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PERC. TEST
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REMARKS
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PERMIT APPLICATION Inside IleaYy Lines
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CITY
TELEPHONE USI.—
ACTUAL LOT AREA TOTAL BLDG. AREA
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NON-RESIDENTIAL
REQUIRED YARDS PROPOSED YARDS
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NAME
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FRONT BIDE REAR FRONT SIDE REAR
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NATURE OF WORK TO BE DONE
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TELEPHONE NUMBER
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BUILDING
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REMARKS
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ADDRESSA DRESS
PLUMBING
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PLOT PLAN (In dlcafi
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TELEPHONE NUMBER
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CITY LICENSE NUMBER
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REMARKS
PRE -MOVE INSPECTION
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OCCUPANCY GROUP
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❑RESIDENTIAL
NEW
CHECKED
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
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OF EDMONDS. LOCAL SALES TAX
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BECODED31.04.
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❑ WALL
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NATURE OF WORK TO BE DONE
Valuation Fee Re d 1
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HEAT A GAS LINE
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FENCE
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WALL
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SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
—
EXCAVATION OR FILL
-
TOTAL AMOUNT DUE
(!� iLE�
2 hereby acknowledge that I have read this eDDllcnllon; that the In.
formation given Is correct; and that I Dthe owner, or the duly author-
Sun
Ized agent of the owner. I agree to comply with city and state town ragu-
ATTENTION
APPLICATION APPROVAL
Rating wnetructlon; and In doing the work authorized thereby, no pennon
and
will be employed In of the Labor Code of the Slate of Washington
THUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Egcept DEMOLITIONS which
ONLY THIS
WORK NOTED
uty; and fees are paid, and receipt Is ac -
Shall be completed In ninety days: MOVED -IN BUILDINGS shall be cons.wledged
in space provided.
pleted In elz months.)
NAT�i R J�' AGEptT) DATE 1GNED
A, Jr-ridJf
INSPECTION
DEPARTMENT
OR'8 NAT E
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CITY OF
EDbKONDS
NOTE: Applimit Subject to Plan Cberk Fee
—7
775-2525
Permit r work he done property ONLY.
atesidewalks,
Coxpublic ( bs,pri
Any struc o drlvewyn,
Any connruc
pwille domain (curbn,permission.
FILM
marquees, etc.) will reytdre s<parele Dermleslon.
que
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Ing USE PERMIT
TONEI-NUMBERNUDER '-lam...•r� .
BUILDING DEPARTMENT Applicant Fin
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PERMIT APPLICATION Inside heavy Lines IOB
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PERMIT NUMBER
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ADDRESS
NAME (OR NAME OF BU-NEBa)
AiOVER E ACTUAL ^
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LOT
REMARKS
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ADURtlB EIGHT O
PEtAtItl81DLHEIOIT PROPOSED 0_
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CITY TELEPIiONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA 7�.
YAIt IJB PROPOSED YARDS 4
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NAME FRONT HIDE REAR FRONT SIDE REAR
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ADDUEtls r— ❑ YES [] NO PFRMIT NUMBER
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CITY TELEPHONE NUMBER— 1�
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NAME _ %•'� / 'i COMP. PLAN ST. R/W FT. ............PT. Fl
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STATE LICENSE N MBER I CITY LICENSE NUMBEit I I I \/✓�-"--_ kC7
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REMARKS
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Legal Deeenmp of Property (show Bciow or Attach Four Copies)
NUMBER OF STORIES NUMBER OF
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PL•'RC. TEST
PERMIT NUMBER
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REMARKS
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FIRE ZONE TYPE CONSTRUCTION STREET IASPROVED
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SPECIAL INSPECTOR EQUIREDOCCUPANCY GROUP
I��l�y, RESIDENTIAL
GAS
E]GASPLAN
❑ YES [-Nor
❑ NEW
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CHECKED BY THIS SITE IS LOCATED IN THE CITY
TAX
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E]NON-RESIDENTIAL slcx
(�-t;%/) (.,/ SHOUDMONDS, LOCAL LD BE CODED 3104SALE5
❑ ADDElRETAINING
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f RKS
DEMOLISH
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❑ ALTER E] EXCAVATE ❑
OR FILL (.......... x .......... Ft.)
OR
_/"x
%
REPAIR PRE -MOVE SWIM
❑ INSP. ❑ POOL
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�� �'� / %i /it'/i (-/� /7,'
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS r� r\� �.; -
�/F/ 4
NATURE OF WORK TO BE DONE
Valuation
Fee
Receipt No.
flan CM1eci< Nn .....................
BUILDING
[�[y�
a,
PROPOSED UsE
'y7
_
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting Arocls)
HEAT d: GAS LINE
5
FENCE
i
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE00�---
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 lawn regu.
ATTENTION
APPLICATION APPROVAL
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
TIIIH PERMIT
This application is not a permit until
relating to Workmen's Campeneation Insurance.
AUTHOnt2E8
elgned by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty', and fees are paid, and receipt is ac-
ehall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
kno,}ledged in space provided.
pleted In six months.)
SIGNATUR (OWNER AGENT ) / DATE 81GNED
INSPECTION
DIRECTOR'S IJIONATURE
/
t
/ 7. Jam- 7"} s'l1 I
DEPARTMENT
• ,- : - '
CITY OF,
EDMONDS
DATE ! J
NOTE: Applicant Subject to Part Check Fee
.1. 7 ;
775-2525
Thle Permit nnvrn ..,itlit he do,,. on private property ONLY.
Any construction on the public dnntaln (curbs, sidewalks, dr'vm ys,
INSPECTOR
marquees, etc.) will req.1- separate permission.
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75
LEGAL )ESCRI,'YrION
That portion of the North half of Tract 3, Fourtner's Homestead Plat,
%
according to plat thereof recorded in Volumed of Plats$ page 97s
records of Snohomish County, Washington, described as follows:
BEGINNIN3 at a point on the South line of the North half Of said
Tract 3 at the :outhwe.sL corner of land conveyed to O'Connor & Cronin
Enterprises, Inc.; by Deed filed for record under Auditor's File No.
13I17406 whicl, is approximately 230 feet East of the Southwest corner
of said North half of Tract 3; thence Westerly along said South line
to the Easterly border of 100th Streit West; thence Northerly along said
Easterly border of 100th Street Wests a distance of 165 feet to the
Southwest corner of "Twin View Estates - Division No *III ' according to
the plat thereof recorded in Volume 17 of Plats, page, 56 and' 57,- records
of Snohnmish County, Washington; thence s 88016,4011 E., along the South, 1,
line of said plat, 297-351; thence S Mohl'07" W., 90.591 to the true
poin8 of beginning; thence continuing S 2404110711 W., 89.66 feet; thence
N 88 16,50" W., 187.35 feet; thence N 49045100" E -,t 115,00 feet; thence
N 87059125,, E., 87.02 feet to the true point of beginning.
RECORD OF INSPECTIONS
Date Passed
Foundation II
Plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Lines -
Final