680214.pdfP
BUILDING DEPARTMENT
AppUcsint Fat
PERMIT APPLICATION
NAMA (OR NAKM OF BUSINESS)
Mrs and Urge stuart Wardock
MAMUNG ADDRz=
186os - 88tk West
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Idsmads . Washington Pro 8"4,48U]MBER
r. i
P. 0, Box 8
I
TO
PMNEW
RESIDENTIAL
GAS
LINE
NON-RESIDENTIAL
SIGN
RETAINING
WALL
El ALTER
DEMOLISH
EXCAVATE
OR FILL
El
PENCE
( ........ . x .......... IN
REPAIR
PRE -MOVE
INSP.
El
SWIM
POOL
NUM13ER OF
DWELLING
UNITS_
,;ATURE OF WORK TO BE DONE
Addition of family roost
deck-
Remodel
kitchaal
bath and finish
upstairs,
P NO.:
EXISTING STREET R/W ........... FT -
COUP. PLAN ST. R/W ... ....... XT-
13 YES
FL —AN
Plan Check No...
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
t SIGN
IRETAINING WALL
P
H
'F
R
L
E
E
I(
E
7
N
IN
T
T
C'
.-J
NI
G
G
A
N
8
G W
LINE
OL
SWIMMING PO 7
W
DEMOLITION
EM
PRE -MOVE INSPECTION
EXCAVATION 07RPILL
T TOT L MOUNT
OTAL AMOUNT DUE
]PERMIT
NUMBER
14
yU_U�TARD 13ETBACIL
VA�CANT SITE
E3 TEO E3 NO
VARIANCE NUUMN&L
DEFICIENCY THIS PROPERTY
I)a
13 YES (3 No
.2
No.
I hereby acknowledge that I have read this application; that the lo'
air I I
formation given is correct; and that I am the owner, or the duly author-
0'
lzed agent of the owner. I agree to Comply with city and state laws ragU-
ATTEPMON
APPLICATION APPROVAL
lating construction; and in doing the work authorized thereby, no person
al
in violation of the Labor Code of the State Of Washington
THISPERMT
This application is not a permit until
Will be employed
I
relating to Workman's Compensation Insurance.
rel
AUTHORIZES
Signed by the Building Official or his Dep-
[NOTE: permit Umit One Your (Except DEMOLITIONS which
I
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt Is ac-
shall be completed In ninety days; MOVED�][N BUHMINGS shall be com-
knowledged in space provided.
pleted in six months.)
- -
GENT) DATE SIGNED
INSPECTION
— - — 1
D CTORIB BIqN U
DIRECTO
10
BIG
DEPARTMENT
2 I
CITY OF
E
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PS 6-1107
This permit coven work to be done an Private Property ONLY -
Any Construction On the public domain (curbs, sldaw&Ws drivewaYsp
FILE
marquess, etc.) will require separate permission.
CL
"p,
Il THE UNDERSIGNED9 BEING THE OWNER OF SINGLE FAMILY RESIDENCE9
ADDRESS OF WHICH IS 716 9th Avenue Southl Edmondsq Washingtong
DO HEREBY AGREE TO THE FOILLOWING:
For and in consideration of the City of Edmonds issuing
a building permit for addition and remodeling of said
residence; and.in consideration of the City of Edmonds
not requiring in connection with this building,permits
additions.or alterations to the existing spetic tank
drainfield, I HEREBY AGREE that the City of Edmonds
Engineering Department may from time-rto-time make
insmections on the -nremises relatinir to oneratinw
d
-
j
conditions of this drainfield,
I FURTHER AGREE, that if faulty operations of the
drainfield occurs based on.a report of the�Health
Officer prior to the availability of sanitary seweraq
I shall correct said faulty operation as may be re-
quired by the City of Edmonds Engineering Department.
I FURTHER AGREE that I will hook up to the sewer if V
at any time it is within 200 feet of m p opert
I , r y
either by public right of way or by e ement.
S IGNED j
Stuart Murdock