710125.pdf.,a�4i'.1313Crf,'L.K.YS.tl1..'sE9ixU':tTIW/tvnlattYriswtYw'.C�+�ttLM1�ttdtlY2++'.`4i3�tC�ti.1+'.'!S'9MH@�At9M1�@IIRK.tii4'na'4oeu!a'Ha!(RriL"yixcc+Y+:WSYeitlmaWNCY
POSTED ON KROL MAP NO
BUILDING DEPARTMENT Applicant FM
Inside Heavy Lines JOB ADDRESS
PERMIT APPLICATION
-.a NAME
t SIDE YARD SETBACK I STR
MAILING ADDRE B �^7 )
HEIGHT SUI.
1/ —�` USE ZONE LOT
O CITY TELEPI'H�ONE NUMBER I
Uv. ti l.v n tr
Arlik (Jt-'c �Gv' /1 C-5 A S
S y l/ itCi
ADDRESS
7
i
04
J�
CITY
TELEPHONE NUMBER
g
hl•� lJ-Jrilocx
/
�j/3 6 l
o'?0V i
STTE LICENSE N�UMBERR
I CITY LICENSE NUMBER
pLegal
n'
Description of Property (Show Below
or Attach Four Copies)
0
fi
c
RESIDENTIAL
GAS
_
NEW
LINE
LIN
NON-RESIDENTIAL ❑
SIGN
ADD
D
❑
WALLRETAININE
DEMOLISH
FENCE
ALTER
❑ ORCFILLTE
❑
xFt.)
REPAIR
PRE -swim
❑ IN P.
❑
..........
POOL
DWELLING
UNITS
nS7-A// (-; A
?4( PROPOSED USE
a PLOT PLAN '(Indicate Building setbacks,
Y1
O
n
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-
ized agent of the owner. I agree to comply with city and state lawn 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
rs:ating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
PERMIT
NUMBER
❑ YES
❑ NO
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
❑ YES ❑ NO
❑ YES ❑ NO
S Pp/ , &S 4
'7l6 Of p
ty
Valuation Fee
Plan Check No.......
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
i
)
1
II
f
i
1
TOTAL AMOUNT DUE
ATTENTION
APPLICATION APPROVAL
TIDS PERMIT
This application is not a permit until
AUTHORIZES
signed by the Building Official or his Dep-
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
(ATURE (OWNER OR AGENT) I DATE SIONED INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
— PR 8-1107
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.
, / —
FILE
do
r � ' . o I i " 1 41, I 1, do ,? .: ,,,
.: l: to med
f
K --,trt ' Yi t I _
. \ ty , 4 t
4i.dI IL , L I ,fr ' I'L,
rd
t Jf 1 t i > Y t '' r r ! 1 ,r 3" t
I III .II I oL"' ' L III II� LrLII.4LI .LII. I. LI II_ I , I I jj44II " (�I rLI
I"I ' I: "I I"'IdIdeI'.o L .,ILI.I,o;oI
Id II LL
:; LY At tii , r a .., W: r + y r �.'�, it r S t 1'i:
II
p...y , f .. a.. ., « i.. . , \ 9 'J t t:I, e'j ,S}}Yt11+ ; ,R.: .i,e t:;1 S 1;.. 417yLv .,ri t si-i't,�., r..}[r.a.l..!�'lr .t. r ,t lxi�.r1 �a I{}'+}.°5 jtf, {� f t'
II,
;{', i
r"' .. r.:: e:: . _.. ..' . .. 4"..ild t 531. .. .. a ,- y r e w.�. �. ^Ivr
ry� CCC . , e r
r 1i t' }. lt: �i .L::It ♦ l +1 ,IT'L.!t t , .{thiVri 1 '�Sy .[:{ f
r: - >w, 3
1, t I i 1 'i.,r t .... ...
I 1 y 1 M' S
Fip' 1 f :. 41.1 f t1 y b! i l;y
i
' ffJ , II o
{ : , t ' ;. t _ L ;r. ! 11 i t
..f t.a, ,.. .. 4 r :..+ _
">
t u
�_
. s.. L I 1
M
iS s t
I ° r•
S t $ 't '
f V" } r
y rY' .
t t 1 + t
w
4 S,
i r .. _ j
, _._. yy 7 t1 rt .l I,
l , i
' 1 . t .. t 7 r n 1 t •,.16 I, y1
�t
' `t'` J;.
� i , I
«a I, 10 i v
...... .. _. ...
- It: _ ;t I t y r jli i
1 i t I 11 y
S
I . - i v .et:' we r ..w:\ ram.+ r..•rn -k r -.... iy.... rr �y'x v �! A .}3 NA , } n:i . tSI .[�.0 { {
w
. I i. .. rn
t I. ._. .. _ + I t
1 C ;I 1 I >! Via' -r .... - : I f rs
I ! i
......_ _ -_M, � _� L-� � {I
if . _ 1r1 r. C It I M. tS{ s .
1 » ._.RECORD..OF INSPECTIONS` ,i.. k of := ytJ '
r
1
_ . ! P i ,
t I _ L 1
�. y } i s R >
Date Passed
_... _ .
F
_ ... . x .. .. _.. ..
: I i �R oundation i "
i :..,.._ : ...__ _ _..: u'Plumbing (Partial) �; i '
f
!K
� 1 ! Yyt
i.+ ` f
6 } _._ _ . 9 Fi (Rough) ; t t {
a s
I
. i
r ' Fame' �
,�1�
'y..,i ' �11Furnace &Fuel Lines 7 '' Y r \ t`, ,
-s I Final•
41
II
III
I II
II
II
IIL
LI
IIII
II
IiII
t-._ r_. .. ... ..... .,. ._ Yt 1
• t _ / lit- i. , K'T AJ._ T,j f f 1 1 l t \i �. 4 y1 - III
S ... -
II. IIII
III rt
II
tIII
o
Ir II
II
rI
Ir
IiIII.r1
fI
t yY ! W.
l�-\J _ _..'�10 .. .-. .-?rt•.1ii ! .- f l 1 ry. T .
J [ �, �1 1. , Imo` �j�Y ! ..._.,._2_.. Ff y v `,v
\ (.,/0/�"' ''' r, t, �z "RECORD OF INSPECTIONS
{ [ .F t.: y+1'l jt s. 'SJTp , 1 - o > a
i ' ; i t i 3
1 ._ t K 7: + h fi?11 3"t 4�+ u:14 J Y.ACIl'th> l4
_ ' )t.... •: .xt +.•w.+pt gx rry...•n,. ...e rr M'•'': t, \re .ueJ:a fr :r w•+a<e ..v«."... •+ 'L [c"11 :, +I> h y4 J O f , r
1 ! .. �, r 1 :Date=ss o L 1 r �g
.. .; 1. !^t .e ).<:-L ' 1(•.° T ' fi�:fir..y Y:.elr Sf. .'..s .4'd1 r i ` r ;' 4:.: 1 'IUJ ui..`�r='r sift..: lSi{ `;, t
p�, y at i, u i + '
,�' 1,tkrh''°t Noy. /d g.>,a.#b is.,.,... t.tc 1 � [S t. � I i turn.. s?,.
3 - 1 a:, r ; :i+ f• } Y'` i S } A :.: Yi S U r ( +.t l i 4,'n I Z 4 Kti.-�l . + ,
-:i t ,c. ¢ r `l%lsi i :ia' Drainaget� _
f ;
I ,tt '{ it'lo .iC- ' . ,! iyir, , [ j} ,_. 4fi y1y ".`f f'; ;t: >^2Y i� ,.,'1:,r..+l`iil KV1 r Y.-SY� i'3 N*,F i+r+ { '.
t ,..:� ' t yFri �' C1 t.,�. P 7 i i t a 1 y.z t to r , II
x t i> t Sewer F =I idii3`�:
;' t { f.; -.. t .1 (. y ,ye.,,.i . ^�F �, Sep..$, Jji waq �$xr wNY �r 2, •t I't y t� , .:it J I .,1a t ! }.1 , B l4 ,a{d j s1^Y ztsf sS;ii tr{ 4 yv I.
R Parking,,,. ,,.>: n.ze, r: li to>» znc,1Ii;s
C tt x e +y,, j Z t. t! ..1t Ud r .l+ LTj3 AR C SnRISy t
1 - Landsca m =";t2 4 tut„
r - i i , ri rl ui+ ,,�, g .. {'_ a oC_ .l .tz S . 5 J
.y 9 r 't _ x
:'..,.. , Fire Dept.
3 ' rS t d.I < ! ,s +Fa e.%, �'4/Xk..... _F'.+'Fn sb3+',V �✓'�Ji, :. 1 ,
Y _.— ., 1.: a +R -
-' ''t cF .�c.w••\4...�r +Y 3 ✓' "•oddd - fr :r f c .a rr lAvt.dw C- rti'a k
' tit
t.
t 6 Y a t' ; t y v i1 ' ,ij r "'
f ! z .i4 ._ t'
l i t fr 1 •.ee f> attII l 1 r > dote Vt+ N y .., i tk YS $
t -..I .:i r - t+. , Iitt 7- y t 'v:'i' } n ua3'n 4 I Y ... II 1 , t r
J I
_. r r $ 54 - s__s ., _Yt..y rt ,1.. .rF .<ScLlti } ,..-
} ).
' 4 'i..
..
.. r - f
`•
a
1
[ 1
I,
. !
t;
;�
I 4
1 1
! I MI
.i
qq,
h. '
_. f`1
V dirk 1 7
y f
x'
':Wt�MgiM k.R/MMrMYY�PeN ................. ...............-.,................—................._.......... ...rr+-..... ,� ::
t
APPLICATICA & WORK PERMIT
t' Application No. ............
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: 1/2
1 & bsmt
WORKNew/Adttfr.....Reaidence...................................................................... Ground Area ................................... No. 8torlea............
G. M. Wilson (brought in lans) g
Plans Submitted..................:......7�....................................................�.............. Conat. Type ..Fr22Re..................... t...... ��.........
Height
" 7
/ /V K............................ Use Zone... -12...... Fire Zone.................
LOCATION— Address ............................................ ..................��
1 7 /r o .Q,e� G,co�.J '
Sea Lawn Terrace dt), ld.4•% Sewerag G �..
r Recorded Lot .. 3.............. Block... ........ Add'n ............................... ......................................._ ....
,
Lot Area :............ Width............................ Min. Bldg. Setbacks, Front and Rear..... 25................. sides.....? ............. i
1419 Fir St. >� 8'8 6
owner..... RPLY..m lypn QF.i....................................................... Address.................. ..........................:...... ....... one
G Wilson 1505 NW 186th 2
pp� Phone ...)::I�......
Plansby .......................... . ................. Address.................................Sedt�Ie..
Bldg. by Address .................... ...... ........... Phone................................
i
Plbg. by Address ................................................. ............... Phone ................. .....
Heatingby .................. _. Address......................................................_............. .... Phone.:...... j
..... Phone . it
Elect. by ...... Address ................................. » .....
Remarks......................»... ......::.......... .....:......... E
„ I
......» .. .................................................. ..... ............................» { t
»...
..................................................................................................... ..... }
..................................................................»Pp .........
a
The above is a correct state and I al
ee to cgrst i with all applicable Codes and State Laws regulating the work. , j
�......�Address ............. Date..5.»28.......
6
Signed: 3v4e/Age„/lo
f!
-.
f ,
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans I
and specifications and Building -Department notations thereon.
VALIIATION PERbIIT FEES i I
° Bldg �..... ( 7
D...o..L1.. g. $........
oG
Plbg. a .........
00
APPROVED:Heat .. $....... .3... ...................... I
Date... `'.» 7 R....V................................... Elect. .... $........................................
I�
BUILDING DEPARTMENT
Others ...$..........................................
�Gr TOTAL FEE $.... .................
By. .... 1.�.�................ om./.7.»� ] �
NOTES: No work requiring B ding Department or City E neer's inspection shall be covered before inspection and approval. 't i
Twenty-four (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as
I '
curbs, paving, driveways, sewer, water and street connections.