650368.pdfPOSTED
ON KROLL MAP NO.:
PERMIT 650368
BUILDING DEPARTMENT Applicant Fill
U I LD I N
NUM33ER
PERMIT APPLICATION Inside Heavy Lines
P ER
JOB
ADDRESS/
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NAME (on NAmis OF BUSINESS)
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REAR YARD SETBACK
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AILING ADVANUB
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ADDRESS
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REMARKS
METER SIZE SERVICE 1317E; CLEARANCE CKED BY
CITY
TELEPHONE NUMBER
RE U_RKS
Q
STATE LICENSE NUMBER
TYPE CONNECTION
Legal Description of Property (Show Below or Attach Four Copies)
PERC. TEST
PE
BER
IT N BER
MpX ZONE TYPE. OF CONSTRUCTION
STREET IMPROVED
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RESIDENTIAL
I'UMBER OF
REPA-RIR
NON-RESIDMNTIAL
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DWE NG
UNITS
I hereby acknowledge that I have read this application; that the In-
formation given Is correct: and that I am the owner, or the duty allthOr-
J,ed 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 Workmen's Compensation Insurance.
(Except Demolitions which oball
NOTE: Pqrmit Limit One Year �e- completed In ninety days.)
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NOTE: Applicant Subject to Plan Check Fee
This Permit mvers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require pepwate permission. '
[j YES
BUILDING
I
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
SIGN PERMIT
FEE
DEMOLITION
PERMIT FEE
PLAN CHECK
7
FEE
8 1 AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1101
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 acknowledged in space provided.
FILE
THE. SOUTHWEST CQRNLK UP IPIL MOWT& �Alw —w— ---P -
ION, A DISTANCE or 95.03 FEET TO THE TRUE
LO'G THE WEST LINE OF SAID SUBDIVIS
A N
POINT OF BEGINNING
or THE TRACT OF LAND HEREIN DESCRIBEI)p THENCE CONTINUING
N 0045150" E, A DISTANCE or 70.00 FEET TO THE NORTHWEST COR14ER Or THE ABOVE
HENCE s 89*07125" Ep ALONG THE NORTH LINE OF SAID SUBDIVI3IONj
SA 10 SUBDIVISION; T
A DISTANCE OF 145.00 FEET; THENCE S 0*4515U' W, A DISTANCE Of 60.09 FEET; THE
TO THE RIGHT HAVING A RADIUS or.77.37 FEET,
ASTERLY ALONG THE ARC OF A CURVE
THE INITIAL COURSE OF WHICH CURVE BEARS S 61*3714111 W, AN ARC DISTANCE OF 39.68�
EET TO THE POINT OF TANGENCY OF SAID CURVE; THENCE N 89' 07126" W, A DISTANCE,
F EXEPT THE WEST 20.00 FEET THEREOF.
OF 107.00 FEET TO THE TRUE POINT OF BEGINNING.
IN SNOHOMISH COUNTY, WASHINGTON
SITUATED
R�CORD OF. INSPECTIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough)
,�
Frame
Furnace & Fuel Lines -
Final