690160.pdfJPJ7iVNdAaNiA''+uff'!"'..t"0"nst"i��l�{`�bR+:�i`'cl �1RJ
i
dUlLDING DEPARTMEN
PERMIT APPLICATION
WE
3
J
k7
v
"e E
ya2
® RESIDENTIAL LINE
I—1
�} LINffi
QNON-RESIDENTIAL SIGN
RETAINING
QDEMOLISH Q WALL
QEXCAVATE FENCE
OR FII.I. Q (I ....... s_........H't.)
PRE -MOVE SWIM
' _ { INSP. Q POOL
• :n- 1 e
D/.v/.V
bus
no u
4 A1-Rh C>E
IdL'L�eS'EP eN
5C-P AiE.
5 Hc-
—�
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-
ised 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 DEMOLITIONS which
shall be completed to ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
eir F Mq
NOTE: Applicant Subject to Plan Check Fee
This Permit coven
work to
be done
as private property ONLY.
Any eunswiscUon an
the public
domaia
(curbs, sidewalks,' driveways•
marquees,
ate.) will
require
separate permission.
MCCAVATION OR
TOTAL AMOUNT DUE
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
Pit s-1107
0
evt5I ? OV
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.
. t/
aiI
'�:,,
•,1
1
ttz
tt t
t
!
n
[
i
1
i
3
I
,1
r
1
V
1 •
i
I
I
r
I
I
I
I
1
1.
Y
i
i
1
I•
,1
k'
I
�
f
I
I
rIgoe '
J hl
_
PI
ggo
s r
Y
1
r
i .- APPLICATICN & WORK PERMIT-
,i
Application No. . . . . . . .
o...........c
CITY OF EDMONDS Building Department Permit Limit, One gear
r h
tF�>rf i APPLICATION is hereby made for a permit to construct the following work, in accordance with the accompanying plans
r and specifications:
WOBBNew/AUiia ................ Ground Area.................................... No. Stories............
t
PlansSubmitted ) ........................ Const, Type........................ 0............... Height........................
41
�OOATON — Address O{/
I �� .......LF........ ......................... Use Zone.................. Fire Zone....................
�i/
Lot................... Block.................... Add'n�..... �� � Sewerage..._... f` e...............«...................
t Asea .. ........................... Min. Bldg, Setbacks, Front and Rear.........«�� ... Sides ...........
:.L..«...
r�
k
Phone......_....... �' 4
lly. ..«....................................... ..... «......«....................... Address........................................................................ Phone..........
by,""*""".......... ............................................. ........:........Addreae........................................................................ Phone.. .....
by. ...... «...... ............»............................................................... Address........................................................................ Phone ........
by,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address...................................................... Phone.'.............................. }
Elect. b................................................................ Address........................................................................ Phone.....................
Remarlce... .. .... Z .. ..... ...... ...... ............. ............... ................ ............................. ..........
Fy
it
P...........................................................................................................................................................................................................LL .................... 1
l' f
The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work.
I
g S Q. Q /..!. �. ��:r.� Address .................................... .............................. Date....,!
8 Signed: Owner/A ent ......:.... t1a.:«1..lJJ ...«.1 i .......i
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,
VALUATION PE MT FEES "
`r
Bldg. , , . • $...'a....^ .... I ........... .
i
Plbg. ....................... '
40
APPROVED: Heat ....$........... .).......................... I
Date................vl..j'0,7 ........&45.................... Elect, ....$............ ....... ..................
...
BUILDING DEPARTMENT Others ... $.................... {
's
By ..................................... :�✓`V ............. - d ' TOTAL FEE $«..[ .__................ ;
NOTES: No work requiring Building Department or City Engineer's inspection shall be covered before inspection and approval, j
Twenty -Your (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as
curbs, paving, driveways, sewer, water and street connections. II i
I .(
i
1
A
sr�
pp
`daW
t i
kIoil
S1 r .Y .. r • h• i. _ ..
Y t'Ll I LIyrI I
is
i e<
,%Yxl
r
IN I
1
t IN
I IN
It I
; LEGAL DESCI3IPTZON
o ),i ��"t��� 'r�, �t�+y,=Ct}r (Chas. Hansen)IS
tfvthIt�Luf ii✓/i yiJi'�y+v+"'gL.Yf 1,T •��r.r,Sl= ! i r:f• [t� \
♦?sysT o, G•I r^° y ,: F� }"�lL,IIIIr
�I a I°P *'. t.
? V�u a v
7,t:r6T hry'�tL'tN'�7'�w A�lli K t tI i ai +� ! 3 J' t �r • PARCE B \
L �J(kv`r y113 T i )A �� ,vs !4pe A . N
,tr - ° 1 � ' `i 1�, Plat of Lake Ball in er
t�1 i�r, : ;All of the North 75.81 feet. of Lot 3, Blk. 9 „E
t Land CoppWWIs Subdivision #19 Snohomish County, Washington LESS the
= . Y ; ; North 2.21 feet, and the West 130.00 feet thereof. �,T R'
p 1 t 3'
a
IINI
INA
It
IN I
r 1,
�dJ= L
.000
f I
l�
,.
11 IV
-�-�It
IN
4Ll�I''ie"1 4It'
RECORD OF INSPW ;;
bit@ I'�sAac;
It
1
1 Foundation
Plumbing (Partial) - -- ,<`.;
IV
(Rough)
Frame _
Furnace &I Fuel Li
VinaI
s