710166.pdfz
,
�
W
Q
/
f,
BUILDING DEPARTMENT I Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
NEW
ADD
ElALTER
REPAIR
4S W
it
or
RESIDENTIAL
❑
LLIN
NE
NON-RESIDENTIAL
❑
SIGN
❑RETAINING
DEMOLISH
WALL
❑EXCAVATE
OR FILL
❑
FENCE
(........ ..x.......... Ft. )
PRE -MOVE
INSP.
SWIM
POOL
DWELLING
UNITS
t
I
I hereby acknowledge that I have read this application; that the In-
formation given 1s 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 Slate of Washington
relating to Workmen's Compensation Insurance.
TE: npedimit One Year (Except DEMOLITIONS which
I be codnety days; MOVED -IN BOILLIN08 ehail be com-
ple In el
NOTE: Applicant Subject to Plan Cbeck Fee
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.
r
PERMIT 7 I O I
NUMBER O
VV3 /�/ I W• /YV 1 I11 ❑•_TvES .r- r
❑NO
EXISTING STREET R/W ............FT.
COMP. PLAN ST. R/W ............FT.
❑ YES ❑ NO
REMARKS
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
DEFICIENCY THIS PROPERTY
Valuation
❑ YES ❑ NO
Fee
No.
TOTAL AMOUNT DUE I I O- 5 O k4 a t'D`
ATTENTION APPLICATION APPROVAL`
THIS 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.
INSPECTION DIRE R'B B 6NATU
DEPARTMENT /;...�
CITY OF / /
EDMONDS DwT
PR 6-1107 4/ d— O
yid
e
#
ik r tf ±T I Ih 1 .ir'L Itr•i L at ..
�" FSrCLtir ' ITL
aMaL.wy�lurnir:na)wSni«rmra.n w.we...rn.ui•W..n.....a....«.a u.,W .,w„uw. +.r ,- + '' .i
Ad ITr
II dIIT
II
IIII
jl
ddI
dI
"FL IAIR
Td
fI
rAL
rI
IIr
II
r.
II
LrLI
r.
ILdIT
Io
d t} l `. a r
" R Ifv :r ° 3 1 [ I i t
d:,7Cx ... v 1 .. i,I 7 d•`:rr St.:r ..,l. "�+
w1 f 7 rl 1 r i r) Id .. f E,_j
h. ,z f
x, r pt 1t.vNi(,
L q
p
r, is
lLgps� - f
7i117 1 u, ..n. x: J .h •..i I. -�i# : .
.. .. ) ? .. t,a v :' ... .... _. ;U' t e 1, i`tl)P.h,.
.: .. .e.
t
FBI t ti�
{... „ Rd _ .... J- _::. Gb .
y
�r .' : , .'.r _ 1 pdp I1 t06 ill . 1 I
,, _I !.. ....:.-.._. .__.._ ._ _.. 1 jfrrT \
n
ei mot. 7 ! > .. fI.
l H ) \
1 ITTJ le 1 Y� i ` y }
1 i /ITT
p �)
t kr$ v t a1� ., t u J ._ .. _
,A.
, ` P S t 4 1
+� { +
i
yl
` i.
I
__.._.. _ _...._ _ _.... _.
ar ;;} E
.._ .. .__ __ _ f
r
1, f, � , t 1.
f.l _..{ 1
' }, v'.a.aY lRfV7gp•i.. r6\-.filar .V i.uFW 4M,+N .rA... en...KN [... SrT.i-r.1. .C:.,e •. _F: �.. _ .. . } 1 t j
I .S
i ulr 2,
I `f.
tt _
I
N
_:_. _ (�
;,'
.. .. , 1 .,..IJ{Tip d. T. .1
E .• RECORD OF INSPECTIONS '` {
_.. N _
f __. CC IdI
r } '.. - j
I _ JDate Passed ?
_ _... Fu _ and t n
.. .) .. ,S
f
IO
J� Plumbing '
i w v % (R ugh) ri4"
• ,, .
` o f
i . rt t,� Frame
r
i
r' t Tu
Furnace & Fuel Lines. ;
p F? Final }
E
.._. .... .. .. .... ...( 1: rta..
RECOjZD .OF INSPECTIONS "'Y
itW..v xR nM .. ....• ..... ..:. :.c.,-. '1
S J t c ' I17 L.. :•)f P`7 ,i !a sii c� Jf },{;
:. F,. c< } Date Passed i .
., t r, l i. 4qr k ,"7 J I,nJ r i t i
'J' J i d > "'?j. n F 4 '4 r-. t , ✓• t'.`'A. / 1 F .f , .i7 c i (t lh < Ll .'t r 7, ) & ifr 2 '. .
o fv r' [ n l: iJ, 1 '. r.: r. t'. , i Fl t I.(('r } A a{ Il! !
.t. -_J af. 11Ic \1(' (,.. Drainage _. ...., .;�i, -7
fi...Fc. S , ,. ;i:.
' Sewer k t 6\ d n' n.i• Ad j a Y 4>
J, ... '.i'.i 3 I."lri 1S i Jt it._ a, tv,i i :.i .t ��< , i. 7:. ) 1'�tr i.i �t ,1 Lp}�J i ( <f �f+
.Parking.. .,.. r.; _,, tl MI f IAL ...
2•
Landscaping. =sV
P
Fire Dept I
�
1 .
.... ... ._ _ u_ I_. ._:.• .. \_.. ...... 11q:. F1 .._i e , , , 1 .y . -J: t4 t �?3.r l`t ro, �S v 4n'.i [B, 'v> i f % ff i'
I , l a.. 5: ♦4 > 7 i �s FlI 7 G.s£'1 \ Ad uv.m
t,f t s Lt ,
FRI],
. t:i`il i .ri + +l : t ..•:i: .,h, n.:.(D it t..1
IT
I
)
I } i
r
I
} If
'Awl -
i