680522.pdfBUILDING DEPARTMENT Applicant M
PERMIT APPLICATION Inside Heavy Lines
NAMw (OR r4AXM Or BUSINESS)
WIIIIAM E- KING
MAILING ADDRESS
7FT—Y 316 - 5th Avenue South TELEPHONE NUM13ER
Edmonds. Washington I Pro 8-3o87
House of Marbleg Inc,
ADDRESS
11591
316 - 5th Ave, South
CITY
Edmondsq WaSILin gton
TELEPHONE NUMBER
1Pr. 8-1990
STATE LICENSE NUMBER
223-01-7704
CITY LICENSE NUMBER
594
Legal Description of Property (Show Below or AttACh Four Copies)
Beg. at a point on the we, Margin Of 5th
z
street in bilmondsip wne 359.9! no 99d
3o' w of the ssee cor, of see 23 twP
27 n r 3 eow.m. th w 122,75'; th n
IPP-70o th a. 1002 to Pob
ON KROLL MAP NO.: PLMMIT
I NUMBER 680522
DRESS
316 - 5th Avenue South
ARD SETBACK 1 0 EET SETBACK REAR YARD SETBACK
DNIC LOT jUWA VACANT Sffi
/.:I ;� -�, 5�*� 0 YES w4o*�
BUILDING AREA -VAHLALNCE NUMBER
1, -roTit I (� a /A 04
..T� _r "
CISTING STREET R/W ...6-97T. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W.4��J"-
indicated on Standard Drawing #103.
3'/41% 1 3�'/6 it
13 YES wffo_�
I GAS
NEW RESMENTIJ&L TL'L LINE
NON-RESIDEN SIGN
RETAINING
DEMOLISH WALL
ALTER EXCAVATE FENCE
OR FILL El . ....... Pt.
REPA PRE -MOVE SWIM
m El INSP. POOL
PLAN �CHECK�ED B
REMO=
NUMBER or
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Mfg and sale of cultrued marble.
commercial building
Plan Check No...
PR—OPOSED USE
seeabove
BUILDING
PLUMBING
-FL—OT PLAN (Indicate
Building setbacks, abutting streets)
HEAT & GAS LINE
PENCE
lei
t
N,
SIGN
RL`TAINrNo WALL
SWIMMING POOL
q
N
*11
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
formation given to correct; and that I am the Owner, or the duly author.
ized &gout of the owner. I agree to Comply With City and state laws regu- ATTENTION
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
relating to WorkmeWs Compensation Insurance. AUTHOJUZES
ONLY THE
NOTE: Permit Limit One Your (Except DEMOLITIONS which WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS ahall be com-
pleted In six months.) INSPECTION
SIGNATURE (OWNER OR AGENT) ATE BIGNED
DEPARTMENT
i--;Z
, CITY OF
EDMONDS
NOTE: APPlicitnt Subject dlPlan Check Fee
PH 6.1107
This permit Covers work to be done on private Property ONLY.
Any Construction an the public domain (curb@, sidewalks, driveways,
marquees, etc.) will require separate permission.
04.
wil
Fee
13 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-
knowledged in space provided.
FILM
3
M
I
JOHION(.' BUILDING PERMIT
EDMONDS Building Department
I
Appl. No.
....... ... .... . ......
Permit limit, one year
1kTM is hereby made for a permit to construct the following work, in accordance with the accom,
tans and specifications. Two sets are submitted herewith for approval.
alter
....... ....... . .. . .......
air . ............................................................................. Parking . . ......
Const. type.. Use7one ... .......... Fire zone ..... :Al
77 .7� ............. ..
... ............... Lot ....................... Blk ....................... Addn ......................... . ..
----- Z5=--
ge ........ ................ Area ........................................... Septic tank—..450 ... ..... .............................
front ....... .......... r. side ...... ......... 1. side ...... .......... rear ...............................
er.... .................. Addres& ................................................... Tel. No .......................
Address .. No$�7 ..................
'rBuildert
Plans by%,6�tK
7 ........... Address.. ..... != .. ...
vvel. No .............................
Remarks. .................................................................................................................................................................................
The above is a correct statement, and I agree to com with all applicable Codes and State laws regulating this
work.
SignedOwner/Agent ........ . . ..... .. .... .. ... ..... . ... r ............................................ Date...
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 ... S'clxo .................. Permit APAA .................. Recd. by ... .. .
Building Department, By ............. It!!!4
........... ................... Date-Zy.5,
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OK .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
I