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APPLICATI .may & WORK PERMIT
F . C. Application No. � 3.
CITY OF EDMONDS Building Department Permit Limit, one Year
APPLICATION is hereby made for4permto construct the following work, in accordance with the accompanying plans
y and specifications:WORH — New/Addn....................................... Ground Area..............................: No. Stories............. ...
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Plane Submitted t� .. ................. Const. Type.................... Height............
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. ; LOOATION —Add a ............... 1�.:. /.f�4:F4.�4 4 iFS :.� .5 _! / ........ Use Zone,r ... .. Fire Zone....... ........
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a Recorded Lot ..:................ Block................... Add'n................. ..................... _ Sewerage..
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Lot Areae .:........ Width ......:.................... Min. Bldg. Setbacks, Front and Rear :........: Sides 7.. /� ...?�
�-✓�. FJ.C'rt i .................. Address..l
Owner. . G/P.� /. /�..a��
Plansby:....... w(f........ ......................... Address......................�....... ...... . Phone..
%Bldg. by...e•..a ..... .f .......... Address..C� r /fClLu e ^�"'�hone....
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Plbg.by......._......._.. ................................................... Address ..... ....... .........:......._...:.................. :.......:.. Phone:.
Heatingby,,,,,.... .......... ........ ........................................................... Address ............................ .......... ........... ........ 0.............. Phone:
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Elect, by. ... ......... ........... .......... .............. .......... ................. ................ Address.......:................................................................ Phone. .........
Remarks................................................................................................ ................. ... ...........................
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The above Is a correct ata ement and I.agree to comply with all applicable Codes and State Laws regulating the work.
Signed: Owner/Agent .....�f�:. Address .................... Date X0.3ILL 'L
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....... ......... ....... ........ ..... .
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PERMIT for the above work Is hereby approved, subject to the above conditions, and to compliance with the approvedplaneILL ILL
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end"epeelfications and Building Department notations thereon L I
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VALUATION PERMIT FEES
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$ ,..1J Bldg. .... $ 6 O + ,
'4G�-/�J" /`.v �.'o .u� c� Plbg. $ ..../� C9 -TJ.........
.✓LO G�(CS+?ir�%r�G•c`'y9 �1.1�2Gc�f..�. ��JL%'YLY
P� • Heat ... $ .......
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Date...........`....1.... .5�.......................... Elect. .... $ .....::..
BUILDING DEPARTMENT ................: i
Others $............... .
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TOTAL FEE �....By,_WA....H-Qrf Pxt.u.......... :7.P...................... .....
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NOTES: No work requiring Building Department or City Engineer's inspection shall be covered before inspection and approval.
Twenty-four (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as
curbs, paving, driveways, sewer, water and street connections. iI LI ILL
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Signed: Owner/Agent .....�f�:. Address .................... Date X0.3ILL 'L
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....... ......... ....... ........ ..... .
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PERMIT for the above work Is hereby approved, subject to the above conditions, and to compliance with the approvedplaneILL ILL
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end"epeelfications and Building Department notations thereon L I
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VALUATION PERMIT FEES
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$ ,..1J Bldg. .... $ 6 O + ,
'4G�-/�J" /`.v �.'o .u� c� Plbg. $ ..../� C9 -TJ.........
.✓LO G�(CS+?ir�%r�G•c`'y9 �1.1�2Gc�f..�. ��JL%'YLY
P� • Heat ... $ .......
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Date...........`....1.... .5�.......................... Elect. .... $ .....::..
BUILDING DEPARTMENT ................: i
Others $............... .
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TOTAL FEE �....By,_WA....H-Qrf Pxt.u.......... :7.P...................... .....
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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 connections. iI LI ILL
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"t i'" LEGAL DESCRIPTION - Irene B. Kefgen property, 16105 North %I 4"
,, Meadowdale Road, Edmonds, I�lashington
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All those portions of Tracts 48 and 49, Plat of hIeadowdale ;
''- Beach accordin to lat thereof recorded'in volume 5 of jI.f I
"` plats, pago 38, records of Snohomish County, and of Tracts t
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36 and 50 Meado!vdale Beach Supplemental Platlaccording to; '
plat thereof recorded in volmme 5 of Plats page 42, records (I`,t'r ,
of said county and of the vacated road lying between said ,'
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' Tract 36 and said Tracts 49 and 50 described as`follows:
Beginning a.t a point 20 feet north and 22.1'feet west of c, x
the northwest corner of Tract 49 Plat of I„oadovtdale Beach;
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thence .north 61.4 feet; thence north 84 degrees 43' west $*` J',
132.45 feet ;thence south 12 degrees 09'east 3$5.25 feet;. tr
thence south 51 degrees 41' east 125.94 feete thence north 1t
35 degrees 51' east 22.30 feet; thence south 62 degrees 19' (`' p i 'i
east 22.8 feet; thenco north 26.0 feet; thence soutY± 87 de- f.,, Sy {y'tti? tlt.
grees 54 east 69.0 feet; thence north 14 degrees west 310.61
feet to the center line of the vacated road• "thence vaest ' ` :1 1514}rr "I -, '
64.74 feet to the point of beginning• '' NI,1 r
EXCEPT any portion theroof brthi.n the platted road '{j '[, ..,: YT,
south of said Tracts 48, 49 and 50 and r !1?
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E:LCEPT county road. t t I .. ,7`•' sI
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RECORD OF INSPECTIONS I
Date Passed 'I I h,
Foundation
Plumbing (Partial)
(Rough) L::
,: ,
Frame
Furnace & Fuel Lines_
FinaF
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