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PLAN FILE NUMBER BUILDING
,;~ � �� � .Building Permit Application Appllcallt Fill PERMIT 640122 �� •
• _,� � InBide Iiea Linea NVMHER t
�� ''�tF* �; '� 1 � ii NAME (OR NAME BUSINESS) JOB AUDRE88 J� }
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� Y jn � � ' O DRBIBB IDE YARD 18 BA REAR YARD i
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' TE HONH NUMBER USE ZONE MAP NUMBER VACANT BITE
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/ ` .. /I�G-�-�)/�t4'-O / l..a i //• —' .SJ C� � I ❑ YEB ❑ NO G7
"j r X NAME BUILDING AREA LOT AREA VARIANCE NUMBER �
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;` fi AD REBB HEIGHT ALL SUILDDV6 SETBACKS ��li � '�
��,�,i NOTE: TO SAVE LINES I ;
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� K Y : CITY TELEPHONH NUMBER REMARKS �/ '
St {y F � _ {,c _ �� !Z 1j
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si f0 ADDRESS Enoroachmen erml PERMIT NUMBER I STREET GRADE CHEC t
ReOWred �Cj I` j` �,�
yF t' � � YE8 NO "' 1 ��-
), CITY TELEPHONE NUMBER {
a �� Y 4 `. � I METER SIZE I SERVICE SIZE CLEARANCE I CHEOR'ED BY 3
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� � � STATE LICENSE NUMBER OITY LICENSE NUMBER REMARKS - 'z_•�'
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'��� LOT BLOCK I TRACT d
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- 1 TYPE CONNECTION I VF.araRmD SY I .�_
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r .Edmonds Se ieW Got: 120 76 tog rERc. TEST PEEiM1T Nlre>BER � � �'
;� � w/ easeme t for a ass � in ss be �',�
;r � at'. SW COr of Tr 76; th N alg W line Of sd FIRE ZONE TYPE OF CONSTRU ON STREET IMPROVED � + ` � '
' ,•:` ` Tr•20'• th E ar to S line of sd Tr 145'; YES xo •t' i' >
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' o; ah NE to pt lying 120' W of E In and 45' SPECIAL INSPECTOR REQUIRED I occuPAxcY aaouP ' '
N of S line ' of sd tr; th S par to E In of ❑ YEB ❑ xo � ` '
sd Tr 45' ; th W alg S In to POB. PLwN cl�cl�D BY IyI
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WORK TO BE N , � � l
^ �j{ / NO. OP ILOOt. P[NIGLOO. TOTAL P[[ z
X--C!/ .�f/t- BVILDINO
1 VALUATION �t,,77
. � BUILDING PERMIT W � �..
NUMBER OF STORIES 2 �F' / D � t '
NEW � DEMOLISH I PLUMBING - � �.
':.
S PERMIT FEE � ',
ADD ''
HEAT &GAB LINE � - i
ALTER I � RESIDENTIAL I NUMBER OF � PERMIT FEE - ,
DWIDLLING i�, �� ( .
REPAIR NON-RESIDENTIAL UNITS DEMOLITION
0 PERMIT FEE
PROPO UBE
��„,��t, � 0 AMOUNT DUE � � ��
tea- � � a� �:
I heroby acknowledge that ve reed this aDDtleatlon; ttrat we tn- ATTENTION APPLICATIONAPPROVAL 1
formation given fs wrrect; and that I am the owner, or the duly author- � .�
Ized,agent of the owner. I ngroe to comDlY with city and elate lave toga- TRIg pEIt11HT ThiB application ie not a permit until
lating oomtructlon; and 1a dotag the work authaHzed thereby, no person AUTHORIZES 1
will be employed fa Wolatlon of the Labor Code of the State of Weehington oNLY THE signed by the Director o! Building Inepec- �
relating to Worlcmea'e Compenentfon Ioeurance. WORA NOTED lion, or hiB deputy; and fees are paid, and
NOTE: PERMIT LIMIT ONE YEAR receipt is aclmowledged in apace provided.
INSPECTION (��
BIONAT RE (OWNER OR AGENT) DATE ION D DIRECTOR'S SIGNATU 1 .
��dd' DEPARTMENT ,Q
��Lc.t� �. � '� �� OITY OF c>�/ / I .
DATE 1 �,
j I PLOT PLAN CHECK � APPROVED EDMOND$ L �- t
PR 8.110T
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EEdmonds Seaview Tract - East 120 r of tract 76.-,together with easement �`�"- +"
:for egress and'ingress, beginning at S.W. corner. of tract 76 thence North a i' '� ;•
T 'along West line of said tract.201 - thence -East parrellell to rL So.;l�ne } f
of•said;tract 145r. thence N.E.to a.point lying.120r West of East ine s
' and '45 r North. of : South line of said tract, thence ' South; parrelel•, to East N, , ,
dine: of said tract 45r thence West alonSouth line to; oint of. be innin , h 1IL
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I `` RECORD 0F.INSPECTIOIVS3
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' Plumbing (Partial)IV I
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Furnace & Fuel Lines ?
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