690140.pdfU
POSTED ON KROLL MAP NO.: PERMIT 690140
BUILDING DEPARTMENT Applicant Fill JE NUMBER
/=3 49
1"IdO Heavy Lines JOB ADDRESS
PERMIT APPLICATION 9/7 9
P
Z
N
C ur
iu�ruv" U EDER
rn i iyl) Plef- 4 7 .3 4b
-r- 3 7 6
tj 'S
Al Y2, Ar
7 MkSY
I N
7A A 10
0 VS 'S -0 ' C: - /_? 0 ' 77 6 -1 C 41 P
tv 0 0 4s- �p
3 V, ?3 "7o NlAi .5o
rv8 * -5 -ye
Of � / "
soOdAr �T tj Y-.a. sts- / D�
gy od r "4x* W
as-7� JJ 3 y 0/6,1e&
If wg"7. / 710,0
NEW
RESIDENTLP
GAS
LINE
NON -RESIDE TrAL
SIGN
RETAINING
DEMOLISH
WALL
ALTER
EXCAVATE
OR FILL
FENCE
El . ........ Ft.)
0
REPAIR
El
PRE -MOVE
INSP.
n
SWIM
POOL
DVV'EL7.JNG
UNITS
16
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 Workmen's Compensation insurance.
NOTE: Permit Limit One Year (Except DEMOMTIONS which
shall be completed in ninety days: MOVED -IN BUILDINGS shall be com-
pleted in six months.)
NOTE: Applicant Subject to Plan Check Fee
This permit coven work to be done on private property ONLY.
Any construction on the public domain (curb@, sidewalkst drivewayap
marquees, etc.) will require separate permission.
67 0� 4 VJ I
EEIT SETBACK REAR YARD BN�"AU&
SIDE YARD SETBACK I STR
�_ I S I M
- 5_ 1 AS' 01 ANT SITE
USE ZONE LOT AREA VAU
13 YES No
"T"TmTwn AnTLA. I VARIANCE ZZdl R ;6
- ____ - __1 - -
EXISTING STREET R/W ........... FT- DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W ............ FT. 0
REMARKS- 16
� /*%/ 1 13 YES 0 NO
L] YEB
Valuation
Plan Check No ........
BUILDING I Idm
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
OLIVION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
Fee
I ZOE
No.
ATTENTION APPLICATION APPROVAL
THIS PERMIT This application is not a permit until
AUTHORIZES of gned by the Building Official or Ids Dep-
ONLY THE
WORK NOTED uty; and fees are paid; and receipt is ac-
lulowledged in space provided.
INSPECTION _�DMIREORFVS SIGNAZIRE
DEPARTMENT
CITY OF DATE
EDMONDS
Pit 6-1.107
FILE