680457.pdfPOSTED ON KROLL MAP NO-:
PERMIT
NIUM13ER
680457
BUILDING DEPARTMENT
pplicant Fill
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ON
ERMIT APPLICATION
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Inside Heavy Lines
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Ing 7
17A
JOB ADDRESS
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NAME (OR N OF BUSINESS)
SIDE Y"D
SET�ACK
STHMMY17 bz'k"�U�
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HELM
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VACANT brx"
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NRESIDENTIAL
--I
GAS
LINE
NEW
It]
NON-RESIDENTLILL
SIGN
ADD
RETAINING
WALL
DEMOLISH
ALTER
EXCAVATE
FENCE
OR FILL
( ........ . x .......... Ft.)
REPAIR
PRE -MOVE
INSP.
swim
POOL
�ES
NUMBER Ulf,
DWELLING
UNITS
t
N
I
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.
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
will be employed In violation of the Labor Coda of the State of Waahington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Your (Except Dt'.51OLITIONS which
shall be completed in ninety daya; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
NOTE: ApplicantCfubject to Plan Check Fee
This Permit coven work to be done an private property ONLY.
Any constailetlon on the public domain (curbs, sidewalks, driveways*
marquees, etc.) will require separate 136MINBIOn-
EXISTING STREET R/W ............ FT -
COMP. PLAN ST. R/W ............ IT -
ZONE
0 YES
0 NO
Plan check NO ............
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE,MOVE INSPECTION
EXCAVATION OR VILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
Pit 6-1107
YES
,RIANCE NUMBER 16
DEFICIENCY THIS PROPERTY
....... .... FT.
SJOR
[] YES [:] No
Fee
,00
APPLICATION APPROVAL
z
W
No.
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
DATE
FILE
; I
Final
x UAb NVMMEUTZ�43;.
m
iN
APPLICATION BUILDING 'PERMIT
CITY OF EDMONDS Building Department
Appl. No. .......... Ve
Permit limit, one year
APPLICATION 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 -`�alter Off -St.
..................... ................................................ Parking . . ...... . ...........
Work addn renair
Occupancy .............. & ............. Const. ty e ....... ........................ Use zone....'J... .......... Fire zone ...........................
"e�
Address .......... %.21? �--- ..... � Z 2�- t�-- ..... Blk ....................... Addn.-W.
'Ile __2
Lotfrontage ........................................ Area ........................................... Septic tank .........................................................
Bldg. set,backs — front ...... . . .......... r. side ......... ....... 1. side ........ :5. ... . ....... rear ..... ...........
Own ........... ......... Addres& ........ ..... ..... Tel. No....
Addres& ................................................... Tel. No ...................
Builder .................... 0 ..................... . ........... ........... ..........
Plansby ................................................................. Address ................................................... . Tel. No ......... o ............ .......
Remarks..................... ............................................................................................ ...........................................
The above is a correct statement, itnd I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owner/Agent ... N� .... .............. A . ......... 2LLES� Address ............................................ Date.Zl
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 notations thereon.
Valuation ......... ................ Permit fee ...... 7;�� .. . ............. Recd. by2x/`*��* ....
Building Department, By .............. I.A21.4 . . ................ 0— . ................... Date ...... ...............................
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OY . .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
Hki
PERMIT
Appl. No.
-,A�-IIJILIJING
Building Department
Permit limit, one year
A
iffeby made for a permit to construct the following work,, in accordance with the accom-
Rications. Two sets are submitted herewith for approval.-`
Off -St.
....................................................................................... Parking ......... . ...........
Const. type ................................ Use zone ..... /J.r ..... Fire zone ...........................
... J1 J�1� - 7
Lot....... A45 ......... Blk ........................ Addn ... ................
. ............................... . tAsea ........................................... Septic tank .........................................................
...........................
................... 1. side .............................. rear ....
front ............................ r. side ...........
.............. Tel. No. ....
�7 ...........
:_:Own ... ... ... ............
Address. ................................................... Tel. No .............................
Builder... . ......................................
Plansby .......................................... ...................... Address ................................................. Tel. No ....... ......................
Remarks... .................................. ................................... .......................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work. 4
Signed Owner/
G
Date..
.................
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and *fi�a
Cal plons, and Building Department notations thereon.
Valuation .......... ;1� ..... .................. Permit fee .......... ��A� ............ Recd. by..-,�.. .... e.
A ........................ Date ...... .............................
Building Department, By ........................ 40.A
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .............. ..................................... Final, OY . .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
I
I Q
i
APPLICATION BUILDING PERMIT
OF EDMONDS Building Department
Appl. No. ........
Permit limit, one year
ATION is hereby made for a permit to construct the following work, in accordance with the accom,
and. specifications. Two sets are submitted herewith for approval.
Off'st.
alter
repair....................... .. ............................................................... Parking
...... r ............. Use zone ...... ...... Fire zolle. �---Zdz
... ............... ;4onst. type ....
........... ............. ....... ......... ........... Blk ........................ Addn.e.. ................
....... Septic tanC�--t.&�&Z�.-e'��...
....................................... Area ....................................
front............................ r. side .............................. 1. side .............................. rear ...............................
e 1' rf�� ..... Address. ... ....... t�Z:Y ............. Tel.
.. . .................................... Address ................................................... Tel. No .............................
...... .. .....
imisby ................................................................. Address .................................................... Tel. No .............................
Remarks .................
.................................................................................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed 0wner/AgenttZqi1�t:!.2 1 . .............. Address ............................................ DateZiO.::�.-'7.a.-
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 notations thereon.
Recd. by ... ...
Valuation .... /-
.................... Permit fee ....... S .. 4 -- ----------- 4. ..........
.............................
Building Department, By ..................... . .... ............................ Date ... . .. e
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OK .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
/ A
0
BIJ
PLIGATION ILDING PERMIT Appl. No . ................... ..............
OF EDMONDS Building Department Permit limit, one year
ON is hereby made for a permit to construct the following work, in accordance with the accom,
d specifications. Two sets are submitted herewith for approval.
Off -St.
ter
.................
repair ................... . ..................................... Parking
... Use zone ........ �7=.t ....... Fire zone ...........................
.... ................... Const. type ............................
................................
..... Lot ....... !�.'7 ......... Blk ........................ Addn.. .
ge. ................................. : ..... . Area ........................................... Septic tank ..........................................................
front............................ r. side ............................. 1. side .............................. rear ...............................
dress ......... ......... Tel.
.................. Ad ...
... Address .................................................... Tel, No .............................
.................................................................
................ Tel. No .............................
Plansby ................................................................. Address ....................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
a
Signed Owner/
.101511-elO
Date./ . ...............
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specificati��and Building Department notations thereon.
A) C�
O-C!`e ......................... Permit fee ..... . ....... Recd ...........
Valuation ....... Z� ............ by ....... 7--
BuildingDepartment, By ..................................................... . ................... Date ........................
�Q br.- Anno
In privato prcrevty OITLY.
I my construction on tho public doma.]NSPiCTION RECORD
curbs, sidewalks, drivowayo, marquee
Ito. ) separ—ote pernVaih-�p()K .................................................... Final, OK .......................................
?�nl,bicquirc ...............................
This Pennit does not cover Plumbing, Sewer or Electrical installations.
a