700129.pdfi
BUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
✓ir is we
0 d 7
AME
AWDIUM
Applicant Fill
Inside Heavy Lines
—Q
Description of Property (Show Below, or Attach Four Copie
Oil
... a . . •.
GAS
NEW LINE
•:: .: ■
:.. • :
IGN
.. RETAINING
DEMOLISH WALL
ALTER ■EXCAVATE PENCE
■ REPAIR ! 'J
■ ■ ....
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 Workman'a 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.)
C
AP NO.: PERMIT
NUMBER
aS' 02 0
70012.9
AR YARD SETBACK
,
�Mlm
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
Plan Check No........_......_...
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR
ON
0 YES ❑ No
No,
TOTAL AMOUNT DUE�;6
ATTENTION APPLICATION APPROVAL
THIS PERMIT This application is not a permit until
AUTHORIZES signed by the Building Official or his Dep-
Tim
WORK NOTED uty; and fees are paid, and receipt is ac-
OHH
1moWledged in space provided.
?(A URE (OWNER OR AGENT) DATE SIGNED INSPECTION
DEPARTMENT
v CITY OF
EDMONDS
pp (cant Subject to Plan Check Fee
PH 411q
This Permit coven work to be done on private property ONLY.
.any construction an the public domain (eurbs, sidewalks, driveways,
marquees, etc.) Will require separate permission.
.2-70
1
I
iu S 14A J { 1P.
4iIT
�Et�
TO A
xi:7s x, AI; }
TIT L
4 i G
h
TOO
lit A
.y t �• J O A
91
WAIF
TO
H•_.. ..4r 00
iAt t ,
,
AI
LA.
i 7 '...,... .,� v,
`�Ff
kf
,' .'
,. rV �'Sf,t 4.1 �, • y..
H+.• �. ...._ ... _ .l
ItAt
{ 1
{ iR T(4rf!AL
I It 1
i `,�T^.W.aR�iiiNRMFV'YMNCA •✓ '.tVwYi. lYl ' n w, .,1 .' "{
'c+ E
tt99
�t
zf }91
k
I: i Y�
4. a t 1 _
it.
v T,'
r tI 1
i R.... ! ,� ' ..�v,T ILA
..i "� r i t , ktS
Or
✓,n; t' "+ I 'tarty
a
IT TO I
1j wt ., ,m.e ... �.. m..n 10
1 _. .. ...... .. r.�A .1 J I,i• j Fey
j 'ALn,4 ` h r 1 t\
TO,n!
A
u
♦
i 1 r AT
i _ -..:_. •. •- RECORD OF INSPECTIONS r,
i y. R; �: u+ 4A
I Or It Date Passed' " "' f,
r
r FoundaTO
5
G
_ - _ r plumbing (Partialll) ;st
(Roug)
i $•
i
4 i t- ti k Frame3
-r {,� Y Furnace &Fuel LineTO
TO
s--- f7 Y
_.. _
t
Fin .a
i... L I ._..L L._.. .
1 - _
_.. ... _
i.
(. ._. ....`. ..... f0,
�• 4 to z
l .. :%, Y.:, 11 I. 1 .it Y� 11)4 J
l" I 1 t. ♦ ' .. l , Lr.. t : 1 _17
�j
! G t:/. it},. RECORD'OF; INSPECTfONST''t' R,
A. . iL Or AT:,11
.•Date Passed'
a ILLDrainage Pei
Sewer "
i ,"
i rk
rng
:
Pa �.�.
Landscaping
Fire Dept.
!
i
P
L I . . . . . . .
rr
basseat
W RK PERMIT
10
APPLICATI(N & O �, Application No. .-..h..!
J
CITY OF EDMONDS Building Department Permit Limit, One Year
APPLICATION is hereby m for a permit to construct the following work, in accordance with the accompanying plane
ott-
and , specifications: / s
WORK— New/AVdn-..... ........ ............................................................sees......... Ground Area ....................... 60*00....... No. Stories... (sees.
"n 1 Plans Submitted.....................................................................
t / r
r` LOOATION = Address es,......."I..../..�..a� ........... sees.
.'
//.J
Recorded Lot.,.... ?......40. Block sees c . f . Add'n......"..Q
D�
Lot Area ./�jalaw. ..........11.1 width,..... ease . ... I .....60..... Min.
Conte Type...... ................. Height .......................
Zone... .. Fire�Zone...,11.......091....
Setbacks, Front and
9
/ ��........ Addrese../..71.'bat
.—!:.." .:........... Phone........»sees...
».. ...... ..... 000
be
/qf /�/f /� /J
Plane by.........................».................................... Address%...i%�a..: 2 l.!L.,..11.1.11.1...............sea. Phone. ..Z...
Bldg. by....................»...........................................................:......: Addrese............................ ........ .............. ...................... Phone...............................
Plbg. by,",."."..".............................................................................. Address_..."..,.".", .... ....... ............. . ...... ......................... Phone ...................
Heatingby........................................................:......:........................ Address .... ........ ........ ............... I'll .... I ... "................... .11, Phone..."...........................
Elect. by ................... ....»(................................................................. Address....................................................................... sees.
Phone.....
Remarks sees... ^ .,� sees 1 ! !� ......as
ob
The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work.
`).1,....<f9kfr'..... Address...�Q.�......»f`,/../..�,.:.»`y"a':.:. Date..,........ i
Signed: 6wner/Agent/..... .
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with ,the approved plans
and specifications and Building Department notations thereon.
VALUATION PERMIT FEES
$..2.0 6.0.....0..I.Bldg..... $...:5...............
Plbg. .... $..... / Z....`.....................
/
APPROVED: / easees $........... b...
Heat :........
��d ll& Elect, ....$......................I.........:sees...
i
BUILDING DEPARTMENT Others ...$........................................
iL.-�. /i"1(/\ TOTAL FEE $...... . J
By......................................i.�..�..�?......
NOTES: No work requiring Building Department or City Engineer's inspection Shall be covered before inspection and approval.
Twenty-four (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as
curbs, paving, driveways, sewer, water and street connections6
,44
1' '
f
,
;
P.
•I
.
{
i
i
4
i
t
i
•i
,
1
i
I
A
Toe
tir' ..t S!'. t lr7S Rj •>_ .. t3 iy ih `d Ti it% tli.`}.�1:7tiyr l Il�(y.!
P I t i
y r11
p l
It k
14
Lt� rt
t�Sdd
bull In1a 7J� I'6
I d
to
:.. .. ... .,.. , ,
�1 s
p IL
I If
dd
1 �[
.-. .. ?
dIt
40
�c
1
.. ...
r ��' •1.. IL. Ii� ... .... ., �i(A.I,r��{ r irdf
a���tf .. ... _.. ,
f I !
ot
f F 7
.r
06,
1X✓ s �f , .1,. iI di l' ll?wi
711
it 4F1 i .a lid
1 yl�1 4
.. 1 S
v: ..
... ..
t
Lr1rd6 x 7 If v ,:, rr'.ti
tp
It I
'der Aloo�
or!S SpJ I i. 1 i ,:1 J ) .�, (�F )II jt,: is C,.. i 1
Y ot i E'11j'1IF1 JI f'• ! J
. r
zNt I ff4"'sr tfiy .a tAsld r rC. �.... '!l.. :!li I 1 Ir;)li Si4y+t f jT1.
741rhi tr i, lrrlul
I,
14
, �I
r
td
a Foundat�o 6�
_ nu tj
Plum
bind; �Par1}1) ,4 `---• i Jai
RO q
Frame [/,�• — / �tjr{
M .�.. _..._ .._
Furnace & —f—
Fuel ;.i,'
Final In t,
11`+