710238.pdfPOSTED ON KROLL HAP NO.: I PERMIT
BUILDING DEPARTMENT AppllasatFlllNUMBER
PERMIT APPLICATION Inside Heavy Lines JOB ADD ES
NAME (oA-Mflt!!M tf>QSS) 6Q
L Qj M 0 C SID YARD SETBACK STREET SETBACK IRE YARD SETBACK
AD RE B v O
/f ; T;( '5 &_"5 U8 ZO LOT AREA I VACANT BITE
C I V 11 JJ • ,LE/L-muNE NUMBER I YES NO
.I/� 6 a Er�,
NAME , ` HEIGHT BUILDING AREA VARIANCE NUMBEA
. I
PLOT PLAN APPROVED
ADDRESS
i- STREET B/W
CITY TELEPHO14H NUMBER EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT. q
REMARKS
NAME // _
GF7 -e
119!4ADDRESS
pt,0 Y IS / CHECKED BY
4 / TELEPHONES NUMBER
� d /�/ �S I 0ft 6 J "" METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
STATE LICENSE NUMBER ITY LICENSE NUMBER _ I I I (q
REMARKS
Legal Description of Property (Show Below or Attach Four Copies)
TYPE CONNECTION I VERIFIED BY
PERM TEST I PERMIT NUMBER
i
WREMARKS
A
FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED
I O YES ❑ NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
RESIDENTIAL LINE O AN CHECKED❑BYO (
YE 8
NEW SITE IS LOCATED IN THE
NON-RESIDENTIAL SIGNGAS CITY OF EDMONDS. LOCAL SALE
was RETAINING REMARKS TAX SHOULD BE CODED 31.04.
DEMOLISH WALL
ALTER � ORCFILL E ❑ PENCE
.x.......... Ft.)
REPAIR PRE-❑ IN P. POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATPIP OF WORK TO BE DONE Valuation Fee Receipt No.
3 Plan Check No .....................
z
$ BUILDING '
Is�jdi PROPOSED USE
?g) PLUMBING
Q PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT k GAS E
td
n
FENCE
SIGN
RETAINING WALL
N
ISWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE o 0
I hereby acknowledge that I have read this application; that the In- %, 0
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- ATTENTION APPLICATION APPROVAL
lating construction; and in doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until
relating to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep-
ONLY NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ae-
shall be completed In ninety days; MOVED -IN BUILDINGS shall be eom- knowledged in space provided.
plated in six months.)
BIGNATUAE JWNER OR INSPECTION AGENT) DATE SIGNED DIRE TOR'B ATU I / ti, .
DEPARTMENTCITY OF
.- • .;, �, (( i:'., /' `/-/j
—
EDMDMONDS DATE
NOTE; Applicant Subject to Plan Check Fee PB 6-1107
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways, FILE
marquees, etc.) will require separate permission.
i
S rq Li; I .lo-I�ii.! i �.- %.: , ..li;. t .. I'
i t{ yy t. kyi l n 9'M1i
S'*i ''`' �xfi ,71J .Y� It
ry�Srfk.5 7J1 '�; G^i �t
j r,yil y ('
Jr, _ 1! Id,., i \ �,.rlt.p,. 11 'i 't f ii2 i �t�;, t� it�( I Q 1"'j N... '$ I t tI J.V „ t ir5�i
r _ F" n. .... ... -_. - i 1 r ,r M(' M t' _ a M I {I �'17 i( rl �`il
..1
Ir ylt.\ 1, fA'It.r t IQ}:r! 1 t.SI i = '.t ,
f..rr j'
It .,.a .f o. _ ., ._ I, 1 i3x
f tl ":1. l l it C I, 1t1 I s J' 1 ,..kl i , ) ! .1
ak
y +
1i ... I I.
'i
1
r
r i
_ ti
1' 1
c _. --_ ... . _a.J .. ...... . ........ .�., ,. -..-. r.,,. ..
i I
r t tiF3 .
S
v rrl
1' it
.....__ _..-..... _. _ _.. ... ; . i �a
.r ....
I Id
..... _-_ _.. _ - dd
' Fat
4It
Tt
Id
_.' �n
It
:
1 j
1
1; &l•.t
Id
py :
u, .v... ra 1 ar a53i ,: .a.ni�j. ...r.: t......
t
D
'tioF„ i
_..
t
51 atTi I t k 1 41, IT
Id
a�
`li,la pil f},l'iG ., �H ...�) illtl'..�•- '" ......, - r t ,... " , , '� -� f q:.
t I
. t,..�..i
at i {, .. -... .�.. : i-rl_ `u _ ty; ,v . did,
,
t It
Id
ji
t
It
�1J f
.-..L..v.. „ ,r
1
It
I Lin I
IddSt ] I lit
—_....... .. _. .-- I_.... di -._._.I. I I I L I IT
.:t.:,.,.r ,rare :.., ..�'``'�°►
I t'+
3 ;
-
. IIt
d. - /
e
A
r
.�. �- (yam �, ! ( p
( .. t by
i� i• RECORD OFdNSPECTIONS: :;; h
=L 1 4 !� Date Passed
Foundation £ ,
__
,Plumbing
... _. _ (Partial)Fit
`
.. K 1 4
ad
(Rough) 1`
1 : Id I
_ t;old
I.
Frame i
i-' 'Furnace &Fuel Lines
i_...--_..-. 4z
1:
Ill. t
x tFinal
,3.
r ;rf i - it
.
_ - 3
4 t i
i I --' , s.
-t' I sit( r rd1, `µ ]�h� _
_. .«.,o i _, _.:._. o..._.... .. i:.,11.. -...,. .a. ,..r• r.. It':,. ._...sw e tit D/O ,n .bt,.J GL$i tjl RPi�'17 7rr ;t'.�'.
RECOR ` F INSPECTIONS =
I..
I. 1..d� IT _ ' ' I i�t ' )t' t : z 9 .r :'4ij �C I Yd3 1 j -
! ^ Date 'Passed
a ,
k
_. i !ti .u`17oh.t AP.B„4rlftl f917 ['
Drainage,,;0
„ii: l ;a
Sewer
, d ; Af'1; 6did "d ;+
..
: ;.
I'd.. ..
...
1
;Ic r i i , tU
Parking
a
Landscaping
Fire Dept.
,.
Fri\
-L7i
i
i
i
1
I
}
4
t
i
i
l
I
t
t
'
t
I
,1
�l
it