700224.pdfROLL MAP NO.: PERMIT
It
BUILDING DEPARTMENT ApplIcantrill NUMBE 700224
PERMIT APPLICATION Inside Heavy Lines joH ADDRESS
L
Iq 0—e,
NA�N D IRI 7- F1
U;ME SIDE YARD BACK STREET 8 BACK REAR YARD SETBACK'
.2:�;T
M IIE1311 1
toga — Igo I/, USE znbz3n LUW AREA T SITE
[] NO z
Cl. TELEFUUNIS 94UMBER Ks 7=13
NAME /11-2 WO CC-1 HEIGHT BUILDING AREA VARIANCE NUMBER
PLOT PLAN APPROVED
ADDRES13 W
STREET R/W
Q CITY TELEPHONE NUMBER EXISTING STREET R/W FT nMPICIENCY THIS PROPERTY
COMP. PLAN ST. R/W,57' ..FT. FT.
REMARKS
NAME Drivewgy slopes not to exceed those
indicated on Standard Drawing #103.
01 ADDRESS z
fjIiNUKNJj Ijx
CITY TELEPHONE NUMBER
STATE LICENSE NUMBER CITY LICENSE NUMBER METER SIZE SERVICE SIZE CLEARANCE CHECKED `BY 03
41K Az-0 R 1 11
2L
Legal Description of Property (Show Belo Attach Four Copies) REMARXtj
CZo-r--1 -7
TYPE CONNECTION VERIFIED BY
5ewk �7 " IS IT X 2 N 24e' MR PERC. TEST PERMIT NUMBER
U
W
W REMARKS
1z
FIRE KqjUW TYPE OF CON&P-RUCTION ET IMPROVED
9�s [3 NO
SPECIAL INSPECTOR REQUIRED OCCUPANC IR07 'T
GAS [3 YES 0
NEW RESIDENTIAL LINE PLAN CHECKED BY /Ift— a
NON-RESIDENTIAL 1 -1 )w
ID F SIGN
RETAINING REMARKa
DEMOLISH WALL
ALTER EXCAVATE FENCE
OR FILL .......... x .......... Ft.)
El REPAIR PRE-AIOVE swim
INSP. POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation Fee Receipt No.
Plan Check No ............ ........
X
0 BUILDING
PROPOSED USE
PLUMBING
U
PLOT PLAN (Indicate Building setbacks. abutting streets) BEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
0-0
TOTAL AMOUNT DUE
I hereby acknowledge that I have read thin application; that the In- L a
formation given In correct: and that I arn the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL
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 THIS PERMIT This application is not a pern-dt until
relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building official or his Dep-
ONLY THE
NOTE: Permit Limit One Year (Except DEIMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- Imowledged in space provided.
pleted In six months.)
SIGNATU1530 (OWNER OH�A�G DATE SIGNED INSPECTION -DIRECTO
DEPARTMENT
510M
�1"e �)7 '(70
�qauz CITY OF \r
EDMONDS
NOTE: Applicant Subject to Platt Cherk Fce 0
PR 6-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
FILE
marquees, etc.) willrequire nepitrute permission.
I dd. I -I, 1 1. t I -I, ti t", 1 .1
4 dd
—It I
4
k
d, 0. dd
x I
I dd I dr I 1 1, d1t I I d� I dt'- Ld
6
It,
It
L
p I p d
d t 4 dr� r I t
p k
r
k
d
k d"
4
dt'. k
0 t. dr
k
k
I p
L r dd
p 1 1.
r
d
td, C'd r 1 0
r t rL d d t L' t dd,
r
t k
f
t dd r.
r t r It d dd-
L � I
L do d d I I I r_
. I : ,
k
p
d
dt
-t p k
AI
r
d
dd,
r r dd L
RECORD OF INSPECTIONS
t r k' dI 1. t I t Date Pass'e
p dr,
d t
r
d L. I 4z%e-*�T'
'd': dr-d' Foundation
4
r
k - A I
Plumbing (Ponrtial)
q 0
dt� 1 :0 ddd!..,�Oj
'I'd ""L
It d-.- 1., '11, 1 1 10,d, ddld— I'd ".1 11 'L,"d
(Roua 11)
d:0
. . . I . . . I I L I- . t 1 -1 - dd, 'rA t r 0 dtdid., L
t; 'dddt. 0 Frame
d 4
I d! 't, p 12 4
I . I d
dA
d. I Ad. I I it . ...... d'. .11 . -,d� ..Zp t".. Furnace Fuel LineS.L
d L L� d. rf r r d d. :dddd,
It d k r dd .4
: ' A� A td d_ : I f L I -
r dL 4, -L L. d dt'::7t' 4 v 210-1:1
1-4L dt I L I I 1:t r.,j L' r 1. Finak,,O�' L d; ttd'� r� I
dr
L 'L.r" t
'7� L do
L
r It A t I p r
;dd L L
t
L
It I d dd L L d
L (OF j L
OF,
d
It,
r it t.
r I Pamd
p
L r I I 'r 6 1 to ddtp t t" 4 4 0 0 r 'I ddt� I d I I- 1, 11 Id 4 drd' IL
L tr —4dj ; d%L j'
r dD d� L L , I., d r I.1 rQA
4 r I -t rdtj 'I
'A
PL
L- t §wsf
drd Lf t t t p t I
:p
dd� I � k
6- 4r
L j; dI
r L'' r p.n
r I L L Peptf L
"Id d, d.
%
dt'd d-L
4