710278.pdfBUILDING DEPARTMENT I Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
A
o/ - y 7a -S/ 1 a 3
eriut(on of ProDerty (Show Below or Attach I
ON KROLL MAP NO.: I PERMIT NUMBE7 I O 27 Q
U R
�z o -y.vu�y.� vet u� •�•�
SETBACK I STREET
^SETBACK IHEARR%
.✓ S
YES 'N NO
rl"JI: rL^" ArrrSVv✓'✓ 1
8TREET R/W
EXISTING STREET R/W .FT. DEFICIENCY THIS PROPERTY
..........
COMP. PLAN S1 R/W ..FT. ..<:-).FT.
REMARKS Driveway slopes not to exceed those
indicated on standard Drawing j 103.
s-r
I
m
L Xis T
YES
RESIDENTIAL
❑
OAS
LINE
YEB NO
NEW
N
PLAN CRECKE BY
IS SITE IS
LOCATED IN THE
INI ADD
NON-RESIDENTIAL
❑
SIGN
RETAINING
REMARKS I
CITY OF EDMONDS. LOCAL SALE
X SHOQULD BE
DEMOLISH
El
WALL
CODED 31.04.
FENCi..........Ft.)
��/,.��,,/�
WLJ/yL'..
PEW— 06 r.
/7 7 0
ALTER
❑
ORCFILwLTE
❑
REPAIR
❑
PRE -MOVE
INSP.
swim
1:1POOL
DWELLING
/
I UNITS
NATURE OF TO BE DONE
Valuation
Fee
Receipt No.
/W}ORK
e"_- / � . //l/%�/�� �DO/�
Plan Check No .....................
.._
BUILDING���s
PROPOSED USE
PLUMBING
—
a PLOT PLAN (Indlcnte Building setbacks, abutting streets) HEAT A 6A8 LINE
0 /j
/L�hL� FENCE
SIGN
RETAINING WALL
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 In 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
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 TIHS PERMIT
APPLICATION APPROVAL
This application is not a permit until
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITION8 which WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com•
Signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
pletedpleted l�slx months )months )
SIONA U E ( N R O AGENT DATE SIGNED INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject t Plan Check Fee
PIL d-11a7
DIRECT 'S SIGN A ' RR•
DAT IV
r`
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
FILE
marquees, etc.) will require separate permission.
54
S
t Fx y`. I.r _ toy t <. lala p t r
_1, :]'?'�Y..f�.k t ..rAf ",}/aN "=>7✓yi T�,.`,1, 1 , , itxSi Ll..r",.s I.i`:4`..: r�4..eN.4:+.. r.r....w.t a. , 4'1ali3ty�{It$I, 1 .:7:
' :'f: f 11r uX 1" qS J .e ,! I^- I r.:: < , 3 k:'f 1 < y, i" e•.• ,:::; , r , :!"ra , ' tfi�:. �}j•. S '::'8 , .: _
�`?."r�11+vR .a q'V'.`et�tl?ris,'�.I, s' '. lr .rf I't f( �.s Y f.5 t; '�"f�''�� i.t.-f'tl+�tf � ..1 ,' ;I \ tt.' At r:..
ti iNiiH„^Te IY7i tl ayn }., `, h �t , >, ,, - :7 ii :.J , , ':` ;.,,
�. r ,i
i• a 1 ! 1 n i(: .:r :«+.+ tit •.+,'r '{.. i i'y 1 }1 I. "4
},A,S nt w r i �1 a E , t i_ 4,".,., f , ti• , 'i d t . i ,1 xr�—y1 ♦ , ...�..w I Y i f
i )" `, '', fir ?r t 'fit ., _ ;� r _ •x' 'sk 3J'r e� .• . t a �`- tYii?'� i<'gtr, ,
i ` - ' ,t ', I, t q. 1 r ,t Cy'I. i ? I0 i It -'It ry` 'Gr�l`l: t,
8 e` ''11''�r {tr'
{
�( '�i Y•EI da _7 t .. i 11 t 5? r..L j } t- f e r 1 ti- t rei
?�S�`i✓r. �r*.' \,� , t ^ i:S fK'�i t..j v t[[Y, r,{I y.4{{ ..
•r� 'ti+'N ati W tll..a:w.y w..r M-,.. - 1 " Pyr 1 i"i it, v. I 't` .r 1 tI, ! { ,t r f s CG ti'lL,, Y ). I:S'^44l
ip'ar Sdr. s , :h 4 ' . µI L w ICII t. -. t r,..: ri . ! ' 4 Y F d. i I v' r �.t� e � �.• �ti ''
.dp t 'ul '�, t t f , i lk t i ' a' w:.. I4 ) ', I f I .i � ;, 5tl.,$4,J7, , I I A.
d.t r,� T 1t : C f y ) h 7s }� ,t '�r hiI rw
1' 't '''. ] +,:W,L, .. .w:i.:- .r�` ! 1 s t 1 iy t La i{'.. f , .f z t �
w"' yn E • $ r � S I, i+ l L., •..«tit 3irq c.c3 �., f r. : 1 T I,� l': " r Fi a ,�,
. 4j'iR 3ih\r, 1ii( li?Sdi 7 ti: ' ":?➢1 1 1 rl , , . i C i ✓x : 1 .4 : , 1 �' i e t 1 I rt S+f ,,• §
- t 4 i, It
�A4 P i {f 7 ! f '� (}: film :, iI ,If
' i7�+,; °ice , f I SI , �s+ {.:
rtl„`x 7 I' L4 ' *j 1
i, r r ,§,>
4'-,t f sf, .s i tg I, r Ir � 7 u
yd ti .' - I ♦It -i , !Iit f.V 9 'LtiA� , x
t I ���' L 1 1 ,�`. }' 4
° '� �k, if t ; pr �A,DY q i` V y1 •- 4 : `! r'. • ','- , Vv I P r 11 .. _ _ 1 _ 'Iw 1 }
i Y 'Y "� rt t t 1 r t 51 1 �I i iII f'.
i+t 1W li rlvJlir•,.r� ,'qil �! t Y�'.t ..+ ' :: -i• f' '.� St t/. ,.. .. _ %r :r
:rif ,nit r}s}�u) ,$ �' f. I I L ? _ ,
W. I l i n 7 $ r { i '
�v75d �I t7 >,r r
•4y t + - "
vi I«
l t r' ,y( Y ;;j Y Y W-t411NA vl: M1' 1'h rSS 1 t y
p ` r� : •b. .. rI 7A f( I f
-
r I.C�p NIt t 1, t i 3'r i t I ,U- 7 lYI 1 I i ;. ,4 . : _ ' ) -. • 4. t a ��
} .. _. .:..
r7 I:_ i ` r I k I I:' a il'< j
..,I, f:r( ! at ' Y7,4? S' sl ^tl�f �I , : i' I' i , ty -
t>�,o. dr C, I i '.� t l t,i• I t• N., i t , .{ r I h S
O/ t C
'� r,t ti lt,.:haI ,I ! 1', i .If �t`{'ii1�4�1>� �a�n!t n i �t�� r t u'' 7 '"11 ( ,I :4}J ... 'tl. ' i.,..:` a r t . I d J �� 1
( 4
ti�:1r+ r P`:jr �4` < �I 4�, .7r7 lj).�s -� i,j';,;tt, ..', .s.'t, a' ,p I , ro a j 1 I
`iJy f M � kr / ~ } }
qq E
atg,�'1'{Jr .Y Af�' t ! ' _.:: ._. _ •u- _ ,.. .._ .. - .. i5' i. t •.I
n ' 1
?�Fr Ar �� 1 'Ie:.• ! , v -� I 'Y. f ER .1 I
'}y' yt ,3 si �s
�� }
ubt �r vft. R 1
.. : ..
' L. r I Q. i .. N
$rkI I ''tr �. : ,i' r J f t I: .--, i2t Y
n.�'I 1aJ I U ,. A l .� x- : 1 f , .
!„ml. 7 ! A' S
r! } y a v x i +Gw aw II -r I i y /j - Y S k
' �g f,yy�:i * ,f1t t(� t I - ' , , i
= r ,
_ ., .i
r 4 e'r t i.*: rti 1 1
I
j __... } t s. j(T
1tv :, ii i,)i i t
I ` 5; RECORD OF INSPECTIONS ,X�, i
it r ] t• s�.. _ ' - - ;� %: h 4;¢•o iy \
e Yb` R �t Date Passed i ,<
Lr 1 ._ .:
A
;' it
�: l b
,, -. 1 - -!, ;Foundation `
_�.__�
._..
�� i I
1„r 4 ng (Partiaq
A
!. . . -. . ,
.. : �_ ._ .._ter-- "_,
Plumbi /�(((�
.� , ^R' , _ .� �V� 4
r1 j, ,7 I (Rough) ; `�
jj
t r - , ] Framp .: � % I ( t '
c
a , ' } ., �� a - �, urnace & Fuel Lines
I Y 7
- ;Final
s
$ l
7 's«i1 ' -.� I 1.':-- Y� ' - I'
{ t :a 1
v
I
i J t * I S
1 f r� s r t - , p Ilj Y
J
1 �(�� utfi k 4. ' y i
/ I+
t7 RECORD OF INSPECTIONSr Ir <,a ,tr }.i.4 ?y x a
f t;t It l �,
.•...� r7'' I 1 7 ' •!. PLr11 ItY .=.Ir P ial'S l f , ,
I(,rtaim!•+.N',w,cY.. i;Itf .wc, I .. a , ' i-I rp i iy 1 1 W.4 Gff Pi
l ' j.`.,. :, N . Y`1 s" :Y ,tu f a4� I ,;'I . ' 1t Y',vt tlDate ;Passed f flf,: hl JY , a >tiSt�,i'tf r" ,. EY97 yI +y�'� ,
'ya�' tlS��f a'ki i'k". fr`"-' l.n:i-r r,'r�.". 7'+"�' ryq ,. 0'.« i 1
t i} ,�!:.; r,.!:i .t..; , "�I i r 1a t .. Y.. rr t e is ,pt, ,n 1:_ vi' ra rt�F•`t� v 5 1 t
I ` -r 7 2:t ailry L t ilr 1 at et i?=�14't I: t SS ' I
d-'frSt, } rrdxs o °;fi 7�,{rIl II »r Drainage >: I
f" :;'qt! L f-..si i w1`Lrl+'. �.>r•a ,J4 ♦ t _I_U f <e Sewer. , i .1tr1 , ♦ o ).-. tP ' IJYt`'�'t n 4 r:
i 1. i t'�::tl Y, .,. C17 S 1.4 r-t eU yr:; ,.e _:?i d {a i ti 3 r I Z.�. r j i^ _ I l Lt ;, rxii t_ � "� I I :7'1�4? �, ' 1 v i
P 'g,I
>r arkdin c„ �n l
t'.:.:.47Tr(tf I�t! n } I } t. - r >-11 r _, t1� Crt 1 Y r
t t ', c 7tsarI ;_, fia r�[IIII -J a
° Lan scapmg �..t
Fire Dept
1
f e ,5
I \ !, l �i I 11 S Y iy "+ E a a, �I ri t tY If 't�.{) Y xqk {yC8'r pi .'fit ' a• r ';• '
',, :v
__.. •. '. i r.
.• ; ' v 7 t r Pi + t d ti 1 a dt % t(2rKl
t% 'i .>.•. , t I.U.--r.. is I IS r- I j:. , ,,
S'' r� `r s
,
I
I,
F
l
1 '
. Ii
1 II
i
S/
,'7� '.
:
1'.
, ,i , ..I
i +
u��� -=-- - w .
a.
F:
' ,
;r.
'.i+',{