710172.pdfI
BUILDING DEPARTMENT
PERMIT APPLICATION 1
NAME
James T Sn i +h
ndt
Applicant Fill
Inside Heavy Lines
- 4316
NEW
u RESIDENTIAL
❑
GAS
LINE
ADD
NON-RESIDENTIAL
❑
SIGN
RETAINING
DEMOLISH,
WALL
ALTER
REPAIR
❑
EXCAVATE
ORFILL
IN P.
❑
FENCE
x.••.......Ft.)
swim
POOL
'UMBER OF STORIES
NUMBER OF
/
DWELLING
UNITS
/
[ATURE OF WORK TO HE DONE
-60 S / I, P_Vh. .
PROPOSED USE i '^ tl f
PLOT PLAN (Indlcatc Building setbacks, abutting streets)
S e e ,Q 7r,49 C,ve v
f
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-
lzed 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
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year xceDt DEMOLITIONS which
ehall.be completed In ninety days; Me BUILDINGS shall be oom-
Dieted In elx ooths.)
NATU ( WNER OR AGEN DATE SIGNED
�4- ai_ 7i
CITE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) wW require separate permission.
rl
}
C
,P NO.; PERMIT
NUMBER
o t MLr.>. I As'*M
0
EXISTING STREET R/W ............FT.
COMP. PLAN ST. R/W ............FT.
OF
❑ YES
Plan Check No
BUILDING
PLUMBING
HEAT A OAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR a-1107
r
r VD
m
❑ YES
I .
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.
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RECORD OF INSPECTIONS "3 ;
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Date Passed
Foundation
Plumbing (Partial) r. J
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{Rough)
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Frame
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Furnace & Fuel Lines- '
final
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Drainage ' ,tl J9ar at
ee t I SewerIt
' )�� . Parking � l yi r
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Landscaping
Alt Fire Dept
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