Loading...
710152.pdf.......... ........ FBUILDING DEPARTMENT APPLICATION lJRE't71rs!}t!� ef- ,rM��AILII�NG ADDRE89 C 7. Vn CITY kNNAiW©•aD tU4) F p� j ca F z kl S 4 rin E fl 5 cy w A Applicant Fill Inside Heavy Lines 7q3 /oo5 or Attach Four %GAS NEW RESIDENTIAL LINE NON-RESIDENTIAL ❑ SIGN ADD ❑AINING wA L DEMOLISH EXCAVATE FENCE ALTER ❑ FILL OR FILL ❑ `.x..........Ft.) ElPRE REPAIR ❑ -MOVE INSP. SWIM POOL LUMBER OF STORIES NUMBER OF DWELLING I UNITS I ADDRESS iE Y RD SETBA IE n 6 d VACANT SiTH El YES ❑ NO STREET R/1V ``//ee�� EXISTING STREET R/W /.&�(;2.FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W FT. ..L.!••••• REMARKS n.nivnwav siones not to exceed those indicated on S Ij 1 0 YES ❑ NO S❑ CIAL INSPECTOR REQUIRED I OCCU��I,GY 6{tOU� YES NO OTQ REMARKS Plan Check No ..................... � d i z BUILDING [O� 6ALv La n s� PROPOSED USE � p� �,` _ p C0 ,& PLUMBING Pin t a PLOT AN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE el FENCE SIGN RETAINING WALL N ISWIMMING 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 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 laws 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 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 com- pleted In six months.) SIG TURE (OWNER OR AGENT) DATE CNED INSPECTION DEPARTMENT I 7 CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee PR 0-1107 This Permit covers work to be done on private property ONLY. Any construction om the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. Valuation M I f N= APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. n e. FILE S 1 00 FEET OF L07 3 BLOCK 2 SOUTH PARK AODITION' TO I ALL OF THE WEST 135. , 0 �s EDMONDS� ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME S OF PLATSV ON PAGE .g>.' 13'i RECORDS OF SNOHOMISH COUNTY, WASHINGTON; EXCEPT THE SOUTH 60.00 FEET THEREOF• r SUBJECT TO AN EASEMENT FOR INGRESS AND EGRESS AND FOR UTILITIES OVER "•'�7t,1'< (12.00) FEET THEREOF, SAID EASEMENT TO TERMIN-., UNOER� AND UPON THE NORTH TWELVE -It ATE UPON THE OPENING OF AND COMPLETION OF THE STREET IMPROVEMENTS FOR �iTH AVENUE• ' tm' c Yr..,tfli I tV ci 44 AI _ 1 l L I 1 l '� •w I `pS 4 t t 1 t A 1 4 S � t _ �,\ �� � �'•>�� ''tv''' /J r ..' "'; f . ..� .mil 1 .'