680320.pdfPOSTED ON kMOM MAP NO.: PERMIT `320
68100'
BUILDING
DEPARTMENT
AppUcant FM
NUMBER
FPE 1!
17MIT
10fil-\
11181dO Heavy IAIICS
I
JOB ADDRESS
A -r-4-1 14�1
NAMJW NAMM�F BU:8rl1S8)__ -
/)I., %
1!
A
A (
SIDE YARD SET It
I Iff REET
13ETBACK
REAR Y1% RD SETBA
z
8
0
NEW
RESIDENTIAL
ADD
NON-RESIDENTLALL
.
El
DEMOLISH
ALTER
EXCAVATE
F�
OR FILL
0 REPAIR
_1
r
PRE -MOVE
1118P.
DWELLING
UNITS
GAS
LINE
SIGN
RETAINING
WALL
70 _6 .. Ft.)
SWIM
POOL
I hereby acknowledge. that I have read thla application; that the In-
formation given to correct; and that I sin the owner, or the duly author-
lzed agent of the owner. I agree to comply with city and state lawn regu.
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor "a of the State of Washington
relating to Workmen's Compensation Insurance.
NO it im
,�Tyernii L it One Year (Except DEMOLITIONS which
I
I
a m
roplete
shal di 3, e In n1a t d"OVED-IN BUILDINGS shall be oorn-
Met 4 1 six months.) 7� -
-6
NOTE: Applicant
This Permit covers woric to be done on Vnvaz"roPerzY un�x-
Any construction *a the public domain (Curbs, aldsWalks, drivewayn,
marquees, etc.) will require separate permission.
YES 0 NO
EXISTING STREET R/W .......... XT. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W ........... . rr, .......... FT.
YES 13 NO
13 YES 0 NO
I
Valuation Fee Receipt No.
Plan Check No ..................
BUILDING
PLUMBING
BEAT & GAS LINE
PENCE 'IS-00
SIGN POP;
RETAINING WALL
SWIMMING POOL
OLTTION
PRE -MOVE INSPECTION
EXCAVATION OR PILL
TOTAL AMOUNT DUE I I a " 1(a S-a
AT=NT11ON
APPLICATION APPROVAL
THIS PERMIT
This application is not a permit until
AUTHORIZES
ONLY THE
isigned by the Building Official or his Dep-
WORK NOTED
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
INSPECTION DLREq;rOR.S SIGNATURE
DEPARTMENT 44
My OF
EDMONDS DAMW
PR 6-1107
9
n
i
APPUCATION is hereby made for a permit to construct the following work,, in accordance with the accom,
panying plans and specifications. Two sets are submitted herewith for approval,
new I-- alter off'st.
Workaddn repair ........................... z . ........................................................................... . Parking
Occupancy ..... ......... .... Const. type .......... 0 ... ........ Use zone ....... rz= ... Fire zone .. ... .............
Lot .................. .... Blk ....................... Addn ..................
Address ........ .... . ........... .
........................
Lotfrontage .......... /C-S..'Arra. ........................ .................. Septic, tank.. .......................................... I . . ........
Bldg. set -backs front ..... 1.5 . . ......... r. side .......... 6 .............. 1. side .......
.............. rear .. .. . ..........
as (1Z
Owner4��.. ............ Address.. ... .................................. Tel. 140....
.............. ............................. Addre& .................................................... Tel. No ......... .................... ..
Builder .......... Jdlez�
Plansby ................................................................. Address .................................... .............. Tel. No ..............................
Remarks............................ ......................................................................................... ......................................................
The above is a correct statement, and I agree to comply with all applicable Code's and State regulating, fbis,
work.
Signed Owner/Agen Address ............................................. Date .......... �..-67
......... ..
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 notaqoi
0-�ereon.
Valuation by ................................ .................. . ...
....... // ......... ......................... Permit fee ......... Z:Xe .......... Recd
J.-
11 . ....... . .................................... Date ...... Yc . ...............................
Building Department, By ............. ... V.
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OK ..... .................................
This Permit does not cover Plumbing, Sewer or Electrical installations.