680349.pdfBUILDIIII
PERMI
N 0
C
0 DEPARTMENT
APPLICATION
LME OF BUOUNE33)
11 - U_ - '�') ��
)RESS L4 -+ (.-
2u
d9 Zj,)A1 U�Z
_Z0 7-
4 019� f/ a-
fcco-p f), &�l
k) vo L v m
el
a I F U
Applicant Fill
Inside Heavy Lines
"i
- / r7:5- �
I
Ll
)STED ON KROLL MAP NO.:
PERMIT
680349
NUMBER
IB APRRE8
-MES
DE YARD
SETBACK
STREET SETBACK
IMAR SETBACK
15 / I .
JSZT
LOT AREA
VAU" K ow�"
I 0 YES
RIMMING AREA
I VARIANCE
EXISTING'STREIT R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ........... ITT.
iCjv�Aj
SPECIAL INSPECTOR
13 YES [:] NO
R=MDENTIAL
NEW ILI NON-RESIDIrN2TIAL
DEMOLISH
ALTER EXCAVATE
OR FILL
M REPAIR PRE -MOVE
INSP.
GAS
LINE
SIGN
RETAINING
WALL
PENCE
( .......... x . ........ Ft.)
swim
POOL
PLAN CHECKED BY
REMARKS
NUMBER OF
DWELLING
UNITS
fATURE OF WORK TO BE DON
J_:�; t j d5LL n A-P rf -';-C
Plan Check No ......... ... .......
PROPOSED USE
BUILDING
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
13
HEAT & GAS LINE
PENCE
t
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given is correct; and that I am the owner, or the duly author-
Ized 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
ATMNTION
will be employed in violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmens Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Your (Except DE16101ATIONS which
ONLY THE
WORK NOTED
,AWI be cow e in nine y ays, MOVED -IN BUILDINGS shall be com-
INSPECT ION
DEPARTMENT
CITY OF
EDMONDS
DATE SIGNED
�sj
.A
NOTE: APPlik"t)ubject to Plan Check Fee
PH 6-1107
- This Permit coven work to be done on private property ONLY.
Any cowgruction on the public dows4n (curb$, sidewalks, driveways,
marquees, etc.) WHI require separate permission.
Me*
[i YES 0 No
Fee
15_�
PC
No.
It'd J-5, 57
5" R" d7 6 -
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-
lanowledged in space provided.
FILE
N
I ell le:-Ifle el;eli 1. 1 tip" el .I,
;iJ 01
el,
dl,
14
A I,� All; l
J.;j.
j
It,
4 1
I I d
ej I
61
It P,
1,4
I p - l, . . . t L' I
leI Lee, L. L L L L
1� I I L L
r �41 '�; I , I I
X'L
" I - i I *-,4� " 4 , . '. 1 4
14
L el
lo 1
d
I d
r L Id L
I L ;d
I p
T� el " ' I
I I L
I f
I p
It I
Ie
1p I L
Pe
ia.
, ll4 1 ; L, Pjl. L L d p L
, l i I . . . . . . I I I I . , , - . . L I . - I I L I I
P, I to i'. L
JL4 L p
llL
lee'.
;t4 51.
Zell i
P.
.1
- f I
It
le,
L te I e
I
tL
it, 1 4 p I
0
4d"I, .
r
0 p
ot
k
je-
;Ile RECORD OF INSPECTIONS 1,L
It Date Passed L 'L. L
A+
.... IlL,' 1.
Foundation
ial) L
Plumbing (Part
L +
L . (Rough)
1
L Frame L L. 11 L
L I L Furnace & Fuel Line s-
I'l J,
Final
ECORD OF ;,4,' P,
R
ell
't.v
.14
tell YassP I A
el, It
101 Ile
Drainage
III i d I I P,
I : , -
Sewer
lttttt�4 1 1 d,
P.arR1ngj,:, 4
e�l - I,
p l. k Ill'.. I I
I It I I I I . I I
I I I gl d I
Landscap ing
I . v.I
i 4 F Dept.
re
p 4 .1 1 1 1
4 1
I L L: I 1 4
it j. r
; l — I I l) r I , I I , I , I "r 'l I . 1, 1 1 ,
11 1 1 d
I I L
I- I — I 1 4
I + +
..—Mble-Mel-Welett e*J
ell
tift,l