710350.pdfa~
"� .r tf,)-il i . 4
1. V ) � i.? -; (a I ..^..'r, % li, ) •'� { ' ��t��
.
I.
I
POSTED ON KROLL YAP NO.:
p
BUILDING DEPARTMENT
I
H
Applicant
In,
..qn
PERMIT
APPLICATION
Inside Heavy Lines
IOS ADDRESS
NAM OR NAME OF BUSINESS)
�Ot �• �� /J�jjoiG • ✓ "''
/ -7
G_
fR
BIDE YARD SETBACK I
STREET SETBACK I
REAR. YARD BETBA(
8
Illjppp,,,�jjj
O v A�
UB ZONE
LOT AREA
VACANT BITE
O
�T� Jt /
TELEPHONE
NUMBER
'�/�
I I
YES NO
9
HEIGHT
BUILDING AREA
VARIANCE NUMBER
f�y/�/NWD-
- v
.,
I I
NAME
FLOT PLAN APPROVED
�
pADDRE138
STREET R/W
f
EXISTING STREET R/W ............FT. DEFICIENCY TRIO PROPERTY
CITY
TELEPHONE NUMBER
;. .�.,-.., :.. ..:.....
COMP. PLAN BT. R/W ... ......... IT. ...........Fr.
REMAR RD
AME
N
ADDRESS
CHECKED BY
TELEPHONE NUMBER
C T
�����
METER SIZE SERVICE SIZE CLEARANCE
CHECKED BY
STATELICENSE NUMBER
CITY LICENSE NUMBER
I I
I
REMARKS
Legal Description of Property (Show Below or Attach Four Copies)
-
TYPE CONNECTION
VERIFIED BY
G
I
.
PERO. TEST
PERMIT NUMBER
WREMARKS
I
r
ti
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVJ
Cj YES NO
SPECIAL INSPECTOR REQUIRED
GROUP '
RESIDENTIAL
GAB
❑ YES NO
(OCCUPANCY
❑ NEW
LINE
PLAN CHECKED BY
-
LEI NON-RESIDENTIAL
❑ SIGN
.
ADD
DEMOLISH
RETAINING
WALL
REMARKS .
ALTER EXCAVATE
FENCE
n
_. OZ ITY OF EDPlONQS. LOCAL
❑ OR FILL
I ........ ..x-.....-.Ft.)
IAX SHOULD BE M=
PRE -MOVE
REPAIR ❑ INSP.
swim
POOL
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NF W-_RK
O �.
Valuation
Fee
Race
�j
/ � �
I
a
Plan Cheek No ......... ..........
BUILDING
PLUMBING
HEAT h GAS LINE
PENCE
SIGN
tRETAINING
WALL
N
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 Is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and elate laws regu-
lating construction; and In doing the work authorized thereby, no person
will. be employed In violation of the Labor Code of the Blots 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.)
7
NOTE: Applicant Subject to Plan Check Pee
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marpuees, etc.) will reQmre separate permission.
ATTENTION APPLICATION APPROVAL
T1118 PERMIT This application is not a permit until
AUTHORIZED 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.
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6.1107
,
_y_ 2
FILE
ti , i, , I.IN 111 si� �!lF, .fit-A:j:t,:
J
it,, t .n th. ` p, TyIFy aSS tea: M I- 1
! II 1 1 4414Ii A. ('wl
I II
YY
if ` IP r 'Y A' +
IIII
t{i ;i
p
4
R
g�
5•R 4 , t II' 1
i
�\yy r��y!}
x 1-dc �,
,,t_r. i, t., c't',t',: c`l" iL �.uF1..1IJYiL[iirA lGI %I
I I tII
it , C > , f , r , ; I -� t1 r. 1 .y7 i s
,, , i j ��
I
T� x
I I,�I
r'
1,t _ '•t
A
~r
,ti t�
>v� t j �1l
ti ..: 1.. h ruyg
I" I 0 ,i)
1
+ ___ _
V.o ;. i j'
., I Ie>
Sr tr� G L t i ii�[ x 1i:".tj t( } -! `
Fit r. ,
4•r :
It
r '� i tar � ; �,.
- {I II
t y
Sv , r , t' t _ n ,nptt-
II
y '- d!'.r 7 1 IGtHt 9 i 7I AI l.j
r.; j. I II
1 i
I II
,; ,
v4
.. __ .. ..._ T ':
YIt S
gl I ��
,� , _>i i ,t. p
G}
,< 4`
V l ra' 11 t1, ` J.1 SI III,
,i t I i J
I ��
IFA
V: RECORD OF INSPECTIONS 9
1 <41
II
I" Date Passed IF
rI
II
1 I FoundatII ioI II n Y ,7
R'� Plumbing (Partial) ; Qj
II
(Rough)
I
IttI
-ij Frame toq
Furnace ;& Fuel Lmes 'h
,a Final -
s
k -- `! n
y.FF.F - ry i
av , !I � , t r rulf a_J...1 4'Svt+.i t f
:if Ri , lll .9 t 1'. / ! It,'d ! t! J �l
", % 3 It (J U 6F'= I 11 I L.'1 i >, ) I. �£ ¢3. "z 1 r, I 11 I
8
i , RECORD,OF INSPECTIONS Y,'::1.i, , I ;•
I II
.i it , u iair r,Jt 1 YL ,
Il'ZICI{. u It t D-J' tl Tt1. Jt t 3 , 41 SfAQlY hJCI I ett', st I III
y w , ;:I ._t,;pate,passed>F ,;;Tr} , t rY �i (,f. .
-.t1
rl'rDrainage` , 1.11 '",a-TI fIs t+,�;k Fi�sY ;J .1.
, ..i'Aq f,..-A\ .J, 'J 41. .n.. t .e.Qt3 R+LixI�I`
Sewer t 03 V, tt xtn G 4 Jt I t
.}: ,{;:..iparlt(ng, ?-r _.,,I /,; t`:.v'-III ItJt+.r;i, ek
; Landscaping T.
Iffl;fI
J. i l y I .I . . 1^ 1, 'i`.cfaLi I ,4i0 r �S iT -N C .
Fire` Dept. ,, r w >. .
i , s,..5 Jtit`: ,A�' 1:+f.t1'.'t.ftf_. .L1 :. lri
i .,Y U ,LI 4 J ,1 - 4 14 Y C_
n Ir „ fF 1 1I ( 5'�i L , IIti t J.R
j #r y
L}` ll12 J 'M ( ..
nNnnL, SY{! nl� bt�J4.}, h�i/t .1'' !� /.,fit r ', ili lid' ,t'.
2 �k '2'IT,\r yh �e'i+j�,t t{ria dv kY"Vtwl. j` rl���'1 5s t *,G`,�rkl r III) t 14, Fd .2a,i t� `- a,
1} \ h jy{.,'t,I Jnllhl(�Sfopr�vu'. tt diiI,Z' 4114)y� •\is Aw�w«It
Cf"` � _'t ±.L'I.\ l:1 A ^"0 t y -ai. .sue., , 1 `.�V ti G t t a f� i i
tsr r YKy�,,kn i , >Wt '1 x�x,) , c, 1 !. 1'a-, y Y � +
`4 '� , +M .. '�^� �•E°�; xhT Est 4y isIt
{"k z�i- �l�i rt I, Tr lid, '1 r / J r/.1" L�,•k Wit - , -p
{, \im f'�' r, N 4--0ts{Aid ,,iiI. r' a i$ 2 t; r i1. y., l c�-(i �� ti :Z�S'?i �iy I 7
�V �2 'tj a X. I /// tE�'l-11.1EEFOi.R 1-it, F ms I I YI .. LY.a.AR'1 41'ti4
i`♦i f,i , Ut' X. {IG i4J 1 u ' 7 , +; q{
1¢}�`z�il}�1N /;,�rA}vrst s'"jF? `S!s`1/ fc r u } T t / + t r.: y, } r
/. ., t,"J`.jP*l y, rAfJy t alit 1t �i Vt� 1cJ,t 1 ,, t { j� 1, 1j:
*.w.Y"F F r,5' W�^—,1 4:R T .IS S w� 4KJ y, R
F n t�' i�rr^" Y />I Yy . It IT .4-, R I4t6.'-l6 �'ir33 ,( 'CTa.. 3&ri
d`¢' S' ,F' t r1ir11
v p,1ti dJ r �„t Ca g1 , " t `� , .t.,,.I. . �!
It I i r r , 'r - + c T{ 1 s ,ram a r -
r `t r,i YI'iY�' }i'ITIAP fhI I-��lY.A. n -r �x - t •"a.t„Iy�t riI 1IF uITTITIN.c Jr.,..,i.. +1^•rtfI L it IN Y okxl z'.
v #_ a, ttti 1 "+A 1 ,It tf Y. r I ( I
�� 'jV
r,,t,. .,O' ,Tfi�,�-?r`.rt,I-I5G '+r.n�,-•�.r'• rlw a +; :,...t 1 !'.?>a"ftx iY 1�lPi x1,C
3 i �IHPY `� t y t S,
QrS LP�S't. 4Y t �j,, ,,� vIs, I'll�t �f i I "I I.
�1ij,� h —"'{'— misitI M VM1nrf.N/YSMY 1t,'M LV�'13WM IM,R3MAY1 T lNA R V4itt1R NY IJY "-%9+.
! "fF, 7t c ,y r v7\M 9 fr i.
Iat t,1 .5ii)a--,TT77% I ,,i` ti,t,,+jIP j/'t;r ,r iY.. V-ijr ,.r' , •1.;
t }'Ctj 'jf t1.F 'kt' xA r i w t 3+G i 0 III I 1-17
{3i
{ is
f , N'F
try i
, �i
I
1
7 ti tw7, Ill
t YE rot 7 l t �f.hl , ." , I
t
t
P
i !
/O 3."� 04 u
, -, rq -, a .d;i7 S f,o , E•
]/ 1
,C' s I , .. .it [f7
f.I 4O
5; f.
x C.
7
,t 3:;
. ,
t
tr
r �Pi371iF?s It ti"i 1 lei ;fit'.. _ _- tr
,, I .
{ FkZiIXT tsi(ITO J .t:' i;ia ''Iz" �;; I-
'.;
IIVr .!
¢!
:. .-_
{ ,y t 1�A, i...w,.. %tt
i^4At'P" ai It F i
i yrt�i i i
`1
tY Y 3
r .-.-. ...,. _ .- �...,
atJ F.
Y
t
F,e >I._Nt . -_
. �`
iT. IIII
-
vt
It
I, ,. 1 1._ _ _
7 , J
._ ..
I INIt II}� ;,
j` , , r :ipt I
y,I s I
I ,
x f �� i _ __
ryIt -
t =. r V s7C
4I I -/,'Is I wA t It IN ";
Y ��{{.. t
a?:.47,lt�ia :. ...t +wT� e. .'ply. 41`• %SA. /�s='��
i -
} t}` t I t i t l i l , [ r, 1 j' H
4 Nl*)flt .t,
t �' I L a[ a� .'1 �! 7 1 .1 , r ..tom
t; v:i + :ti t .F ' fIt 1 71 . .. itt;!
Ij
" I l 'k
F� - t< ;
F
3 ,, .
L SI', • :';t: \
1 I 4.
F.