700495.pdfPOSTE5 GN KROLL MAP NO.:
Applicant Fill (9 -tv—
BUILDING DEPARTMENT nside Heavy Lines �JOBADDRESB
PERMIT APPLICATION QV&
n1l, 1011 NAME OF IUSINESSI 709^ ,
SIDE YARD BET13AC STREET SE9
I.J r
_ff,&_IIJNG ADDRESS
USff_ZONE LOT AREA
RCITY ILEPHONE NUMB 0 11 ��
PR L ;, -) Ln L_,L� HEIGHT DUILDIN J
Z
8
Z
ol —
0
or
NEW
RESIDENTIAL
F-1
GAS
LINE
NON-RESIDENTIAL
SIGN
ElAUV
RETAINING
WALL
DDEMOLISH
0 ALTER
El
EXCAVATE
El
FENCE
( x Ft.)
OR FILL
.......... ..........
F1 REPAIR
PRE -MOVE
INSP.
SWIM
POOL
I NUMBER OF
DWELLING
UNITS
�T_AWTURF OF —WORK TO 33E DONE
I J�
STRr!FZT R/W
EXISTING STREET R/W
COMP. PLAN ST. R/W
PERMIT
NUMBER
a -T, MA'td -
VACANT SITE
O(YES [3 NO
:A AVARIANUh; NUMBElt
DEFICIENCY THIS PROPERTY
indicated on Standard Drawing #103.
IL"U*0
F1 TYPE OF CONSTRUCTION blnzzl, lmri%uv�
0
W
SPECIAL INIIPE;CT;O�R��QUIRED OCCUPANCY GROUP
0
0 YES 0
Plan Check NO ..................
I G
BUILDING
B U D
IL
B N G
PLUMBING
P L i"
G AS LINE
HEAT & GAS LINE
H T
E A ,
N C E
FENCE
F E
IG N
SIGN
8
I
RETAINlNG WALL
t
SWIMM ING POOL
DEMOLITION
OVE rCT
PRE -MOVE INSPECTION
P E_M INSP
EXCAVATION OR FILL
CA ION 0
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given 13 correct; and that I am the owner, or the duly author-
lzed agent of the owner. I agree to comply with city and state laws ragu-
ATTENTION
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
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except IIE31OLITIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days: MOVED -IN BUILDINGS shall be com-
pleted In six months.)
ATURE 1OW1*l OR AGENT)
DATE SIGNED
INSPECTION
DEPARTMENT
R—t
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PIt 0-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Valuation I Fee I Receipt No.
RK11w,"A"i
APPLICATION APPROVAL
This application is not a permit until
eigned by the Building Official or Ws Dep-'
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
DIRECTOR'S ATJqtV
FILE
I
- - -----------
t
-e 4,
n,
0
N
MNDS "I -.-PEED & ASSOC.�-,-
4�1 M. i
1) E SP R U
kACT "A
t t t 1DOr
at portion
7.
ore.'
to the plat th o reel V:, .
J.
reco-rcka of.'S
n
4
`6�
Commencing
V
494.19 fe
z 8i 0 401 4811 ;4, -2.8 1 for .00
I:z W,
feet, tq. the point of,.bb&i=ini;..:-then'ce con ii-ae S GO,Z8'
for 150.OJ Ifeet; thence N 890 40 4W' W, for i .3.0.'68 bl'oet.; taence
S 00 28i 12" W, for 15O..93'�eet',p to r-ne south !Jr�e of
-oract 10; thence S 890 471 13",.E, along sa4-d, -0 o ut '-r I-Ine, :or
3.20.E-S f eet; thence N 00 2-81 12u E,- f o r 3,�.).?O fcc-!.; thlz�.'.-Ie.
.5 f be�
—o 401 4811 for 20.00 feet, so t;. e po-L o. _in r4 r-,
1,7-C--- so an exclusive easement -for res..: C..ni U .:L 1 t -L e s
rer, across, under and through the L:��t feet of '.--e
--Peet taereof.
RECORD OF INSPECTION
Date Passed
Foundition
-70
PlUrnbin.-I,
/0'4oL
FranI01
Furnace &,Fuel Linos:��b 7
1 —0-:11 pj
Final
�V /
RECORD OFINSPECT IONS
Date Passed'
Drainage
Ib
Se%vcr
Parking
Landscaping
Fire Dapt.