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PLAN FILD NUMBER BUILDING
_7itppllcant FLU
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Building Permit Application I Heavy Lines NU H R 650080
NAME (OR NAME OF BUSINESS) JOB ADDRESS_
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�fAILI DRESS
REAR YARD
BIDE YARD r T CK
CITY TELEPHONE NUMBER r
U8 ONE
MAP NUMBER / VACANT BITID •R
.-� I U I ❑ YES NO t7 I
• J F NAME B ILDING AREA LOT AREA I VARIANCE NUMBER
UPL
- ADDRESS HEIGHT ALL BUILDING SETBACKB�
® — NOTE: TO EAVE LINES
ftCA3 OITY TELEPHONE NUMBER REMARKS 1{
NAME
Vo C' 6,r-f� �.
• U ADDRESS _ - Encroachment Permit PERMIT NUMBER I STREET GRADE CIS
red
2 YES NO
CITY TELEPHONE NUMBER 1 ' '
METER SIZE I BHRVICE SIZE CLEARANCE I CHECKED BY
Atoms s I �'� -f i
8�0
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STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS ` 1
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LOT BLOCK TRACT
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TYPE CONNECTION I VERIFIED BY
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PERC. TEST PERMIT NUMBER i{(
FIRE ZONE TYPE OF CONSTRUCTION STREET. IMPROVED j •,-
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NO
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13 '
O SPECIAL. INSPECTOR REQUIRED (OCCUPANCY GROUPkL
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17 YES ❑ NO
PLAN CHECKED BY .
WORK TO HE DONE
v O/ NO. OF BLOOM. P[RI/
BUILDING LOG. TOTAL I[[ O
I VALUATION
BUILDING PERMIT L "tIN
2 FEE m
NUMBER OF STORIES
NEW DEMOLISH PLUMBING
3 PERMIT FEE
ADD
HEAT 4 GAB LINE
ALTER RESIDENTIAL NUMBER OF ! PERMIT FEE P {
DWELLING DEMOLITION 1
{ REPAIR I NON-RESIDENTIAL I UNITE d PERMIT FED �I A
PROPOSED UBE 7
1
0 AMOUNT DUE �•.fl ' _ %. :�
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formation gven s°correct°a dtth t I°am therowner,llor the;dtbatauthor_ ATMNTION APPLICATION .APPROVAL
a
lied agent of the owner. I agree to comply with city and state laws regu. THIS PERMIT This application is not a permit until
lating construction; and In doing the work authorized thereby, no person AUTHORIZES signed by Director the Ditof Building II1BpeC-
will be employed in violation of the Labor Code of the State of Washington ONLY THE:i
relating to Workmen's Compensation Insurance. WORK NOTED tion, or his deputy; and fees are paid, and -
NOTE: PERMIT LIMIT ONE YEAR receipt is acknowledged in space provided,
INSPECTION ��' 7
SIGNATURE (OWNER OR AGEN ) DATE SIGNED I CTOR'B NATURE
i DEPARTMENT
Q i CITY OF Cam' iL . ✓E� �L
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LOT P N CS EDMONDS DATE
IN
ell
A APPROVED / /
PR 0-1107
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'` ' ; The south 95.00 feet in width of the north 190.00' feet in width of
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K YF," i"t ,a ,;; ; Lot 1 in Block 1 of Admiralty Acres, recorded in volume 12 of Plats on ,. 1
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, ;V '` x; + r r,tz;Id° � page 48, recor.ds of Snohomish County, Washington, more particularly dea- .
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"`, 5,3 `t""=; ' cribed as Follows: `
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xs,i Beginning at a point on the west line of said lot lying due SOIIT$ 3`
1+F„ '`, tI thereon 95.02 feet from the northwest cornor of said lot; thence continu-�{T a�� ,
i?`d dlf ing 30IITH 95.02 feet; thence S 88° 53� 1611 E, parallel with the north h'+ 2
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!''fin? line of said lot 179.94 feet; thence N 37° 55140" E 29.97 feet @Co inter- 4r,r-
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s+ ;IAj p sect the east line of said lot at a point on a curve from which the rf t j •` s
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center lies S 74° 22'12"Wand 1880.10 feet distant; thence northerly �};'>z' " '
r, along said curve to the left through a central angle of 2°16�26T� an aro 4J`r5
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I{ distance of 74.62 feet; thence N 88° 53' 16" W 176.84 feet to the point nyl ,r . r '
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