660156.pdfK
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ILDING DEPARTMENT Appucant Fin
MMIT APPLICATION Inside Heavy Lines
BUSINESS)
tITTL-E
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7- # A v F.
r TELEPHONE NUMBER
Pk. 8,76,-40
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CITY TELEPHONE NUMBER
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STATE LICENSE WU—MBER CITY LICENSE NUMBER
Legal Description of Property (Show Below or Attach Four Copies)
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0 YES e NO
j4� PLAN CHECKED BY
BUILDING
WORK TO BE DONE 1 VALUATION
26it,6; 1r- dcc,�_�u& BUILDING PERMIT
4 A FEE
7 PLUMBING
3 PERMIT FEE
0 HEAT & GAS LINE
4 PERMIT FEE
SIGN NUMBER OF STORIES SIGN PERMIT
1 5 FEE
'AEDWD DEEOLJSH FENCE I DEMOLITION
M IER OF 6 PERMIT FEE
LLING
rWE' PLAN CHECK
ALTER RESIDENTIAL
REPAIR NON-RESIDENTIAL I UNITS 7 FEE
8 AMOUNT D
I hereby acknowledge that I have read thin application; that the In.
formation given is correct; and that I am the owner, or the duly author- ATTENTION
ized agent of the owner. I agree to comply with city and state lawn regu- THIS PER311T
lating construction; and in doing the work authorized thereby, no person AUTHORIZES
will be employed In violation of the Le:.)or Code of the State of Washington ONLY THE
relating to Workmen's Compensation Insurance. WORK NOTED
(Except Demolitions which shall
NOTE: Permit Limit One Year be completed In ninety days.)
INSPECTION
SIGNA.j� (UWNER Un AGENV DAT701UN 1j DEPARTMENT
CITY OF
EDMONDS
NOTE: Applira?;t Subject to Plan Check Fee PH 6-1107
This Permit coven work to be done on private property ONLY.
Any construction on the Public domain (curb@. sidewalks, driveways,
marQuees, etc.) will require separate permission.
PERMIT 660156
NUMBER
1. 61�1
'ET SETBA
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13 YES
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19 11)
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NO 0
[3 YES 0 NO
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APPLICATION APPROVAL
This application is not a pernlit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt Is acknowledged in space provided.
DIRECTOWS SIGN UBE
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& BUILDING PENIT Appl. No . ................... . .............
BuIldIng Department Permit limit� one year,
ON is hereby made for a permit to construct the following work, in accordance with the accom,
and specifications. Two sets are submitted herewith for approval.
alteF Off -St.
A
repair .............. /-P� ....... ......... �..
.................................................. Parking ......................
..................... Const. type ........... .................. Use zone .... ......... Fire zone ............................
...... . .. ...
e.-
SO Lot ........................ Blk ........................ Addn ......................................
........... .... ..... ... ...........
................................. . Area ..... 1A.-TY ... 73 ........... Septic tank ...... 11:A;5P1-7tL ............................
front ...... ;L!2 ............ r. side ............ 3 .. q .......... 1. side ........ LO ............... rear ......
.... ..................
............ ....... ....... ......... ........................... Address .... '1Y ........ Tel. NoJe
L
.................................................................... Address ..................... .............................. Tel. No .............................
................. I ............................................. Address ..................................................... Te6 No .............................
.................................................................................................................................................................................
.......................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owner/Agent ..... 2� .... ... ?n%rii-1-06 ............ . ... Address ............................................ Date .................. ......
PEMff for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specifications, and Building Department notations thereon.
Valuation ............... /3 .. L,� ..... Permit fee ......... ....... Recd. by....
Building Department, By ............................................... . ........ Date ....... ..................
NOTE This permit does not cover plumbing, sewer, or electrical installations, nor does it permit any work to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and alleys, and plans for future sidewalk development.
W'4
. .........
-10 Y7113
%+,rjj �j
ill Gl I
Parcel B
j"
ft* of the West 75 ft* of the rest 225 ft
The South 108
for in- an and egress over the
asement
together with an e
f the following
Nodrth 15 ft- of the East 225 ft- 0
described property:
of the SWA of the MrA of Section 259 Township jz
.1; j., That portion
described an follows:
27 Norths Range 3 E9Atq W& Not
330 feet East of the
Beginning at a pt.
867 ft, mouth and
sion; thence South 123 ft.; thence
NW corner of said subdivi
&at 300 ft. more or lose to the County Rd.; thence North
er"D t-rtz along said county road 123 feet; thence West 300 f**t, more
or lose to the dpt. of beginning
.... ....... .
IV. Z -1—
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