700155.pdfVO!
BUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION Inside Heavy Lines -So-u
ME (OR NAMB OF BUSINESS)
811)
G ADDRESS
��14-709 .2,97,4
M"
"k-je"T
A
C1TY
I,- F-7 7 F
I- TELEPHONE NUN
PERMIT
NUMBER
SETBACK I STRIJ--.ET SFT
1 .4 -,1
BUILDING AREA
-?,s a 0 0 1
-7
,0015
(�,� a
'LR YARD E
,-I � /
OrE 8
[] NO
mtEez-R/W 1.
EXISTING STREET R/W S.R.1-T. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. n/w FP ... FT. ..... 0 ... FT.
0
REMARKS
Driveway slopes not to exceed those
EMicated on Staxidia__rdDrewing #10 3.
Z
I—dT—ATELICENSE NUMBER CITY LICENSE NUMBER V
REMARKS
Legal Description of Fr,pe,ty tSn,w Below or Attach Four Copies) 9—
Lol TYPE CONNECTION VERIFIED
PERC. TEST PERMIT NUMBER
rj
Z REMARKS
21
0 ryPE or co!N�CTIOX STREET IMPROVED
lj(�j -� ;U I Rr<�S— Ej NO
qly-Erl.T AT INSPECTOR REQUIRED OCCUPAN;VOU
GAS [j YES )<No
t t i I NEW RESIDENTIAL E] LINE PLAN CHECU.WD BY
NON-RESIDENTI�j [:] .,I,, A� /P .0
ICE
0 ADD RETAINING REM S
DEMOLISH WALL
DALTER EXCAVATE PENCE
OR FILL ( ......... A .......... Ft.)
REPAIR PRE -MOVE swim
INSP. POOL
NUMBER OF STORIES I NUMBER OF
DWELLING
UNITS 4
Valuation Fee Receipt No.
00 A, W Plan Check No ......... ...........
"7 -7. ZE P C- 1 -10
BUILDING
PROPOSED USE
PVUMBI
NG,
PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE
PENCE
SIGN
tRETAINING WALT
N
ISWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
0-
I EXCAVATION OR FILL
F_Pmf
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-
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 Workman's Compensation Insurance.
NOTE: Permit Limit One Year (Except DE31OLITIONS which
&hall be Completed In ninety days; MOVED.111 BUILDINGS shall be corn-
pleted in six months.)
[/=" - I _') // 5 / ;;, C
NOTE: APPlicant Subject to Plat; Check Fee
___7hI9 Perndt coven work to be done an private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways.
marquees, etc.) will require separate perTnIfislon.
L A 0 U NT
TOTAL A31OUNT DUE
TOTA
T
ATTE NTION
A T N
APPLICATION APPROVAL
P E 1( RM
THIS PERAUT
T III
This application Is not a permit until
I I
AUTHORIZES
signed by the Building Official or his Dep-
ONLY TILE
uty; and fees are paid, and receipt Is ac-
ORK NOTED
W I j
V
knowledged in space provided.
INSPECTION
DIRECTOR'S SIONAVW
DEPARTMENT
CI Y 01
CITY OF
.14
k n�
EDMONDS
I AT
PR 6-1107
FILE
I
Type Const. V-14 1 Basement Yes
Floor Load signs in place (per Sec. 23o8 U.B.C.) — Capacity signs posted (per Sec- 3301 (i) U.B.C.)
Floor load and roo?n capacity signs, when required, must reynain posted at all times.
THE APARTMELIT (4 Plex) HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this
30th day of
January
73
ig—
CHIEF BUILDING OFFICIAL By
This certificate shall be posted In a conspicuous public area and shall not be removed, mutilated or obscured and shall be main -
I tained In legible conditlon at all times. Any change of occupancy requires a new certificate.
I