700486.pdfN I
a
BUILDING DEFA K I M 9 M I Applicant Fill
PERMIT APPLICATION inside Heavy Lines
NAME (OR 14AmN vF BUSINESS)
I . 'N Y�L I +11-A a, 6
1;
2
Z
MANG ADDREUB
,q r) '5 C-(
,t-- TELEPHONID NUBIBN14
77 19, - 7 0 4- C/-
i
k
I KA 9 S
TATE LICENSE NUMBER
r
,Z 1.2, 3 — 0
or
.-:: 3 1 7/ff
r-SA I R GAS
NEW LlfrSRESIDENTIAL L NE
E] NON-RESIDENTIAL SIGN
DADD I RETAINING
EJDEMOLISH WALL
0 ALTER EXCAVATE FENCE
F] OR FILL ( .......... x .......... R.)
REPAIR PRE -MOVE SWIM
0 INSP. Ej POOL
NUMBER OF
DWELLING
UNITS
,qATU TO BE DONE
R;0 WM M 6 ; Q q
MAP NO.: PERMIT
NUMBER
I
)r7a" .9-W
700486
0 YES
13 NO
�__ __1 --
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT- ............ . FT.
.3-1 4.tf- 1 3
[:] YES El NO
Plan Check No.
BUILDING
PLUM��.4)
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION On, FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
formation given to correct; and that I sun 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
ATTENTION
will be employed In violation of the Labor Code of the State of Washington
TIUS PERMIT
relating to Workmen's compens tion Ingur
'Pef?'
r1ceV hEAII�Wt
AUTHORIZES
ONLY THE
N07F mit i S which
i0n;
WORK NOTED
&hall be completed In ninety days; MOVED -IN BUILDINGS be com-
pleted In six months.) A
INSPECTION
DEPARTMENT
ER 0
3IGMTURE (0 RAGE
W(V
:f1QZ1 0 7 Z)
CITY OF
EDMONDS
NOTi.-JAPPlicant
Subject to Plan Check Fee
PR 6-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) win require separate permission.
13 YE13 [:I ITO
valuation I Fee
I A I. 5�10 I(S'7ilo
APPLICATION APPROVAL
This application Is not a pernilt until
signed by the Building official or his Dep-
uty; and fees are paid, and receipt is ac-
lmowledged in space provided.
-. !:7 ,
s? , r/
FILE
. -t
i4
tit
it I I t
11 L 4
7'1 1
t9
it
it
11 1 d I
I io�
4 1
it, o"
it
ti t'
I t k I
L I
it .11,
I rl
00
17,
t d
it
L- Tit
V 0: r i 'i it' 'Ir tV N
it
S7
N
d i I
ii, I I - -1 1 1 4
. . . . . . . . . .
tit L RECORD OF INSPECTIONS
t. i z
lit ba to Patrod
,:;i: out;;
tz: Foundation
tit I Ott,
ILI
Plumb;ng 'P�Irtial)
L , it 'it L. . . . . . . . .
(Row
4 1 TG I I I t . 0 t ti . - .4 '1' 1 1 It i 61 1 11 N I
it 1 .1 j I... Frame it
it "0 1.� ",4 111,. 1
tt"`L' r Furnace & Fuel Lines
7777777=,
I �-o Final t 'L.
'it . wi . . . . . . . . . . . . . . d . . . . . . . . . . . . k . . . . . . .
L) t It
iRECORb
OF INSPE TIONS
D ate
Pa
lit, it d
sse
it .0 j
Drainage '21, 1 d
SeWer
Air.
it, IL iL
4 i ti:� '� -- rking
1.
Landsca'
Fire Dept,
I�x
I
r d
9