Loading...
680344.pdfL C' DEPARTMENT APPLICATION /.; 'X / —, NEW ALTER ElREPAIR Applimnt = Inside Heavy Lines r— RESIDENTL&L F1 GAS LINE ISTON-RESMENTZAL SIGN DEMOLISH RETAINING WALL EXCAVATE on PILL PENCE .. Ft.) PRE -MOVE INSP. synx POOL DWELLING UNITS I hereby —knowledge that I have read this; application; that the In- formation given to correct; and that I am the owner, or the duly author- Ized agent of the owner. I &gne 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 State of Washington nl&Ung to Workmens Compensation Insurance. NOTE: Permit Limit One Your (Except DEMOLITIONS which shall hp completed In ninety days; MOVED -IN BUILDINGS shall be oom- pletedon six months.) NOTE: ApPlicant Subject to Plan Check Fee -iiii—Permit coven work to be done on private property ONLY. Any construction ou the public domain (curb$, sidewalks, driveways, marquees, ate.) will require sepwale permission. C. 0 E=SnNG STREET R/W COMP. PLAN ST. R/W ....... ... FT. 13 YES 13 NO I Plan Check No.... BUILDING PLUMBING PERMIT NUMBER VACANT arm C3 YES - C3 NO DEFICIENCY THIS PROPERTY Valuation I uzlmm�- BEAT & GAS LINE PENCE e) n SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION MCCAVATION OR FILL TOTAL AMOUNT DUE I I I—, I /I �" ATMNTION APPLICATION APPROVAL THIS PERMIT This application Is not a permit until AUTHORIZES ONLY THE signed by the Building Official or his Dep- WORK NOTED uty; and fees are paid, and receipt is ac- knowledged in space provided. .INSPECTION ;DMIRX On's BIG A DEPARTMENT CITY OF DATE EDMONDS PH 6-U97 ri FIX d I IC Z 7- V APPLICATION BUILDING PERMIT Appl. No.. ........ . ........ Permit JiMik WY. OF EDMONDS Butid Departm' one year APPLICATION is hereby made for a permit to construct the following work, hi accordance with the accom� panying plans and specifications. Two sets are submitted herewith for approval. t Off -St. new alter .................................. P g ............ Work addn --rtpair ........................... arkin . ...... Occupancy ................................ Const. type ................................ U zon�.-e7::-L ............. Fire zone ................... *.. 'Address ............................... .................. �f Lot ....................... lk ........................ Addn ...................................... 1A)t frontage . ....................................... Area ........................................... Septic tank ......................................................... Bldg. set4xwlm — front ........................... r. side ... .......................... 1. side .............................. rear ............................... > --:rl . ............ Address ....... J ... .. .... . z � I r I . Owner.. ......... ......................... e No .............................. Builder .................. /.'a� ................... .................................. Address ............................... . Tele No ............................. A AA., Plans- - ----- .................. ................ A1 of mul NE� of'sw� of Saco 230 Twp 27 No so 148 fte of Be 150 fto ereof ......... Range 3 BoWeNe LESS the Be 30 ft, and the S 20 fte th .......... for road .7 The above is a correct statement, and I agree to comply with all applicable Codes and State laws r%idating "Ithis work. lAgent. D te. - -'�Address ............................................ a Signed Owner, ................. PERMff for the above work is hereby approved, subject to the above conditions, and to compliance with the ;ip-, proved plans and specifications, and Building Department notations thereon. Valuation ............... 8.0.t? ........... Permit fee ...... /-C ............... Recd. by Building Department, By ......................................... .......... Date .... ..... �& .................................. This Permit does -not cover Plumbing, Sewer or Electrical installations. I APPLICATI" & WORK PERMIT Application No. . . . . . . ......... Building Department Permit Limit, One Year CITY OF EDMONDS APPLICATION is hereby made for a permit to construct the following work, in accordance with the accompanying plans and specifications: ........... Ground Area. ................................... NO. Stories ............ WORK — New/Addn. ................................ t ...... .................... PlansSubmitted ........................................................ : ...... ....................................... Const. Type .................................. Height... Address ... ................................... Use Zone.A?.... Fire Zone ................ LOCATION ... /2 So. 1481 of E 1501 of NW 1/4 of NE 1/4 of SW 1/4 of Sec 23 Twnp 27N R3E WM less the E 301 th qkjor. roailldIn .............................. ........................................... . ..................... sewerage ....................... 7 ........... 304AAA22 ... ...... !�ft ......... ....... ...... . ......... Sides.... ........ ........... . . Loot Area ...... . ........................ I ........ WIduL4Z--e ............ Min. Bldg: Setbacks, Front and Rear 4 oneA1.410 Owner. . .... .. ....... ........... ..... .................. Address ..... .......................................................... Ph ...... .......... .............................................. Address ....................................................................... Phone ....................... . ....... Plan by ......................... by.. Bldg. by.. ............................ Phone ....................... . ....... ........ Address ............................................ Plbg. by ............................................................................. ... Address ........................................................................ Phone ................................ Heatingby ........................................................................................ Address ............................................ ............................ Phone ................................ Elect, by ...................................................................................... .... Address ........................................................................ Phone ........... .......... ....... Remarks.................................................................................... ................................. ..................................................................................................... ....................................................................................................................................... I ...... .......... T ........................................................................................................ ............................................................................................................................... ........................................................................................................................................................................................................................................ ....... The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work. Date..Z.2 . ...... ... .Signed: Owner/Agent.. .... Address ............................................................................ . ............ ERMIT for the a ove work Is hereby approved, subject to the above conditions, and to compliance with the approved PI a P MIT fort e and specifications and Building Department notations thereon. VALUATION PEBMT VMS Bldg. - - . . ................ $ Plbg. - - - - $ ........................................ Heat.... $ ........................................ P APPROVED: Lalm..!�r Elect. ........................................ Date...... ........ ....................... BUILDING DEPARTMONT Others... $ ........................................ Wm., Her'�erf 01 Bldg.� TOTAL FEE! $ W ................. By.................................................. No requiring Building Department or C ity Engineer's inspection shall be covered before inspection and approval. NOTES: work Twenty-four (24) hour notice requested. Contact the City E ngineer prior to construction of all site utilities, such as curbs, paving, driveways, sewer, water and street connections. J