700300.pdf./A
Z
Z
UILDING DEPARTMEN
PERMIT APPLICATION
� JA W
NEW
ADD
F] ALTER
nREPAIR
M
or
j
KROLL it" No.:
Applicant Fill
inside Heavy Lines JOB ADDRESS
I AAA^ 'A-42W
04 RESIDENTIAL
2
LIANIm
NON-RESIDENTIAL
F�
SIGN
DEMOLISH
Fi
RETAINING
WALL
FEXCAVATE
PENCE
OR FILL
( ........ . x .......... Ft.)
PRE -MOVE
INSP.
swim
POOL
DWELLING
UNITS
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.
Ised agent of the owner. I agree to comply with city and state laws regu.
latiog construction; and In doing the work authorized thereby. no Vernon
will be employed In violation of the Labor Code of the State of Washington
relaung to Workmen-m Compensation Insurance.
NOTE: Permit Limit One Your (Except DEMOLITIONS which
&hall be completed In ninety days; MOVED -IN BUILDINGS xhal
pleted In mWmonths.)�,
C__
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private Property ONLY.
Any construction on the public domain (curbso eldewalkst driveways,
marquees, etc.) will require separate permission.
-S —z
E2aSTING STREET R/W ............ FT.
COMP. PLAN ST. R/W ............ FT,
[] YES
REMARKS
FEIM
OF
N MOR
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE-MOVIII INSPECTION
IMCCAVATION OR FILL
r: I
PERMIT
M=zlit 700300
E3 TEO C3 NO
DEFICIENCY THIS PROPERTY
Valuation
0 YES [3 NO
,.a 0 0�0
No.
MO T DUE
I
&.6
I ')_0
-
I ft5 %3�s
rTOTALAMOIUINT
ATTEENNTION
APPLICATION APPROVAL
MS PERMMT
T a Pr
This application is not a permit until
A UTROWZI
UTHORIZES
signed by the Building Official or his Dep-
ONLY THE
ol Y
WO �i N�:
WORK NOTED
uty; and fees are paid, and receipt Is ac
knowledged In space provided.
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6.1101
- "? - 76
FILE
It 1-9 lx
1 If ......
;� I I I O'I'ftv
4'4 1
41,1 . . I. I I. I . .. . III . I I .. I . I I I 4L 4 44
I I I I . 1 - I IL I I
I' Ll� I I I I , I t . I I . I . I . I . II, I I . . I , - .4 1 1 111 - 9
91 1 d
J IJ-4.
AI 19, . - I I I . I . III . 1 1 91 1 111- .
It I. OIJ
19
It
1 4
1,r IIIfII. 1 1 1.- 111, 11111 1. 1., 1 1
I ;
I I IP If t I P. 4
t V
e4 I
19 I� .
I 4b I I, I I
I t
tI I
1 .11, P. ... ...... .
Its I ttit' A I L
999
fit
19 1 1 4 1 1
j§ffIIjt, +1
ILL 9
fI I
L9'- I
4 4
If V, I
9 9. f 9 9 t"4" it
I If.
ItIf
Ir If
If
I
If I
k It"
LIi
I
NI I I . .1 .
L" - 'IV I fit, 1 4, t
4P M I I II
It 1 �7 I ; I
I " I"'10.
iIif I . i
IL 'If
00 V, 'L�j
110 L
1.4 1 9 w I I ......
I tr I .,I' I rp
, ? I I � 1 .9- .1 1 w I ... .... I
I 1 9 - ILL, kA;
I., I _(
;A If t, Ij �l
14
k-I I
;JAI
I 1 4
I" -d P.
If
It
If I I WI if
It
IIII� I=
IA
I Ir,
I rL I� : j'�:.
9 VM VL
PL if
I It 6-.� � I I I .-I..
:I
it.
it RECORD OF IN SP ECTION S
D6tePa s'
5 ecl�::
L, v if mW Foundation
'r -r�IIIII I I �4
:I"� .1 1
.1. 1 'P I , , I I I
I 1 4 .... . ... Ir ... I I I I
I,., _ Plumbifig (Pirtial)
Z'r;. I' I . . I . 1 'k, "
70
q
Our
I.. If I I t, I A I I..
�r A to t
(Rot i h)
9
Frama
Furnact'. &,Fuel,L Lh
I if I I f-, 11 1
Inal
I "I I W I I If
If I I I 'I(." It If 1
14 111 1.
I IJ
P;j I . I I 1 '9 1 "
;V� ir it
FLPIII I
.0I
It
0�4 It
It
I I I I II . I I I
.1 t f
4 % 1. fit I 'It I
it:L3.
L4 IIIL . I I 'r,
4 RECORD OF:INSPECTIONS
-fL
11 1. q 1, 1 1 41 .
Date.Passed
I Ira. 1 1
D Ina
I 'd 4
4 �4 �rj 'i I I
7, siti-A sewer.
4, 1 1 3 1 1 1 '1' 1' -11 1' 1 1'- 1"
Yarking
U dscaol
fi' ng
Fire Dept.
` tw
w
If
I j