700024.pdfC
UILDING DEPART.MEN17- Applicant FM
PERMIT APPLICATION Inside Heavy Mes
STZVMS NWRIAL EMPITAL
211100 76th Avenue West
Decker. Kolb &
Seattle I MA 2-039'
NAME
Howard S. Wright Construction Cc
ADDRESS
CITY 414.Pontius North —fE—LEPUONE I
Seattle I KU 2-23
or
C,
21600 -
I
'W
STREET R/W ..6.0--FT-
f,AN ST. rt/w ... OR.rr-
PERMIT -700024
NUMBER
West
VACANT SITE;e00,,.,
, 1
C3 YES NO
DE N It ow
a3�
DEFICIENCY THIS PROPERTY I I I
indicat;d on -Standard Drawing #103.
t
Tracts 25 &
26, Solners Five
Acre Tracts
Sewer
According to
tu- F3-t ther-sof
recorded
PERO. TEST
in Vol 7 of
Platsq Page 25,
records of
REMARKS
Refer to letter
from Stevens Memorial
Snohomish CountIs
Waahingtonj
togather
Hospital of 1/16/70; and memo of 1/20/70.
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
that portion
of ]111 11
I _r
I cir�s [3 NO
_Vitih
1216th Street SW now vacated,
I
SPEOLKIT INSPECTOR REQUIRED
OCCUPANCY GROUP
*9508- . [3 NO
ER IDI
l ESIDENTIAL
GAS
PLAN CHECKED BW
LINE
NEW
NON RESIDENTIAL
RiLNON
SIGN
lid..
ElDEMOLISH
r_1
RETAINING
WALL
REM4PtKS
DALTER
EXCAVATE
PENCE
El OR FILL
F-1
( x Ft.)
E] REPAIR
PRE -MOVE
M INSP.
1:1
........ . . ........
SWIM
POOL
DWELLING
10
UNITS
NATURE OF WORK T-0 BE WDONE
Valuation
Fee
10 story addition to existing hogRjjAj_
plan check No ..................
BUILDING %!!r-32Z
PROPOSED USE
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
PENCE
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
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-
Ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL
latins construction; and In doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington
T109 PERMIT
This application is not a permit until
nlating to Workmen -a Compensation Insurance.
AUTHORIZES
signed by the Building official or his Dep-
NOTE: Permit Limit One Your (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
shall be completed In Musty days: MOVED -IN BUILDINGS shall be com-
knowIedged in space provided.
pleted in six months.)
— ER OR AGENT) DATE SIGNED
8 NAT OWN
INSPECTION
OTOR' SIGN
el Az�� I 11-19-69
DEPARTMENT
CITY OF
NOTE: Applicant "ject to Plan Check Fee
EDMONDS
I
c;) - 7o
PH 6.1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways.
FILM
marquess, etc.) will require separate percedsalon.
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Founclati
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V I I +-I Plumbing (Partial)
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(Rough) 7666�2