710188.pdfE
BUILDING DEPARTMENT I Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
J?AFFW MAILING ADDRESS
Yb, Box 13-17
CITY TELEPHONE NUI
1 VA)A) UJDW. OA 7113-100
F�Ai� '�I-LtMBI�tJG%IATING
Cd ADZ 1
0 l?r 1 6, 3by-lei
CITY TELEPHONE NUMBER
STATE LICENSE NUMBER CITY LICENSE NUMBF
0?123-0:z-70g'1
I
Legal DescriptiOn of Property (Show Below or Attach Four Copies)
GAS
NEW IX! RESIDENTIAL LINE
/❑'"� NON-RESIDENTIAL ❑ SIGN
ADD ❑RETAINING
DEMOLIDEMOLISHO WALL
ALTER ❑ EXCAVATE ❑ EN
ORIRLL (.
...x......... Ft.)
PRE -
swim
REPAIR INSP. POOL
DWELLING
UNITS
EXISTING STREET R/W ............FT.
COMP. PLAN ST. R/W ............FT.
❑ YES ❑ NO
Plan Check No .....................
BUILDING
PLUMBING
HEAT & GAB LINE
FENCE
SIGN
tRETAINING
N
1
WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I•
PERMIT
NUMBER
710188
❑ YES ❑ No
DEFICIENCY THIS PROPERTY
... ........ FT.
❑ YES ❑ NO
Fee
TOTAL AMOUNT DUE
I
I ^
`
11
` ..
hereby acknowledge that I have read this application; that the In-
d Q
V O
on given Is correct; and that I am the owner, or the duly author-
ent of the owner. I agree to comply with city and state laws regu-7ANION
APPLICATION APPROVAL
1
construction; and to doing the work authorized thereby, no person
employed In violation of the Labor Code of the State of WashingtonMIT
This application is not a permit until
to Workmen's Compensation Insurance.
ZES
signed by the Building Official or his Dep-
: Permit Limit One Year (Except DEMOLITIONS whichTED,
Lahallbe
Utyi and fees are paid, and receipt is ae-
I
e completed In ninety days; MOVED -IN BUILDINGS shall be com-
knowledged in space provided.
n six months.)
URE (OWNER OR AGENT)
DATE SIGNED
ION
DI OR'8 GNAT
I
ENT
��`
1-
LWI �J'
S- /o -7
I
F
If
EDMOND$
DATE
NOTE: Applicant Subject to Plan Check Fee
PR o-Ilov
i
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
1
marquees, etc.) will require separate permission.
{
" 1 - l
i t IS -
w " } aV M p j •"
{ f 1 1 ; t w. . Yla a 1 5 • aSc�V1 t«. tt R :: d { ' �g :•.t `c --.:9 f r t?1 .. i
t, { 1
tlia�,i •„ V 1 t 'iai i._ it
..
r t �1 } r" I 1Y u j 1 a
FA
11 1 k JF ;, i 1 1 i
v
1 ( .. . ..-.- _ ...
1 d p _ ppk7 v ( _ �'rt - 'I
P n . $s r -
r yIi: f 1 I ' 1 YS n .>. _ .,rvr, t : ( s s I F4
n-f I � 1 1.
a r - t +'t
. _
1 i -; ... _ ._. .. .. _ _. r
�l{i j i t1,
}, drls-: + I -
(,- - ,..
' 't q
1 ) f}f}(1
` _
i.
I t.
s
I
I: — i -.
,
,
. _... _..
I
I
)VvMi 4/Y^I 1'R l it
�' I , Ji! -
4 4y ', I F
1` I
L. f - - a f 4 i - r
1 ., , o
I
pp
1 1
- _ -
/.
1 _... _ _ - , r..-
1 i ,
n
f I r, .: 1 1 - • ,
1 •' _- a lilt I{1*L
i
e _
j l� i_-i�..--._ ' __ .S
f Y
1 _ . _-. ._
-
-r
.J
:`{. ;
i
€ ,
__.�:.
I — :'I 1 11 i 4t
- ,".
I
1 ,.. 4 ' i }
t_ J . -
_') . I
,
�,
}
;.;
.. f:i
1r �� _.,. Y
t S _ .-�.��y� .:
' 4 ` 1
J '.'♦ • .l '.t
1 S . _. _
}L ,1I N -
IUII i,. f, S11,� Ii�S+/Sd vi Y(A ftTil j, ' '
t IE } ` `e� : i.= ' -
to
f { .. i/` Fi!'iiv$.}'�ti ". i ir1 1.• ' 1 t r yyt .+ s
�:rr 7� i '•' 's;
t I I
"11t " rv. I
yF
1
y
1 q
_ __ _ 1�a :'. t
�, 1 r
4vf'
'i,•
.-..__._ , f'. I 1 5
_..
l - �Y'•'
i }
1 1 f ) 1
+ '.if. 1f. ' 11 (.
,1
_ _ i,' , t , "�,
t i
,d,
�` X t-t; i
'+ r:
i Iti
ti T
`Mi
T
i
i r
v-.. " — - _ ;. t
1r I j
i ;i i
'�+ it. -1 1 '1
1 '.t i �1' .rI �+ rf.` C 1+ t pit i
i , i i, v.1t A
1' , I .r ,.. r. ^ I i 1 ,
: ,. , , a v .. ! t tI e
�t ; r
z
�.-..�.-.•->1 1) a t i i r a
I ,� V
lY j a 1 i t , ! W,1 a
j O • 1 a { + lal �t
j
l# •--/+Y�J r', c 1 lt� r '1h �i:{%tS�' ''i f 1 t 1'
� --. 1:, 1 } r i I a
rr. 1 I, _:
r
»•iY - ft t 13x �' r0 i'il-tTf.`i } - i f I'I
t r ' t i 1 +'
$ i 1� 51 q
fat _ I _ � 1 + 1, ! t j I (�
t y,�11 St k
J�
!1((
l -. c, 1 ¢¢llt , r 11f , r
n .
Rr " `RECORD1OF.INSPECTIONS,,-,Tlin } ,I,,aujI 9I �L:.� «"; +' I '1
a1 t ,
4
.. Dafe Passed' i r' ff '
t
01
t '1' 1 i '.
� .Foundation `I,
t 1
'x .1 mbing,(Partial) A4 I
?/Q�v
4
sI (Rough) ,,
I
x'f Frame - .
t ` tjq 1 1 t
:;,Furnace &Fuel Lines s ;�
Y 'r, , Final
I� �' ,
M 1 G3 , ;Y r,
I, - `
:RECORD OFI INSPECTIONS ,;, ,, r c>, i! Y
i} fu 2 I A } I i s f r _'1 IS{ t t .� i :
"I Date Passed ' "r ' 4`
.ixl i.: ij Ll P.'Mt 1 1 Tif 1 �L,'Li } 5 IYt }'t ; J + �" }
:.i
Drainage
T if
Sewer + ` > r 'lir?, 4 � �I A� "i 3 k+ f
}'- ..r 1 t,3 I, SI)c ,r-.+7;1' t.tI I1�it {cr , Id 11r e�j y 1
Parking`: f , tit , v t� r }
- - vlLl ski ri 3I411ti i tt C� t' ' , 1�I i t
Landscaping '
I
Fire Dept
rI v \v"'1L a.., i 'r XIR 1Y M k: LYL, }�Lt'+4}rv+Y o ' 9iY...i-�.TV '"N3.�''4.fnYi1� h r !
'�, a
+ I C ., n I ? Vv ,tic v{i. v'y , .
i r ._
1 , I ) fl ♦ J h 316'{4Ix t}�y ,. �� 1
v . _ ..- Y ri .mil 1 , 7 r } aSY': Y}ill L` -I r 1
rt,.,
f
tiI '
? .•• i,: .
i
r.
(I
5^.;:
i,:
it