710460.pdfs, BUILDING DEPARTMENT�
n PERMIT APPLICATION
i NAM
a � e
iv
MAILING ADD SS
ITHJ7
I Z
-e
or
Applicant Fill
Inside Heavy Lines
R
S 1/2 loe #6, Blcok C. Edmonds Seaview
Tracts.
See Memo to Permit
GAS
® NEW RESIDENTIAL El LINE
I N NON-RESIDENTIAL ❑ SION
ADD ❑AINING
DEMOLISH E] WALL
ALTER EXCAVATCE
❑ on FILL E ❑ FEN.x.......... Ft.)
REPAIR PRE -MOVE swim
❑ INSP. 1:3 POOL
iUMBER OF STORIES NUMBER OF
DWELLING
UNITS
i
ON XROLL MAP NO.: PERMIT 1046 1 ^
I NUMBER I v
? r 4a cc
RD SETBACK STREET SETBACK REAR YARD BE
h-) dnr� C i h 4.2
gE LOT AREA `V'AOANT SITE
\ I L I I g YES ❑ NO
EXISTING STREET R/W .. ...FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ...... FT. ....0••FT.
REMARKS
Driveway slopes not to exceed those indicated
on Standard Drawing #103.__
0
UPC. c
ley I Vj N 1 ❑ YES VINO
8 IAL INSPECTO REQUIRED OCCUPANCY OU
❑ YES ❑� I T ' : I
Plan Check No............
BUILDING
PLUMBING
HEAT & OAS LINE
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 to correct; and that I am the owner, or the duly author-
tzed 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
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
SIONA RE (OWNEI�r'O AGENT, DATE ONED
INSPECTION
_
Qr L/ �O
DEPARTMENT
CITY OF
EDDIONDS
NOTE: Applicant Subject to Plan Check Fee
PR e-II07
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sldewaiks, driveways,
marquees, etc.) will require separate permission.
Valuation I Fee I Receipt No.
CylOi
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged In space provided.
DATE'
FILE
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RECORD OF INSPECTIONS I
__. •,.Date=Passed rv,),1 :r r r r,, W ,.�`
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L. Foundation _ — — 7�'�� I � ;' i . <, '
Plumbing (Partial) � ' t xI ,
it (Rough) �7�� �,
Frame ID "l2.-_'l .- !
Furnace &Fuel. Lines �� L �� f Z I • ,
'Final /. (� I % I f # ,
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j- RECORD OF INSPECTIONS. a +}>
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Sewers ,. yy .�
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