640210.pdf--- — ------ --- _ -- ----
Flu
Lines
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W,
SIDE YA
LEPHONE INUMUNK
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Encro
Required
r'l YES
A
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..... ............ ..... . .
V,R BUILDING
PERMIT 640210
NUMBER
m �5_
SET BACK, REAR YARD/
-7L-
I MAP NUMBER VACAN'X 01W�
/ �2 C -,) 1 0 YES 1pit
NO
ALL BUILDING SETBACKS
NOTE: TO EAVE LINES
Aw
I C] YES 13 NO
SPECIAL INSPLCTOR REQUIRED
C] YES [] NO
OCCUPANCY GROUP
PLAN
CK5jr
WORK TO BE DONE
NO. OF BLOGG.
PIE"IBLD0.
TOTAL FEE
AUILDING
VALUATION
a-ri
1
2
BUILDING PERMIT
FEE
S_
NEW
DEMOLISH
NUMBER OF STORIE S
PLUMBING
ADD I
3
I —
PERMIT FEE
HEAT & GAS LINE
PERMIT FEE
ALTER
ElREPAIR
RESIDENTIAL
I El NON-RESIDENTIAL
NUMBER OF 4
DWELLING
UNITS
I r 5
DEMOLITION
PERMIT FEE
-FR-01
-, 6
AMOUNT DUE
I hereby aclalwledge that I have read this application; that the In- ATTENTION
formation given In correct; and that I am the owner, or the duly author-
APPLICATION APPROVAL
Ized agent of the owner. I agree to comply with city and state laws regu. THIS PEnBUT
This application Is not a permit until
lating construction; and In doing the work authorized thereby, no person AUTHORIZES
will be employed In violation of the Labor Code of the State of Washington ONLY THE
relating to Workmen's Compensation Insurance. WORK NOTED
NOTE: PERMIT LIMIT ONE YEAR
signed by the Director of Building Inspec.
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
SIGN TURE (OWNIDR OR J�qENT) DATE GNEP INSPECTION
DEPARTMENT
1 064 CITY OF
PLOT OLWCBE & APFSROVEV DS
I , I PR 6-1107
DIFZCTO a 01G�FATURE
I)irk 1 n 'by'., Bldg. Official
FILE
I
777,`� 7�
V_000��
7777
ri&ea, IL�` DESCRIPTI ON
t orti licas t q u �Ar t f arthea
ha
OX South h a f of'So L at'
qutl i7t er;. of Northeaet -quarter,--of -Seetion IVAeuty-Lix 01.6 t 71ownship
North,'.Tange - Three (3) i�u j t b ri b ed,
twenty-seven (27.)
as fo 11 ov,7S
nt e
at'a pol iouth 253.48 f et an cl 3 ot i t 'a 15" EuFjt,:
t a nd.
'ZO feet, from intersectilon o'f , cr4uter�llncs o u rt ti t i� ee t
Srben brive �.in City � of ',.t�dmonds;. hence Soutli z3 t, 110'
feet; thenue South '77.85 feet to Northerly ri i�'%t �t �i ,jy I zi�a , of
Xirie Street us projected Las t :from Ci.ty Park w. ai I—Iou. 2,to.,
eocoratn3. to �lat:thereof recorued in vuu�.-.�; I o 'of plate
.,paae 60, reoords of.Saohomish County. "'I'tis-bill,gtoll; L _k: i ic "Iorth 139
47Y30",11c.,st -110 fe;et to Last -right of way 'line of j,,N t; r tn .-treet;.,
tile'.ice Eorth 77.6k;. feet to 'the.potnt of veginini�.
iituater, in inohamish�count�t Waahington.
RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (P.-irtbl)
Fra me
FL.rnice & Fuel Lines
Final 7