710419.pdfIF
,
O
W
A
P NOA
WING DEPARTMENT I Applicant Fill
OMIT ADDI IfATIAM Inside Heavy Lines
EXISTING STREET R/W ............FT.
COMP. PLAN ST. R/W ............FT.
�F V
PERMIT -7I O A I
NUMBER �#
YES C3 NO
DEFICIENCY THIS PROPERTY
.FT. loll
3 U-/ Y U I
REMARKS
.
Legal Description of Property t how Below or Attach Four Copies)
TYPE CONNECTION (VERIFIED
BY
PERC. TEST
I' PERMIT NUMBER
REMARKS
FIRE ZONE
TYPE OF CONSTRUCTION STREET IMPROVED
❑YES ❑NO
SPECIAL INSPECTOR REQUIRED
❑ ❑ YES NO
OCCUPANCY GROUP
(
GAB
RESIDENTIAL LINE
NEW
NON-RESIDENTIAL ❑ SIGN
RETAINING
ETA NING
DEMOLISH ❑ WALL
ADD ❑ ..7t
FENCE (...I.I.»........Ft.)
ALTER ❑ EXCAVAOR FILLTE
REPAIR ❑ PRE -MOVE swim
IP.
N POOL
PLAN CHECKED BY THIS SITE IS LOCATED IN THE
CITY OF EDIIIONDS. LOCAL
REMARKS �1 TAX" SHOULD BE CODED 31.04.
I to O �•+
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NAAT�URRE- OF WORK TO BE DONE
/
P4n Check No ......... ..........
Valuation
Fee
Receipt Ncr
BUILDING
PROPOSED USE
PLUMBING
'.
HEAT & GAS LINE
PLOT PLAN (Indicate Building setbacks, abutting streets)
ISWIMMING
•
FENCE
3.
SIGN
{,
RETAINING WALL
i
POOL
DEMOLITION
a•
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-
ised 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
ralaiing to Workmeara Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
Dleted In six months.) _ f
THIS PERMIT
AUTHORIZES
ONLY
WORK NO�TE�D
,
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ae-
lmowledged in space provided.
_
6/,7,
NOTE: Applicant Subject to Flan Check Fee
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR e-1107
i
1
r
t
Ott �y
Dvte^rl it _ II r t r()r+1��+4Y��/•r.ruz��r.avw.l,w wwh wn+M. ICY.rn'rr<nw}'�:'ifWsst
l Ji1�10d. 1 iu}
1 �41• ��f (dT'ltlt aYi JI
iP ' iL7J$° 't�
It It I I
' ._. _.If I K1 :i4 r
fYf,,�ltj 1 J j A4 1 1j
'�oTaM:•4h� Isiw,.f't':r t Ir t 1 rl
_. " ..I .. —
F>4ftl{t;, ;
lfq:ift�(n tilAf tt ll:. t ' ..
i 5 i
a r;
t^iJ i k�
Yc
Lr
II
ss
II
rr
II
II I
1.
,
Ltt' j SI 4
IbA Lk .' JI L.? , -'.t ,. ,.. Lr
t 1 , ?s
.6........._.. _. .. _... _ _. _ .. ?
dtdrI
,
f { [4 E
.. .. t..... _ 1 7 .
a.�.-.-......._. _..... _...... _ ... _ _ . .— ..... _ _ .
:.
,.I,.t`r Ill j .r . ll • ... .. �..� � ^ j,`
_d IF
Sflry{ a l E.I /1 x A
♦! \ ..� _ 1
{ 4 u
$ K ([/
f' i I r _ 1 f £ 1H
1 i `�_ �w 1_ Y
4t^'
` ik�tl yyks.r. V ' . .. _.. t r . I 1
` by,;l/ ..
I
ii rv/t ly t
Y Y L ..ar... s.•
AH'}VS J ss WWtagNutl,wwa •-_4 .m •ra.•rstr.<..rt..rA<i.r<.•s.+. .,vr.u.., y ... .. _. _._ _ .. _.... -'.'i a ji':11i.I
I
?:F4111ai7kl :6 ae°t '<:^.�3 1 .i �' �'�.. E I i
tA41,} iu.., + 'j .wit" -, 4x
.`,,1?3 _ . ,
h,F ia•�1.Zgc.'}„IL.1 i , r r t. 1 ` .. i
r
.__ __. .i. .._, ._i., ._,.!, ....'1 Lt.I.! I!.. }11 •. I'?..S+i 1 {
II .. ... ... .n. 1
61
{ RECORD OF INSPECTIONS
F
7
i t 1 _ Date Passed
I:
f _ },
Foundation i
k
I _ ___ . ._ ... _ .t,j i ---
t F Plumbing (Partial)
_r
., n r; (Rough)
i, Id — —. __--_..._
` E i:, Frame
!
<r i _ ... ( Furnace «Fuel Lines 2 `�/
(-' .j Final
d, _._......
Y_ !.J} .. RE dr It 1NSPECTIOIvS : T,. l
t; h ,
nwnvr .rt... , 4 ' ..... 2 -_t i1 ( I ' )r 11 , r I A 1 i 1
n v_ I. f.l
r
p ti!g D to Passed : r
(�tt}J at•n tCq l- �.,f�l �nl�. r� .�i ( art' 'ra i t 1 Srl 1,': 1 .J .t 011'111tt 4 ',tl!
rS '1 =:riC �r- If: ,t '„ r 1_ I I: it,+ivri. t•9c tJ
II
y.... �t ..l t�>;t, ..:,• '4' .,....Si ,;,.-: ` - ;.1. Drainage-i,,;�. y, 51_,i1,7 7 Sitr!..
d. •• 1
W vSi .il•,� ..,. �., 4j1 V a :f , i Sewer h ,a
. SeN£ „ , 5r„ I S � .r.S,r,M te,tes 9
r
'Pi 1! '£ir. u I ,,. 'n•n x V 1 i, 171 TJt d t!
jIL
{ 1 Parking
- _� ., �,, .. _4' i n �,'t"'t t I �1 ;;.i 1. s - i .. :r . ....; 1 Landscaping .__. _ .. ,� 'i,JIII 1.1
dd�
'7 Ia1 Id, Yd% y`.1�k.i ``'z \,:. a t f } ; , ,r , Fire,Dept.t
.... ,.. _. _ .tj ' _. 1 c . , 1 t
a t 1-� '
I_ - `J �., ,. .t.,�?, ..t�.t�`..-.�.'�. . ^. a.-w fIYVL4,I ? .Rs (v. .nti'.,v;lei
a_�
4•-
17 1
1. 0 1 1%,.. 1 1 1 1 1
It I
1
{{t
I
1
.r
i
4
,
I
rl
�
I
+I
{
i
T•
�•
3
I
,
Y
f
I
i
i'
r
,
11
ri'
I
i
r
,
r
If
S;
1-
'
I
I'
+
n
t
is+
t r.
`.t
I1
"'
j
t
i¢,r;. 1 ,.,
L
:t is
','+er1
r�lr e ,
x:�f'1 'li rt.;•_
I
1
I
I
I
•I
I
�