680321.pdf. . .... ... I .....
rBUILDING DEPARTMENT
U" MI!
MERMINIT APPLICATION
Cd
0
Seattle., Wn.
&E
O'Neil & Leland, Inc.
)RESS
4011 Stone Way No.
Y T
Seattle� 98103 IMe.2-7338
M519MILETOWTont . Lic. CITY LICENSE NUMBEI
IBL 102937 Seatt
D163359-09 Corn. Lic.
Applicant FIU
Inside Heavy Lines
Ma.3-4516
al Descrintion. of Pronertv (Show Below or
0
See attached
E]
NEW
RESIDENTLALL
GAS
LINE
FZ;i
NON-RE� SIDENTL&L
1
-1
F
SIGN
I.-D
hN
RETAINING
WALL
ALTER
DEMOLISH
EXCAVATE
OR FILL
PENCE
I X Ft.)
.......... ..........
E]
REPAIR
PRE -MOVE
INSP.
swim
POOL
(UMBER OF STORIES
NUMBER OF
DWELLING
one
UNITS
TATURE OF WORK TO BE DONE
Additions
& Remodel
School
See architectural drawings
t
N
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-
lzed agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the Elate of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed in ninety days; MOVEDAN BUILDINGS shall be com-
pleted In six months.)
7 3� ED
BIG -yU (OWNERPRAGEN DAT SIGN
N
tet� ;7, If -
Jill 11 Le lig
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any oonstructlon on the public domain (curbse sidewalks, drivewaysp
rumquaes, etc.) wall require aepaxatO permission.
- r�_41.101_10
EXISTING STREET R/W ........... Fr.
COUP. PLAN ST. R/W ............ Fr-
[j YES RA<6--
Plan Check
...............
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
AWEISMON
THIS PERMIT
AUTHORIZES
014LY THE
WORK 140TED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH g-1107
V
PERMIT
NUMBER
,P .5,
680321
[3 YES 13 NO
DEFICIENCY THIS PROPERTY
ffo?n 13 No
Fee
%�, rl
I
No.
16411A.IX-S-1 WS_3&
APPLICATION APPROVAL
This application Is not a perrnit until
signed by the Building Official or Ma Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
ram
I
T:0 0 Q Q e,--rt C)
C�)
Li CD
bo &9Z 4-A
LS
16
aQ-J-e Pete- 0,
S-U-(,7
ove-a-o
P",@
V-71L
4f
2-7
0 Cr
. 6 cn4,,,
(ID)
----------
v
AP
BECORD OF INSPECTIONS
Date Passed
Foundation 9L 1_2d 60
Plumbing (Partial)
(Rough)
Fram;i
AL 6VO 3..?.7
Furnace & Fue I Lines__14a
Final
RECORD OF I NSPECTIONS
Date Passed
Drainage
Sewer — — -----
iParking
Landscaping
Fire DePt.