700022.pdfa
BUILDING DEPARTMENT Applicant Fill
Inside Heavy Lines
PERMIT APPLICATION
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NAME (OR NAMIG OF JJUBLNEBS)
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ADDRN015
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(51—TY �7,�'f P"Of
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POSTED ON KROLL MAP NO.: PERMIT
NUMBER
00022
JOB ADDRESS
Ism
7IDE YARD BACK
STREET BE DAUML
An D SETBACK
UBE ZONE
LOT AREA
VACANT SITE
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I
E)YES )f4qo
I VARIANCE NUMBER
NAME
ADDREBB
W"FRONE1 NUMBER
ALI 'Aev vuml?
T LICENSE NUM13ER CITY �CENPE NUMBE—R
ttach Four Copies)
4 Logal Description Ox Property kbnow Below or A
NEW
RESIDENTIA
0
GAS
LINE
NON -RESIDE TIAL
F_j
SIGN
A""
0
-
DEMOLISH
H
RETAINING
WALL
ALTER
0
EXCAVATE
OR FILL
FENCE
( ......... x . ........ Ft.)
REPAIR
F-1
PRE -MOVE
INSP.
SWIM
POOL
NUMBER OF
DWELLING
UNITS
WK��K M/ "
EN38TING STREE73? n/W ........ ... Fr- DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT- ............ IV.
[:I YES
Z
PlanCheck No .... . ..............
BUILDING
PROPOSED USE
PLUMBING
LICIII, PLAN (Indicate B—Ulldlng setbacks, '�butting streets)
GAS LINE
HEAT & GAS LINE
0
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
t the 1 n
I hereby acknowledge that I have read this application; that the in-
'y It 0 r
formation given In correct; and that I am the owner, or the duly author-
"two r
ized agent of the owner. I agree to comply with city and state lawn regu-
ATTENTION
no a
laung construction; and In doing the work authorized thereby, no person
as In ,
W b e
will be employed In violation of the Labor Code Of the State of Washington
THIS PERMIT
rgl&Ung to Workmens Compensation Insurance.
AUTHORIZES
ONLY THE
ON JcIj
NOTE: Permit Limit One Year (Except DEMOLITIONS which
WORK NOTED
'a It c com_
shall be completed In ninety days; MOVED -IN BUILDINGS shall be corn -
pleted In six months.)
IIGNAj@*E (UWN19A U U�11 A
INSPECTION
DEPARTMENT
'0
CITY OF
EDMONDS
NOTE: Afifflicant Subjcct to Plan Chech Fce —
PIL 6-1107
7ibla —1-cranit covers work to be done On Prlv[Ltc property UL4zx.
Any constructiou on the public domain (curbs, sidewalks, drIV&w&75,
marquees, etc.) Will require separAtc Permission-
[3 No
�1
Valuation
Fee_ Recelpt No.
A-00
1 1:5-0 C,
APPLICATION APPROVAL
This application Is not a permit until
eigned by the Building official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
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LEGAL DESCRIPTION
All of Lots 37, 38, 39, and 40, Block 122, Plat of the City
of Edmonds as recorded in Volume 2 of Platst Pages 38 and 39,
Records of Snohomish Countyp Washington and more particularly
described as follows:
ne of Fifth
Beginning at the intersection of the Easterly li
Street and the Northerly line of Alder Street; thence Northerly;
ence
of Fifth Street 110 feet; th
along the Easterly line.
rallel with the Northerly line of
Easterly:along a line pa
line parallel
:herly along a
120 feet; thence Sout
Alder Street
ly line of Fifth Street 116 feet; thence
with the Easter
W6sterly,along the Northerly line of Aldef Street 120 feet
to the point of beginning.
RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough)
j
Frame % I
0
-Furnace & Fuel Unes—Mile.,
-750P 01�
Final __3 �_23 —
P
Gy*.L�
LoA�
e
'A
A
90
RECORD. OF INSPECTIONS
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ILI`
Drairiaw:�. i�A
e er,�i
...... :o, Parki
t
ndsca.pin
Fire Dept.'
�. :- 'I .
.. . Wii,
all
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, UVII!`
A ON BUILONG PERUff
n
4v 'A, i,
MONDS BmIM199 DepwhnMt
Appl. No.
Permit limit, one year
is hereby made for a permit to construct the following work, in accordance with the aCCDM-
9 plans and specifications. Two sets are submitted herewith for approval.
Off'st.
new alter '0
. . ...... ............ Parking . . ...................
A..tx ..
Work addn repair .......
se zone .... / .......... Fire zonc . ...........................
.... Const. type ............................... U ....
Occupancy; ...........................
;�7 ........................ Blk ........................ Addn .......................................
Address .......... wa� ...... . .................................
. . . . . . . . . .
.'.:'Lot frontage ....................................... Area ............................................ Septic tank .........................................................
W.
set+acks front ........................... r. side ............................. I. side .............................. rear ...............................
...... ............ Address. ........................
V44
. ...... / ...................... 7 ........ Tel. No .............................
Builder ... �/)< .. Address .......
. ...................
Address.................................................... Tel. No .............................
Plans by ...........................................................
...........
Remarks ........................................................................................................................................................ ...............
.......................................................................................................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owner/
Date2
MMff for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specifications, and Building Department notations thereon.
cz;o -
................ permit fee ......... 1.4 ............ Recd. by...
Valuation ........ ^1�
........................
BuildingDepartment, By ........................................... .3 . ............ Date ......... LP/Z.0 .....................................
NOTE — This permit does not cover Plumbing, sewer, or electrical installations, nor does it Permit any work M be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and alleys, and Plans for future sidewalk development-
121
APPLIGATIGN( BUILDING PERMIT Q_� Appl. No. ..Z9 ... ... . .....
CITY OF EDMONDS Building Department Permit limit, one'year
to construct the following work, hi accordance wiffi the accom,
APPUCATION is hereby made for a permit 1 .1. 1.�...
for approval.
��.:panying plans and specifications. Two sets are submitted herewith
Off'st.
alter
........ Parking ......................
.11 r addn repair ........................... ....... I ....................................................................
Const. typ( . ............................... Use zone ... ............ Fire zone ............................
ccancy ................................
........................ Blk ....................... Addn ......................................
......................
,'Address ..... ::-9/ . ........... ...
................... Septic tank .........................................................
Lot frontage ........................................ Area .........................
................. r. side. ............................. I. side .............................. rear ...............................
Bldg. set-back6— front ..........
eZ
-Address. ... :41- Tel. No .............................
................................
Owner
.................
;1?-Ez . .................... ...... .
Tel. Nwl'>�
Addressr2p.j .......... ...... I .......................
Builde . . . . . . . . . . . . . .
........................ Address .................................................... Tel. No .......................... . .
Plans by .........................................
Remarks..................................................................................................................................................................................
..............................................................................
.............................. I ...........................................................................
es and State laws regulating this
The above is a correct statement, and I agree to comply with all applicable Cod
work.
SignedOwner/Agent ......................................................... . ... Address ............................................ D
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specifications$ and Building Department notations thereon.
Valuation......... . ........................................ Permit fee ....... ................... Recd. by.
.................
Building Department, By ............................. . .................... Date... ...... .............
NOTE This permit does not cover plumbing, sewer, or electrical installations, nor does it permit any work to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and alleys, and plans for future sidewalk development.
-----------
----------
I BUILDMG
:,,��_'AFFUCATIOV�.. ERMIT Appl. No. .4 . ....... . ....
Permit limit
MMONDS' BuUng DepwMOW one year
ON is hereby made for a permit to construct the following work, in accordance with thi�-aiccom:,'
f",
M Luis
al and. specifications. Two sets are submitted herewith for approval.
a r Off -St.
Ite
reDaIr.......... ............................................................................ Parking ......................
...........
7
.......................
Const. type .......... ' ........ ;�se �zone ..... /,,?� . . .... Fire zone ...........................
............ �C ......... Lot ....... ................ Blk ....................... Addn ......................................
Area.................... .............. Septic tank .........................................................
"'Jiti,backs front ...........................
r. side ............................. 1. side ............................. rear ...............................
S� . ...... Tel. No ..............
Address .... . ..... �-7-4
�2_
rew .............
.............. C ...... ...................... ...... / ...... Tel.
er.
Q'I
plans by .................... .........
............................... Address .................................................... Tel. No ..................... .......
earks .............................................................................. ......... .................... .................... ........................
M
The above is a correct statement,nd I agree to comply with all applicable Codes and 5tate laws regulating this
work. �o
or
mt.. /VM-111 ddress ............................................ Date. .......
Signed Owner/Agent .. ..................................................... . ... A ....
MMff for the above work is hereby approved, subject to the above conditions, and to compliance with the ap-
proved plans and specifications, and Building Department notations thereon.
Valuation ......... 5 .... 0-7) ......................... Permit fee .... Z.0 .................. Recd. by.
... ....... . ... _�� �7...
Building Department, By ...... Da Z'
4j;� ......................... . ................... te .... .. . ....... .........................
NOTE — This permit does not cover Plumbing, sewer, or electrical installations, "07 does it Permit any work to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and alleys, and plans for future sidewalk development.
T