690276.pdfPOSTED ON KROLL MAP NO.:
PERMIT
UILDING DEPARTMENT
Applicant FM
NUMBER
c3n9-7A
�PERMIT APPLICATION
Inside Heavy Lines
JOB ADDRESS
TIV
.4 e16
NAME (OR NAME OF BUSINESS)
ARCHIE IVERSON & COMPANY
SIDE YARD SETBACK
STREET SETBACK
BEAR YARD Eli� TBACK
a'a /0)?
0
MAILING ADDRE138
,I'd .
1139 N.W. Market
I
TMLEPHONE NUVBXR
USE ZONE
6�
LOT AREA
C NT SITE
VA A
[3 NO
CITY
Seattle, Wn. ISU
2-,7600
HEIGHT
BUILDING AREA
(VARIANCE NUMBER
NAME
Lawrence & Hazen
PLOT PLAN AZPOVED
ADDRESS
8626 Roosevelt Way N.E.
STREE&B/W
EXISTING STREET R/W ............ FT- DEFICIENCY THIS PROPERTY
CITY
AMLEPHONE NUMBER
Seattle, Wn.
LA 3-o114
COMP. PLAN ST. R/W ............ FT. ............ FT.
0
REMARKS
NAME
Driveway slopes not to exceed those
16,
Archie Iverson & Company
'ADDRESS
indicated on Standard Drawing #103.
0
1139 N.W. Market
CHECKED BY
CITY
TELEPHONE NUMBER
Seattle, Wn.
SU 2-7600
MET ER SIZE SERVICE SIZE CLEARANCE
CHECKED BY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
Legal Description of Property (Show Below or Attach Four Copies)
All of Lot 11 except the
north 1/5 of
TYPE CONNECTION
VERIFIED BY
Z
Skelton's Lake McAleer 5
acre tract as
PERC. TEST
PERMIT NUMBER
rpneirded in vol-
6 of Plats
REMARKS
ppr pin+.
T)g. 21, records of Snohomish County
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
YES 19_90�_
EC TOR REQUIRED
OCCUPANCY GROUP
YES R-195-
M RESIDENTIAL
GAS
LINE
NEW
PLAN CHECKED B
NON-RESIDENTIAL
SIGN
ADD
1:1
RETAINING
WALL
REMA2�pd
DEMOLISH
EXCAVATE
FENCE
All utilities must be underground per
ALTER
OR FILL
( x .......... Ft.)
REPAIR PRE -MOVE
INSP.
..........
swim
POOL
Edmonds City Ordinance #1387.
DWELLING
UNITS
PROPOSED USE
Use of apartment rentals
PLOT PLAN (Indicate Bulia—ingsetbacig,_ abutting strc�
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-
lzed agent of the owner. I agree to comply with city and Plate 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 In ninety days: J%IOVEB_IN BUILDINOS shall be com-
Dleted In six months.) I
NOTE: Applicant Subject to Plan Check, Fee
ThIs Permit coven work to be done On Privftta property ONLY.
Any construction on the public domain (curbs. sidewalks, driveways,
marquees, etc.) will require separate Permllsim
rInn Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE:
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY TILE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
Valuation
A
No.
1,�, a, o o L-�rolg
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.
41�114
";t/ -
Date Passea
Drainage
Sewer
Parking
Landscaping
Fire Dept.