690404.pdfBUILDING DEPARTMENT Applicant FM
CATION Inside Heavy lAnes
'V; PERMIT APPLI
NAME (OR NAM M OF BUSINESS)
W[MVIAD Gas
7
CITY TELEPHONE NUMBER
.Legal Description of Property (Show Below or Attach
�QZ L S
51
E] NEW
RESIDENTIAL
GAS
LINE
NON-RESIDENTIAL
......
REMAINING
WALL
DEMOLISH
EXCAVATE
PENCE
ALTER
OR PILL
Ft.)
( .... ... ;,x . .......
REPAIR
PRE -MOVE
INSP.
SWIM
POOL
DWELLING
UNITS
, 11
. I
t
N
I
P lio.:
PERMIT
VM069
NUMBER
A/1
690404
STREET SETBACK
REAR YARD SETBACK
. J
i vAmua SITE)
EXISTING 13TREET R/W ........ .. XT.
COMP. PLAN ST. R/W ........... 11-37.
TYPE OF CONSTRUCTION
13 YES
REAL 4e-f
ARKS f/r
;157�v*%ZA.Ati /xcr tj
Plan Check No ........
BUILDING
PLUMBING
HEAT & GAS LINE
FENrE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
FILE -MOVE IN13PECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
AMOUNT
I hereby acknowledge that I have read this application; that the in-
I
formation given In correct; and that I am the owner, or the duly author-
format'
Ized agent of the owner. I agree to comply with city and state laws regu-
Ized ag
ATTENTION
TTENTIO1�
lating construction; and in doing the work authorized thereby, no person
tin
will be employed In violation of the Labor Code of the State of Washington
w be
THIS PERIKIT
THIS PERMIT
rA
'UnI
rsl&Ung to Workmens Compensation Insurance.
THOILIZES
AUTHORIZES
U
NOTE: Permit Limit One Year (Except DEMOLITIONS which
OT I
ONLY THE
ONLY THE
WORK NOTE10
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be oom-
lated in six months.)
p I
SI (OWNER CIA AGE I DATE,,81GNED
INSPECTION
SIFURE
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PH 6.1107
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, drivewaYs,
marquees, etc.) will require separate permission.
13 YES C3 NO
VARIANCE 14UMBER 04
I
3Y THIS PROPERTY
........... 1".
--1' .1
[] YES
Fee
APPLICATION APPROVAL
No.
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
Imowledged in space provided.
�0 - '�;) (�2 -
MENI
14
IPTION:
4, 0 south@& . st of. 'Sic t 4'* 'Ttiwnshi
quarter df th 0
tI4
Ange 3 Host
EPT Roads;
EXCEPT.the followin described tract:
A
on
t1lence"�f
Beginning at the Northwest corner of the above said sub
divIsi
VD,
e of the above said subdivisi
'South 0*07'00" East, along the Wcst lin
feet; thence south 89050,5411 Fast paralle
f fie above s;aid subdivision, 560.00 feet --thence
North 0007.10011 West",-,
I with the North I
870.00
0 t
Nj "', - �)-- � j,
t
aid subidivison, 4130. 00 fee
arallel with the West line of the above s
p
thence South WSOIS411 Last parallel with* the North.line 'of the above.,-,-.
d ubdivision, 10.06. feet-, thence North 27039'5911 East*169.00 fe*t;.
set s
I ine. of
thence North 0010153" Nest 9s.0o feet to a point on tho North
i d M61
above said subdivision; thence North 59*50'54" West 'AlOn
the
-A.ine :71.22 feet to the Northwest corner of the above.said subdivi0olk
AnA ih point of beginning,_
i -:EXCEPT the West 30.00 feet thereof for road.
AND EXCEPT that portion deeded to the City of Edmonds by" ivii.ttun
recorded under Auditor's File No. 1660269.
Situate in the County of Snohomish, State of Washington.
RECORD OF INSPECTIONS
d
Data Passe
Drainage
Sewer
Parking
Landscaping
Fire Dept.
'RECORD OF INSPECTIONS
Date Passed
Foundation 'A
(Partial)
...Plumbing
(Rough)
Frame
Furnace & Fuel Line
Final s:
4:,