700363.pdf9
-jo'STOD ON KROLL.VAP;4O-: PERMIT
NUMBER
BUILDING DEPARTMENT Applicant F 'T POSTO
111MMIT ADDIWATI N inside Heavy I _DDRE88
71nes �IOBADDR
(on NAME OF BUSINESS)
!�A�, ffi-le-NE11
MAILING Al"JAMbb CL
OL1507 .-
0 CITY
0 -ADDRESS
Y4040
CITY
z
SEA -
STATE LIVENIJJ9 NUM
fm7-tol- 175,X
z
-SWAS
C_ .
it -LID AJ a
TBLEPI,
A4 V. -go
CITY Lj
te it. �
NEW
In
I
SU9
RESIDENTIAL
I
F�
G
LASE
El
NON-RESIDENTIAL
D
SIGN
RETAINING
0
DEMOLISH
D
WALL
EXCAVATE
FENCE
ALTER
D
OR FILL
D
( .......... x .......... Ft.)
REPAIR
El
PRE -MOVE
INSP.
1:1
SWIM
POOL
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
X& -�
EEET _bETBAF
.� i- I
Qf7l!&C, STREET R/W ............ FT.
COMP. PLAN ST. R/W ............ FT-
C] YES
Aojo 'ro e_8!wa*R't *CAP4 Iv s c
Plan Check No .....................
z
V
JFK1S7#rj1-
BUILDING
PROPOSED USE
PLUMBING
8CLAN
PLOT (indicate Bullaing setbacks,
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
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 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-
ATTENTION
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Coda of the State of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS shall be eom.
leted In a x mouths.)
-
GNAT 11, (OWN? 0 WCNT) DAT SI ED
INSPECTION
;7:a
DEPARTMENT
799
I Lo
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fce
PR 6-1101
This Permit covers work to he done on privnte property ONLY.
Any construction on the public domaln (curbs. sidewalks, driveways,
marquees, etc.) will require separate permission.
700363
[] YES
DEFICIENCY THIS PROPERTY
BY
13 YES
Valuation I Fee
"I M.
C11
M
No.
1 6'. 0 0 1 1�r6l !
APPLICATION APPROVAL
This application is not a permit until
eigned by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
Imowledged in space provided.
FILE
0,ATION
IF EDMONDS
ING PERMIT
Building Department
Appl. No. 2PE-01/i ......
Permit limit� one year
N is hereby made for a permit to construct the following work, in accordance with the accom,
:nd*, specifications. Two sets are submitted herewith for approvaL
"alter Offst.
repair............................ ....... * ......... ......... Parking ......................
type ..... T/ ....................... use zone. ........ Fire zone ............................
2-2, ...
......... �.., Lot .......... Z/ ....... Blk ........................ Add # .. 5�:? j4
Area........................................... Septic tank .........................................................
setincks front ............................ r. side ............................. 1. side ............................ rear
.......... Tel. No.-
............... Address ....... �Z7,.a .. Ff
.. 7Z,.�
eel
Builder.................................................................... Address .......................
Plansby ................................................................. Address .......................
Remarks.......... ................................ . ................................. . ..
................. Tel. No .............................
......................... Tel. No .............................
............... Irege ..................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owner/,
Address ............................................ Date:�����
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specifications, and Building Department notations thereon.
Valuation ................. 7_4 ............... ... Permit fee ...... Z .................. Recd. by....
Building Department, By .................................. ............... Date .... ........ 61 ...........................
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 a -ad walkways must be planned to m6et the official grades of streets
and alleys, and plans for future sidewalk development.
0
_. I
CATION BUILDING PERMIT Appl. No . ....... .......... . .
EDMONDS Building DeparMent Permit limit, one year
in accordance with the accom-
ON is hereby made for a permit to construct the following work,
Z�- I
d specifications, Two sets are submitted herewith for approval.
alter rZ�e4 4,d�� Off -St. �7
repair.................................................................................................................. Parking ......................
Const. type ....... Use zone ... IZ:l ........... Fire zone .... 3 .................
CY. .............................
r— ............ Blk ........................ Adda.�--
......... Ctyt ......... .......... ...
0 A . .........................
........... Area ............................................ Septic tank .......
ntage . ................. ......
rear...............................
r. side ................ ...... 1. side ........... ; . ...........
front ........................
Bldg. set,backs
el. No... Z5
............... Address-./CE.��. ..... T ...................
.........................
Owner.. ............................................
. .......... Tel. No .............................
Builder.......................................... . ....................... Address .........................................
Plansby ................................................................. Address ................................................... Tel. No ..............................
Remarks............................................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Datz -Zz.:I.:�
Signed Owner/Agent..xC/.x..W4...
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specifications, and Building Department not4tjqns thereon'
d. by.k . ... ............. . . . . ......
Valuation .............. .0mr, 10 ............ Permit fee ...... .............. Rec e
'it .................................. 11
Building Department, By ............... 7 Ai-� .................. ................... Date ............ z�2 ... ::Z7
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OY . ................................... . ..
This Permit does not cover Plumbing, Sewer or Electrical installations.
- -----------
. .........
APPLICATION
& WORK
PERMIT
.. .... .. ..
Application No. ...9.6-.6.3 ............
CITY OF EDMONDS Building Department Permit Limit, One Year
APPLICATION is hereby made for a permit to construct the following work, in accordance with the accompanying plans
and specifications:
Fence
WORK— New/Addn . .................................................................................................... Ground Area. .......... . ....................... No. Stories ............
PlansSubmitted ....................................................... ... . ........................ Const. Type ....................................... Height. .......................
cu i7
1W8 - t6tiT-Avew-6o
0 eJ( ... Fire Zone ........
LOCATION Address .... .......................... ................................................................. . ................... Use Zon ............
RecordedLot ................... Block. ................... Add'n ......................................... . .............................. . .................... Sewerage. ... ...............................
51 max. $ bail Ward (2 t back
rm. front
.....
Lot Area. ................................... Width. ............................ Min. Bldg. Setbacks, Front and Rear ................ . ............. e ............... ..
D, R. Carr Same as above
........
Owner_ ................................ Address. .. . ....... ............................... ........... Phone .....
Plansby ... ........... . .................................. . ...... . ........................... Address ...... ......................... ................................. Phone ....................... .......
U
Bldg. by .. . ..... ............ . ....................... ........................................... Address .............................. ..................................... Phone ....................... .......
Plbg. by .......... . ............... . . ........................................................... Address .................................................................. Phone ................... ...........
Heatingby .......... . .... .. .............................. . ................................... Addresa. .................................. . ................................... Phone ....................... . .......
Elect. by ...... ...... . ........... ... . .................................................. . .. . ... Address .. . .................. . .................. . ........................ : Phone ....................... . .......
I
I
Remarks....... . .. . .......... ...... ........ . ................... ................... ........................ . . .... . .. . ....... . ..... . ..... . ... . .. . ........................................................................
........................................................................................................................................................................................................................................
The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work.
Signed: Owner/Agent .. ........... . ................................................... Address ...... Same ... as .... abo . ve ................................... Date .... 2/27/63
......... . .. . ....... . . ..
................ . ...
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.
VALUATION PE23M FEES
;150000
......................................
APPROVED:
Date.. / .............. . ...................
BUILDING DEPARTMENT
I
Bldg. . . . . $ ... &.W ..........................
Plbg. ... . ..... . ............................
keat.... $ .................... ...................
Elect.... $ ........ 7 .............................
Others... $ ........ . ............................
TOTAL FEE $ ... �!qq ..........................
NOTES: No work requiring Building Deparrtment or City 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.
I
I