700258.pdfBUILDING DEPARTMENT Applicant FIB
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ADDRESS
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CITY TELEPHONE NUMBER
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NAME
ADDRESS
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CITY
TELEPHONE NUMBER
C
NAME
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ADDRESS
9444 0( 10��A /I/X
CITY
NUMBER
sea #le-
1wai"PHONE
so's cjys-6 —T,
STATE LICENSE NUMBER
ULXx LICENSE J4UAd1W__
Legal Description of Property (Show Below or Attach Four Copies)
RI
Fj
GAS 13
NEW RESIDENTIA E LINE
NON-RESIDELTIAL F SIGN
ADD RETAINING R
El WALL
DEMOLISH
ALTER EXCAVATE FENCE
E] OR FILL I .......... x .......... Ft.)
REPAIR PRE -MOVE SWIM
INSP. POOL
OF
T—FRUMUsEks
DWELLING
UNITS
NATURE OF WORK TO
1-11,000 �%Mx P
Z
PROPOSED USE
I
PLOT PLAN (Indicate Building setbacks, abutting streets)
I hereby acknowledge that I have read this application; that the In-
formation given In 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 Your (Except DEMOLITIONS which
ahall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
ATUktb; (UWNER OR AGENT)
DATE SIGN
P17G
__.r
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the pubHo domain (curbs, sidewalks, driveways,
roarquees, etc.) will require separate permission.
ATING STREET R/W ............ FT
OMP. PLAN ST. R/W ............ FT
Lin
YES
PUMARKS
0 NO
Lan Check No .....................
UILDING
LUMBING
EEAT & GAS LINE
PENCE
31ON
IETAINING WALL
3WIMMMG POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1101
PERMIT
NUMBER 700258
0 YES
(:] NO
DEFICIENCY THIS PROPERTY
13 YES [3 NO
Fee
M
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-
knowledged in space provided.
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APPLICATI A & WORK PERMIT
7Application N
it
CITY OF EDMONDS Building Department Permit Limit, One Year
PPLICATION is hereby made for a permit to construct the following work, in accordance with the accompanying plans
ries
............. Ground Area ................................... NO. StO ............
................................................
...... Height .......................
Submitted..a.4 ...... ........ . . .... ......................................... Const. Type ..................................
. ................ Use Zone..el...._/ .... Fire Zone ....................
Address..... i2i.s.3 .. ...... .... .... 11C;:z_e . .........................
...........
..................................................... . ..................... Sewerage .........................
Lot ................... Block. ................... Add'n ........... . ....
. . . .......... Sidesn�
. . . ........................................ Width ............................ Min. Bldg. Setbacks, Front and Rear ..... .. .............
honq2hone PA .. ::�.
.................................. Address ..................... ........ 2 .......... ............... 2
b t4 I ............ ....... Phone ........................ a .......
.................................................. Address ............................ ......... ............
Bldg. by ............................................................................................ Address ........................................................................ Phone ........................ .......
................... Phone ................................
Plbg. by ........................................................................................... Address .....................................................
......... . ....................
................... Afldrens ..... .................... .......
H"ting by...
M . . . . . . . . .
ri phone ........... ....................
illl`�` 5 ... ...
Elect. by ..............
LECAL DESCRIPTION
.................
Remar.ks .............. ......
All that portion of the SE� SEJ of Sec. 23, T27N, R3Ep W.M., described as
............... .-follows: Beginning�at the SiX. corner--of-,Dayton Sto- and-4th"Sta-L; .. Td '-of -.7 ..............
Edmondsp Snohomish County., Washington; thence S. 601; thence E. 761;
.............. . ..
............ ---Situate,- in" the "Cotinty-cif .......... '7
--thenceNo 601; thence -West 76, to piioibiw;
Snohomish
State of Washington,
............. . . ..... .. ............ I ................... . .................................................................................
The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work.
....................................... 'Date..
... ..........
... Address...
Signed: Owner/Agei Ct
PERMIT for the above work Is hereby approved, subject to the above conditions, and to compliance with the approved plans
and specifications and Building Department notations thereon.
PERMIT FEES
VALUATION
0 Bldg . .... ..............
$ ... iK
Plbg. $ ....... 0 ............
APPROVED: Heat .... $ ........................................
Date ....... Elect. ................ ..................
.71 .. ....................................
BUILDING DEPARTMENT Others ... ........................................
TOTALFEE ......... ................
... ... ......... . 7_-
By .......... ��/ ......
NOTES: No work requiri Building Department or elty Engineer's inspection shall be covered before inspection and approval.
Twenty-four (24 hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as
curbs, paving, driveways, sewer, water and street connections.
APKJOATION�_7. BVILDMG MNIT
;�".�OF - EDMONDS BaIMIng Department
Appl. No. . .-A42.
4�od 0
Permit
limit, one
year
is hereby made for a permit to construct the following work, in accordance with the accom-
specifications. Two sea are submitted herewith for approval.
4:.
alter
repair
......................
ge...................
............. X-71
offist.
I ................................................................ Parking ......................
. ..... .....
A....................
.... Const. type ............................... Use zone ............................ Fire zone .......
. ......................... Blk ........................ Addn ........................ .............
.............
..... Area ............................................ Septic tank .........................................................
1. side .............. 3 ...... ?4 rear ........
............. r. side .............. ;:V ..
-,Z -, /) P/
446
....................
.............
................
t1c.'r .. . �ddress ...... ........
Tel. NoZie--'ifa..:::�
d r .47 ...... ..........................
Buil e . .............
...........................
Plansby ................................................................. Address .................................................... Tel. No..
....................
Remarks ......................................................................................................................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
'Me above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
............. Date..Z4'/ ;x-
Signed OwnerAAgeftt--.4.� ... ...... Address..?� ......................... ....... * .......
PEIRMff for the above work is hereby approved, subject to the above conditions, and to compliance with the aq-
proved plans and specifications, and Building Department notations thereon.
............
Valuation ........ c ................................. ........................ Recd ..................
/ 'P-r . . .......... Permit fee.... . by ... *—.Y
Building Department, By .................. t., ... �-)V. ..... A .... Z..' ....... / ... 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.