650008 (2).pdfles
Building Permit Application I n sl Top Ileav`y T'it
Can' "
'CaVy Line,,
NAME (OR NAME OF BUSINESS) JOB ADDRESS
?,C)
4, Ig P W,�4 r 0/
MAILING A DDnE38 SIDE YARD
U"ZONE
PHONE NUMBLR
CITY W1 =�l
Ille r-5-7 / -2,�
TNn A�A I
311
P4 DRE138
Permit
Required
CITY
YES
METF SIZE SERVICE
R
STATE LICENSE NUMBER CITY LICENSE NUMBER
E
LOT BLOCK TRACT
5�1e4e
df C Ile, ez
TYPE CONNECTION
-FF—,RC. TEST
�
FIRE ZONE TYPE O'�
SPECIAL INSPECTOR
YE 07
PLAN CHECKED BY
BUILDING
1 VALUATION
FUILDING PERMIT
NUMBER OF STORIE
AA NEW DEMOLISH
2 FEE
PLUMBING
3 PERMIT FEE
ADD
HEAT & GAS LINE
ALTER RESIDENTIAL NUMBER OF
4 PERMIT FEE
DWELLING
UNITS
DEMOL41TION
REPAIR NON-RESIDENTIAL
5 PERMIT FEE
6 AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
ATTENTION
formation given In 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-
THIS PERNUIT
lating construction; and In doing the work authorized thereby, no person
AUTIIOIUZES
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
-
(OWNER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDs
PLOT PLAN CHECK & APPROVED
I PR 6-1107
FILE
PERMIT
NUMBER 650008
zj�'el a 54�,/,
ET BACK REAR YAI�
1AP NUMBER VACANT 81rE
A� c) [] YES NO -0
:TT A-REA VARIANU�
_S-0 I n
ALL BUILDING SETBACKS 04
NOTE: TO E&VE LINES
BY
/7-/
STREET IMPIWV.
[] YES [:] NO
M
I I I/ V , 0 C9 I
APPLICATION APPROVAL
This application is not a pernilt until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is aclmowIedged In space provided.
� Z I
4
is hmd paid, conveys and warranis to J(JCHAEL B. HMARD AND HELM M HCF; ARD, hig :r
of
the foUowing demMed ftal adat , sltwted in *A County of SlICHMISH State
wAddvon. 11 of Vacated Block 19 of First Addition to the
11Vr14 he'Mo-Oacated. Lots 6, 79 8# 9y 10 and
ICity of Edmondsp accordingto pl�,t thereof jecorded in volume 2 of platsp page 31t
Irecords of Snohomish County, Washington; TOGErHER vith that portion of the West
I half of vacated Sabin Street lying South of the Nortli line of vacated Lot 6
produce6 East and North of the South line of Lot 11 produced East;
R04 RESLRVING UNTO the grantor herein -an easement for ingrepzp egreF hnd Utilities
over --,ad across the Aeat 20 feet.of ALOW (Oscribed premishee.
Said vscated Lots 6t 7p 89 90 10 and 11 of Vacated Block 19 Are more particul?-;rily
I described qs followst Beginning -it the Southeast corner of said Vacnted Block 19;
f said Block 19 for 150 feet; thence West parallel
thence North Iong the East line o
to he South line of said Block 19 to the East line of the lo foot alley in said
Block 19; thence South along the East line of said alle y to t.he South line of said
Block 19; thence E-kst alonr the South line of sl-'.d Block 19 to the point of
I stnte rf Yl-ishiw�,L*_,j
�,�bb!ginnlrig; Situate in t-he County of Snohomish, ID
E rj;.' C,71
ape
RECORD OF INSPECTIONS.
Date Passed
r
Foundation OL
Plumbing (P; tial)
(Rough)
Fraryie
Final,
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