650036.pdfPLAN FILE NUMBER
Building Permit Application
App can
Inside Heavy Lines
NAME (OR NAMN VVISUSINESS) r— JOBAPDREBB
MRS U1*1AN'3 I p5mopwns
qpj'e-�W�
I �IaNG �ADDREI 88 81
- F YARD -
CITY wzLEPHONE NUidLitat
rEDHOOS 1
ONE
7S - F
NAMI�o BUILDING
AREA
ADDREES HZIGHT
i 15,4-T4 M r-, '&o
CITY
r:7-Do 0
AM �FHONE�NUMBER
7
L
NAM
`;TLAZ (SM ITH
94
ADDRESS Encroachment
Required
Permit
CITY I TELEPHONE NUMBER
0 YES NO
SERVICE
NEW
Lj
DEMOLISH
ADD
ALTER
RESIDENTIAL
NUMBER OF
I
DWELLING
REPAIR
NON-RESIDEXI
UNITS
I hereby acknowledge that I have read this application; that the In-
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-
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
relating to WorkmeWs Compensation Insurance.
NOTE: PERMIT LIMIT -ONE YEAR
FL—oTPIAN CHECK &
� . I '�_?
RV W
EJ YES
NOME
1�9 e
j
BUILDING
PERMIT 650036
NUMBETt
YA
REAR RD
VAUAWX 01�=
13 YES NO 0
VARIIANCE NO E
ALL BUILDING SETBACKS
NOTE: TO EAVE LINES
� X�? . Al- - -
................
BUILDING
I
VALUATION
BUi�]N`G PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
DEMOLITION
5
PERMIT FEE
6
AMOUNT DUE
ATTENTION
Tills PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 0-1107
4
OF
APPLICATION APPROVAL
This application Is not a permit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
I
1,77
7n
3:4"
10
J':
MRS* LILIAN JOAN DEMEROUTIS
41,
LEGAL DESCRIPTION PARCEL 1311
"ALL THAT PORTION OF THE N W, 1/4
OF THE N�,E. 1/4 OF
SECTION.25, TMNSHIP 27
NORTHr:
I
RANGE 3 EAST W,M.3, DESCRIBED AS
FOLLOWS: BEGINNING
AT A POINT ON THE SOUTH
LINE