710286.pdfi
i
1
l
BUILDING DEPARTMENT Applicant
PERMIT APPLICATION Inside Heavy Lines
NAME
r
�D// 7//I/ .t` •.St
I NG DRESS
�D,3 — 6 �
o_ —_ .......-...v..va unvnco
U
p�Qq
a
z
0
'
o
n
or
NEW
RESIDENTIAL
GAS
LINE
NON-RESIDENTIAL
SIGN.
ADD
RETAINING
❑
ALTER
DEMOLISH
EXCAVATE
PENCE
❑
FILL
OR FILL
❑
A Ft.)
REPAIR
PRE -MOVE
..........
swim
INSP.
POOL
DWELLING
UNITS
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-
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 State of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
0
EXISTING STREET R/W ............FT.
COMP. PLAN ST. R/W ............FT.
►0
PERMIT . 71 U286
113 YES V NO
DEFICIENCY THIS PROPERTY I ............
D YES 17 NO
SPECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP �.zr
YES y NO
PLAN CHECKS BY G—
CITY OF EDMONDS. LOCAL SALES
REMARKS ,
Valuation I Fee
Plan Check No .....................
BUILDING
PLUMBING
HEAT & OAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
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.
89IT
URE (O R OR AGENT) DATE SIGNED INSPECTION DIRECTO SIGNA ,
(✓'� / DEPARTMENT '�
CITY OF
DATE
EDMONDS
NOTE: Applicant Subject to Plan Check Fee 6 —
PR a-IIo7
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways, FILEmarquees, etc.) will require separate permission.
j
i
i
r
i'
i
. I.
l
P"
I
1
I,
i
i
t
I
i
i
I
v1'l Lt
,9 ifF Olt
r ' IAYLYFiMYMY!YttdT T} YN1 ).MNYtrPYXIfNY.1N Ir .•1��+r.M, 'r3' y1 •Fl l+f H I x _ ^4r LrM l iYYc! , r
t I
to
L~f u �At r 11ry i`. l�rLr ,t ( 1 1 t 1. .i'ii ° 1 !j — "I t,+�" 1 +
L� .� • r .r V I I .Il . 1 t It
._ „ ..
_ i.{, , , Ld� ..".. _ _ .. ....� •. . .• .. . v . ,1-, v ..ri-" it.�t
j Y
I. Fy
�. _.. "... .. _. .. 1 t 1
N / k
AI i
It L
,�
0 Y
r� 11R .ti. , !. r.; , I f .._. , 4 ��:1
Ot
It I
pJ ... -.1.. .. r
Mt I ..
i
L
R r
n.
....... .._ -. l—_.._Or r I01
.. .. -. .- ... ..... _ _
f
Itr
1
Y
k ,t :! 1I d}
r
c F AJ'C i`t star .�, { I , ! • )t r
y t t ItOt 1 rl 1 a t t
Y tyR. y.r 7jl t(,K KliOWN r•rly t NOIi !;y1 ) t ` .� .. 1 y+
4� T i� rOr
1 r
i t
N Or Iy : j
CNit
I!
It
. ..... —. ._-. _._ ._. _.. 't
r /IV
t r �( s
It
!°It
hIt I
LON
I I Ot L I _ ,.
�t . .. .. -. .. .. ... -
II,.. - ._ ._. .__,.. _. ., _
p, !
' : Ot
' t
k, 1 ;. ^ ' .: _ ...: _.. LrI
.' RECORD OF INSPECTIONS .
x
iOr r
LI
OtIti Date Passed }
-�� t
Or
1 Foundation
t' Plumbing (Partial)
t.
'0 Ott
(Rough)
It
__ ,.
1
t - ---
F
_ tame
Furnace & Fuel Lines
i
Final
_._
A - , r
TO
d ` ..j.
Or
It
At.
4
st i tj
RECORD OF.; INSPECTIONS ;; ;
<1 `
'
Date Pa `
Ott
r ;
Y
, '
. t .. Drainage •i �,.,
t I C, :.. ,. rOr, ILL
y It t !' '+ i> hi Lrv#� k j %7 i. I
4� Sewer rt; t aC ,i ,, {r,� u
d.
�U A ` '• ` I t 1 i tt ,. Ct i ,! 1 b ••'�+v�iT�t}
s; ; i Parking Tina ra t y 4 ' kT �,
$} J, I '' p�ng L ..-. I :" S`4�)�.1� 1�6�3 ) 7.}'Il a`'✓r�f'•t j
Il.�liidscay (jl
Or r" ` im Dept ` ' y .r ' r%�Y a f t +c T ;
" °,
P
a
{ — `r .t.�cS.'r's Il.rh nT Yea!u. '.r..t y
f( I 1 4 . Yl.� IZ•
{'i9+i11r ti'1{1��'1i;' )
1 A 1 : _1 I1 ,' t"r Jr.F /- h V 1iY[F
_ _ .. ". F ,r. i' 1 J'fCtlrl,� SiE.ihCt rir t 15a"i iSil9Y $YkV�i� Tit ix 1 5 f ,i� ,
wa..ir''n8lfiq�.•,,9 {Ft)7). rv!m'uSi .113tiN 't 1t a� A9 %t
1r• 1.1111000
:b!1.51Ytl
t.
"vi, Or,_ I
:
y
i
i
4
1` I
ir Or
J