680467.pdfr
PORTED ON KROLL MAP NO.: PERMIT
BUILDING DEPARTMENT Applicant Fill NUMBER W467
PERMIT APPLICATION l[naide Heavy Miles _JOB ADDRESS ttu
NAME (OR NAME OF BUIUNESSI A
�(qLf 1 SIDE YARD SET STREWr SETBACK HEAR YARD SETBACK
$PACK
MAILING ADDRESS— I LA'j
I SITM
USE ZONE LOT AREA
CITY TELEPHONE NUMBEt 8 [3 NO
1, 1*, 1�' , RN I -RUNCia
-3 o&76 HFIGHT BUILDI FG_A_REAj IVA
ry I d 4
NAMIG
PLOT PLAN D
W ADDRESS
STRW-R7W
CITY TELEPHONE NUMBER EXISTING STREET R/W ..:i�42.FT. DEFICIENCY THIS PROPERTY
comp. PLAN a- n mr 6prT. W ... FT. a
REMARKS
NAM DrivewaV slopes not to exceed those
0 W Par— indicated on Standard Drawing 0103.
04 DRESS
CHECI.ED BY
CITY ThmEPHUNJU NUMBER
E-1
Z
8 1 — _9ffT_M SIZE SERVICE SIZE CLEARANCE qA%FED BY
STATE) LICENSE NUMBER CITY LICENSE NUMBER Cd
1314 (C
- .- . _. . .__ I __ REM.&RK-
TYPO CONNECTION I VERWMD BY
Z
PERC. TEST PERMIW N
REMARKS
ONSTRUCTION STREET IMPRO��_j
FIRE ZONE TYPE OF C
14 1 __� I i
NEW
RESIDENTIAL
I n I
M
A
U
NON-RESIDENTIAL
r
SIGI:
ADD
RETAINING
EJDEMOLISH
WALL
ALTER
EXCAVATE
OR FILL
El
FENCE
( X Ft.)
........ . ..........
REPAIR
PRE -MOVE
INSP.
SMM
POOL
I NUMBER OF
DWELLING
UNITS
e-
(] YES
Plan Check No ............
i
BUILDING
PLUMBING
BEAT & GAS LINE
t
FENCE
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read thin application; that the In.
formation given to 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 State of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOIATIONS which
shallet-o-ftmpleted In jAnTErsilays; MOVED -IN BUILDINGS shall be oom.
N6T-E-4jplicant �itbject to Plan Check Fce
This P ;;It covers work to be done on private property ONLY.
Any construction an the public domain (curbse sidewalkso drivewaYst
marquees, etc.) jvlR require, separate Peroulfisim.
AT3VENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
[] YES
Fee I Receipt
F1
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-
knowledged in space provided.
FILE
9 .,
RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Line, I
Final
0
S
RECORD OF INSPECTION
Date passed
Drainage
Sewer
Parking
Landsca, --------
Ping
Elre Dept.