680498.pdfBUI6LDING DEPARTMENT
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PERMIT APPLICATION
NAME (OR NAM&OF BUSINESS)
. I p
tf,)
AppUcant, Imes JOB ADDRESS
Trial a HeaVy ------
RTnm VAnn AMTHACK I ST
RESIDENTIAL
=E
NEW
1 1:1
NON-RESIDENTIAL
SIGN
ADD
RETAINING
D-"T
DEMOLISH
WALL
A LTER
/jN
r XCAVATE
E]
PENCE
OR FILL
( ........ . x .......... Ft.)
REPAIR
M
PRE -MOVE
INSP.
SW3M
POOL
DWELIANG
UNITS
t
N
I
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
will be employed In violation of the Labor Code of the State of Washington
relating to WorkmeWs Compensation Imumncc-
NOTE: Permit Vintit One Your (Except DEMOLITIONS which
awl be completed In ninety days; MOVED -IN BUULLDINGS shall be com-
pleted in ail months.)
V NOTE: Ap'p"hicant Subject to Plan Cbeck Fee
This permit coven work to be done OIL Private property ONLY -
Any construction an the public domain (curbs, sidewalks, driveways,
nuwqums, do.) win nquire separate permission.
EXISTING'STREET RIW ...........
COUP. PLAN ST. R/W ... .......
[] YES
[3 NO
Plan Check No ............
BUILDING
PLUMBING
HEAT & GAS LINE'
PENCE
SXGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE-movE INSPECTION
EXCAVATION OR PILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERAnT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
PERMIT
NUMBER 680498
E3 YES 13 NO
DEMCrENcY THIS PROPERTY
Z
N
13 YE8 0 NO
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-
lmowledged in space provided.
C� 5.(- —
_4
MZ;I�,7;7 IT-..
1.15
! 7,
,a
&a
POSTED 01 PERMIT
6804-98.
NUMBER
11DING DEPARTMENT Applicant M
Inside Heavy Lines JOB ADDRESS
IRMIT APPLICATION
4:4 NAMM (OR MAME OF BUSINESS)
TRFEET 8 REAR YARD SETBACK
D SETBACK 8 ETBACK
SIDE YAR
<
ADDRESS
USE ZOREE LOT AREA -VACANT SITE
/--2
—CITY, WELErttiOND NUMBER YES NO
OM NUMBER
HEIGHT BUILDING AkMA VARIAN N
NAME
PLOT PLAN APPROVED
ADDRESS
STREET R/W
EXISTING STREET R/W ........... XT- DEFICIENCY THIS PROPERTY
CITY TELEPHONE NUMBER
COUP. PLAN ST. R/W ...........
REMARK13
NAME i
rZ
Z
q a
Part of the Northv.,est quar�er of the'Norihwest u rt6 r BY
7UT-y- of r!ecttion 25,, Totanship 27 North, "rinre 3 E. W.M.9
drscribed ar. folloWS:
33Y
Reri.nning at the Northwest corner of 1,ot 7, ilorcland
Add-.Ltion Note 2, according to plat thereof, recorded in
Leg;i
15 of Plats, pape 979 records of �Inohomish Count,,
e West line of -,aid lot
Wa,hi.npton; thence alonpr. th
003ql East
South 6117123" West 40 feet; thence qouth
95.91 feet to a point 15 feet South 00391 'Piest from the J�
fee'. more
2 Southwest corner of said lott; thence Mest 226
or less to a point South of the Northeast corner of tract
by deed
conveved to Russell L. Shaw and Lloyd R. Lichty
11167356; thence North to
recorded under Auditor's file No. IMPROVED
Replat of Homeland Ad-
[3 NO
the 'outhwest corner of Lot 5,
dition according to plat thereof, recorded in Volume 13
f Snohomish Countyq Wash -
of platsq page 18, records o
thence Easterlv along the South line of the Replat
F ington;
of Homeland Addition 230 feet to the point of beginningg
road situated in Sno-
EXCEPT the South 15 feet thereof for
h 0 r. i's h' County, Washiripton.
.4
1 49
REPAIR PRE-MO;A'"
INSP.
Ej fi El POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
U)
NATURE OF WORK TO BE DONE HIL I I
Valuation Fee Receipt No.
Plan Check No ..... ..............
PROPOSED USE
BUILDING t
PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUM33ING
J
HEAT & GAS LINE
PENCE
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. 147,Z -7
formation given In correct; and that I am the owner, or the duly author-
Ized agent of theowner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL
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 THIS PERMIT This application is not a permit Until
relating to WorkineWa Compensation Insurance. AUTHORIZES Signed by the Building Official or his Dep-
ONLY THE
NOTE: Permit Cimit One Year (Except DE5101ATIONS which IVORK NOTED uty; and fees are paid, and receipt is ac-
shall be completed in ninety days; BIOVEDAN BUILDINGS shall be core. Imowledged in space provided.
plated In six Months.)
BIG NER-OR AGENT) NED INSPECTION
DATE, SIGNED DIRECTOR'S SIGN
DEPARTMENT /7 "1
CITY OF IT
EDMONDS DATE 4r
V NOTE: Apfflicant Subject to Plan Chek Fce
PR 0-1107
This permit covers work to be done on private property ONLY.
AM construction an the public domain (curbs, sidewalks, driveways,
INSPECTOR
marquees. etc.) will require seriarato Permission-
M
'W
Plans
Bldg.
PLIcATirm
OF EDMONDS
& WORK PERMIT (�_
Building Department.
J
J
No.
Application
ermit Limit, One Year
P p it
)1ans
�hereby made for a permit to construct the following work, in accordance with the accompanying I
. . ........................ ..................................... Ground Area ................................... NO. Stories .........
........................................................................ Const. `I�Te ..... Height .......................
................................................ u;:n Fire Zone ....................
oe 310
c�, 7�2 7,411 IC 3 6,- ub'-fl
'�l;._Block ....... ... Add'n ...... Sewerage ....................................
2_ 7owr ...........
.............
. . . ................ Width. ........................... brin. Bldg. Setbacks, Front and Rear...
049
.5.1at .. tr_L%4wo ............ Phone ... : ................... .......
................... Address..
. ....... Address ........................................................................ Phone ........................ .......
. . ...........
Address .................................................. 2�5&o�&bone ................................
Qe, .................................
b _..e
by........................................................................................... Address ........................................................................ Phone ...... ........................
by........................ .. . ........................................................... Address ........................................................................ Phone ................................
---- ---- -------------------------------------- Address ........................................................................ Phone .......................
Remarks ...
rrhA sibove is a correct statement and I aLrres to comply with all applicable Codes and State IAIA
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans
and specifications and Building Department notations thereon.
PERrvHT IMES
VALUATION
1b,
$ Bldg. ....................................
..............................
Plbg. $ ........................................
APPROVED:
Date ......... C42-111 ....................................
7 ........... _/
BUILDING DEPARTMENT
r
Dirk van Dyk, Bid f1c*
By .......... ... .. ...
9i IC
Heat.... $ ........................................
Elect. $ ........................................
Others... $ ........................................
TOTALFEE ............................
Twenty-four (24) hour n6tice requested. Contact the City Engineer prior to construction of all site utilities, such as
NOTES: No work requiring Buildt g Department or City Engineer's inspection shall be covered before inspection and approval.
curbs, paving, driveways, sewer, water and street connections. '. ly