690126.pdfr BUILDING DEPARTMENT
P MI!
ERMIT APPLICATION
7 (OR
1? 77 ]BUSINESS)
NA;MM (OR NAME OF
AP Oh0
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goo 61 4-d4�-Z
CITY
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D ON KROLL MAP NO" PERMIT
ApplicWt 1W / Y-L �W I NUMBER 6MI26
Inside Heavy ILUAIntemms DRE83
E Y
so ARE
07 r�l WZAZ
16 REE'r i-E—TBACK REAR YARD BEMAM
SID APD BET13A ? K ST
U E ZLONI& LUW A,
XPHONZ MBER 0 JV(TES C3 NO
131 4 1,
T107 HEIGHT . . ...... 11111RIANC31 NUMBER
NEW
RESIDENTIAL
J
AS
'E
F�
NON-RESID ENTIAI
IGI
8 ON
ADD
F1
RETAINING
WALL
nDEMOLISH
ALTER
EXCAVATE
OR FILL
FENCE
( .......... x .......... Ft.)
REPAIR
L_J
PRE -MOVE
INSP.
SWIM
POOL
TU-MBER OF STORIES
I NUMBER OF
DWELLING
UNITS
EXISTING STREET R/W..49.Xv. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W..4D-1". .... 03". —0
REMARKS
612-10 F/-A7-
e> A-r. OF V 5, 1
p 4A reu7 cN - 10
Driveway slopes not to exceed those
King
0 YES
11
"5/4
1(
"� tc:--
Plan Check No ..................
IFR-OPOSED USE
BUILDING
PLUMBING
PLOT EjAN (IndleatO JSUnr SOTORZKS� &OULUIM streets)
BEAT & GAS LINE
PENCE
t
SIGN
N
I
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-
ATTENTION
I&Ung 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 PERBUT
relating to Workmen's Compensation Imuranoe.
AUTHORIZES
ONLY THE
NOTE: PermIt Umit One Your (Except DEMOLITIONS which
WORK NOTED
gh&n be completed In ninety days; MOVED_1[N BUILDINGS shall be oom-
pleted In oil M�qntbmj
INSPECTION
R AGENT) DAT SIGNED
31ONWATURE
4
DEPARTMENT
-9
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PE 6_1101
This permig covers Mork Zo Do none on private Property ONLY.
Any construction on the public domain (curbs, sidewalks, drlvsw&Ys,
marquess, etc.) will require separate permission.
YES E3 NO
Fee I Receipt No.
Ir. 40 U40:
(J
APPLICATION APPROVAL
This application is not a peirnit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
------ . ....... ..
. ...... �77
Lot 5,, Sitio, according to pl,,t --r�-cjf recorded in volume 26 of
a sh in [.-,to n
platss page 20, records of
-6 as f ollows:
tion thereof describe
tMPT that per
at the 14ortheast corrae-- ;-` scAd Lot 5; thence South
�.�:Be ginning
a distance of 113
,4515811 West along North line of said Lot 5
,�.thence South 34018157" lv.7est aion3 Vesterly line of said Lot 5.,
cc Xom'.-t 6';1029,28t' East,. a distance
..ce of 29-32 feet; then
North 81 a distance of 114.25
feet; thence
0421581%
t':to point of beginning.
f recorded i
�,�,portion of Lot 6) Siti-o, accordirp, to plant thereo n
ish County) "I"-shington,
e,,:26 of plats, page 20; records of '1101110M
"iloeid, 'as follows:
cl* 0 Tot 6; thence North
ginning at Southerly most corn L --�" 1 4
14111 West along, southwesterly line of said Lot 6) a distance of
eet; thence North 63c)29,281, Eas'za distance of 131-36 feet to
J ut�� 3401815711
0
ersection of Southea5tcrly line of said Lot '; therce
"?','-�-'West along said Southeasterly line, a- distance of 125.86 feet to point
f 0 beginning.
LIJ
61
i,tj
RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough)
Frame
Furnace& Fuel Line
Ak-o Final 70 4.
0or
4W rove t 0 4v j
RECORD OF INSPECTIONS l�i-
Date'Pas
sed
Drainage
sewer
1 .2-1 —772
--Lt
Parking
Landscaping
Fire Dept..