690274.pdfr*lUILDING DEPARTMENT ApplIcant FBI
Inside Heavy Lines
PERMIT APPLICATION I
A&4 1i — - 'M U /Z
MG j�6002
TELEPHONE NUMBER
P A60
ptlon of Property (show Below or Attach Four Copies)
f4zyol 2
7
GAS
NEW RESIDENTIAL F1 LINE
E] NON-RESIDENTIAL F� SIGN
M RETAINING
DEMOLISH L/JJ WALL
E] ALTER EXCAVATE FENCE
El OR FILL ( ......... = .......... Ft.)
PRE -MOVE SWIM
REPAIR INSP. POOL
NUMBER OF
DWELLING
UNITS
C
i
6 b2,1A L
Ar
t
N
I
I hereby acknowledie that I have read this application; that the In-
formation given is correct; and that I am the owner, or the duly author-
lzed 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 Umit One Your (Except DEMOLITIONS which
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six montIVI.)
C
ON VROLL MAP NO.: PERMIT
I NUMBER
REES C6>9/
)'I -
RD SETBACK STREET SETBACK REAR YXF
i I kni r% Q�O I VA't-=.5
LOT AREA, VACANW V3
0 YES
I STREET R/W ........... IFT.
PLAN ST. R/W ............ FT.
FIRE ZONE TYPE OJ
—7-7r— I -
0 YES 0<0—
Plan Check No.
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
?11-y1&2 1.
NOTE: APPlicant Subject to PlalCheck- Fee
-7hlo Permit covers work to be done on private property ONLY.
Any construction on the public domAtu (curlus, sidewalks, driveways,
marquises, etc.) wtll require separate permission.
TOTAL AMOUNT DUE
ATTENTION
TIUS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
I
IN=
DEFICIENCY THIS PROPERTY
a
Valuation
ei
F-IRM 100,
Fee
=I
RM
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.
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4
Appl. No. -Ao
MUCATION BVILDMG PRUIT
Buildng DePaMn"t permit limit� one year,
.;..i.CI1TY*. OF EDMONDS
is hereby made for a permit to construct the following work, in accordance with the accom
and sp I ecifications. Two sets are submitted herewith for approval.
Off -St.
.. . ...........
alter
............................... ......... Parking
repair..........................
zone ... ;;;J ..................
Const. type ........... . ................ Use zone ...... JkP ...... Fire
..r ..............
ze ...... . .... 2 ....... Blk ....................... Addnx� ............. ... eg;oa..
. ........................... Lot,
Ire 1 44 ........ Septic tank ........... .....................
.... . ..............
................ /7
.............. Area ...... e ..................... ......
........ r. side ........ . 1. side ............ 7 ................. rear ................
front ......... .................
.............................
......................... Tel. N�eff_
................... ....................
............... Address. ................................................... Tel. No ................ .............
e above is a correct statement, anct
S ign ...
ed owner/Agent
Address................................................... Tel. No ..............................
...........................................................................................
--------------
gree to comply ith all applicable Codes and State laws regulating this
......... . . 7
...... .........
Addre'-'O�W5�:
app ed, subjeLt to the above conditions, and to compliance with the ap-
PERMIT for the above work is her 4
proved plans and specifications, and ilding Department notations thereon. 2
--Y '0 --'d4 . . ... . .... ... "
Valuation ............... ermit fee ..... 4:-..W ................ Recd. by .. /Yj
. . ... .......... P
Building D .................. ('
epartment, By ... . . ... % ............ .................... Date ... ......................... ......
Fdn, OK
INSPECTION RECORD
Frame, OK
Final, OY . .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
APFUGATION BUILDING PERMIT
CITY OF EDMONDS Building Department
Appl. No. ... 4-n5p.-n!�z .......
Permit limit, one year
AFFUCATION is hereby made for a permit to construct the following work, in accordance with the accom-
pinying plans and specifications. Two sets are submitted herewith for approval.
Off -St.
new alter
................... Parking .............
'Work addn repair .................... ................................................
Const. type ................................ Use zone.44 ............ Fire zone ...........................
Occupancy ...............................
r .......................... ..... Iot ........................ Blk ....................... Addn ......................................
...................
M
front..
Area........................................... Septic tank ...........................................................
r. side. ........ ;r ... .
...... ............ ;�� ..... 1. side .............. rear ........... 1.,6 ..........
44-e,�..-Address. ........ -Tel. No.4L—.i!;4.ff.14
.................... Address ................................................... Tel. No .................. I ...........
..................... Address .................................................... Tel. No ............ ................
....................................................................................................... .............................
...................................................................................................................................................................................
... ............................................... ...............................................................................................
..................... ............
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
S ignexi Owner/Agent ........... ............................................ D a t e
V
for the above work is hereby approved, subject to the above conditions, and to compliance" the ap,
p Lvis and specifications, and Building Department notations thereon.
Valuation ........... 610-XV ........................... Peimit fee ......... = ....................... Recd. by ....
Building Department, By ......... ....................... .................... Date ............ / ............
I I This Pennit does not cover Plumbing, Sewer or Electrical installatio"s.
� 'j,
I