..,�.; ............................................... T ............
....... Address .................................................... Tel. No ................. ...........
.... ..... .. . ................................
Address .................................................... Tel. No .............................
.............................................................
----------------- . ..................... .................. .............................................................................................................
............................................................................. ................................................................................................
................................ ................................................................................................ ................. I ........ 0 ..................
ve is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
..........
Signed Owner/Agen� Address ............................................ Date.A... .............
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with e ap-
proved plans and specifications, and Building Department notations thereon.
Valuation ............ /4� . .............. Permit fee .... Z..-.Zerw ............. Recd. by .... .... .....
Building Department, By. ......... .... .......
................ 44� ............................ Date...
This Permit does not cover Plumbing, Sewer or Electrical installations.
KJOATION MILDING ' FEW 'OAppl. No . .......
F EDMONDS BuIWMn D"aftmW Permit limit, one year
- ON is hereby made for a permit to construct the following work, in ac rdance with the accom,
a and specifications. Two am are submitted herewith for approval.
Y-�4�lter
Off'st.
air............ . .... .......... ..................................... Parking ................
................ Const. type ................................ Use zone ...
...... Fire zone ...... ........
,2 ........... ...... eeeze- t ........ / ............ Blk ......................... Add��
.............. -C
........................ Area ........................................... Septic tank ..........................................................
............ rear ...... .........................
........ r. side ............ ;5 ............ 1. side ............. ..................
-rel,
............ .... .............. Address ...............................
..................... Tel.,, No .............................
............................................................ Address .................................................... TeL No....
.................................................................................................................................................................................
.................................................................................................................................................................................................
'above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owaer/Agent�4-A Address ............................................
PERMff 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 notations thereon.
Valuation ............ fee ..... —7 . . ................. Recd. by....,
................ Permit ......... 74
. ...................... V ..............
7-1
14
. .. .............. Date ... 0Y .. /. ... .. ..................
Building Department, By .......................................... . .........
NOTE — This permit does not cover plumbing, sewer, or electrical installations, nor does it permit any 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
0
RJOATION 8� 111ILDING PERMIT Appl, No. ...L
C ......... .
Permit limit� one year
F, -EDMONDS Building Department
her - eby made for a permit to construct the following work, in accordance with the accom,
o . Two sets are submitted herewith for approval.
Off -St.
............ 9
. ... . . ... ....................................................................................... Parkin, ....................
..........
...................... Use zone ..... ............. Fire zone.....;3: ..................
......... Const. type .........
...................... Lot ........... I ......... Blk ........................ Addn<�$�
................ Septic tank .........................................................
Area ......
..............................
..................
1. side .............................. rear..
lee el. NoAP6-52z2e�
Ms. .... ........ .... . ..........
e ....... Add
.............. .............
.................... Address .................................................... Tel. No.
----------------------
...... Address .................................................... Tel. No ..............................
........................................................
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 notations thereon.
by .... k-��AA2_14 ....................
Valuation ..... 4� .... 0 .............. Permit fee ...... ............. Reed
Building Department, By ...................................... Xo0r.f!?� ................. Date.:._%Z4.�..60 ...............................
This Permit does not cover Plumbing, Sewer or Electrical installations.