670006.pdf�OSTED ON KROLL MAP NO.: PERMIT
BUILDING DEPARTMENT
Applicant F111
NUMBER 670006
PERMIT APPLICATION
InSide HeAVY Lines`
JOB ADDRESS
NAME (OR NAME or BURINEBS)
157 S /L
C
C.
SIDE YARD SETBACK
STREET SETBACK
REAR YARD SETBACK
ILAILING ADDRESS
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USE ZONE
LOT AREA
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In ITE
PHON E NUMBER
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SY �7 6
HEIGHT
BUILDING AREA
VARIANCE NUMBER
PLOT PLADTAP, OVED
44trr. PROPIARTY
ONE NUMBER
EXIS72NO STREET R/W
DEFICIENIT
me
COUP. PLAN ST. R/W
............ FT.
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El RESIDENTIAL
D
GAS
LINE
NEW
ADD
Ell -
NON-RESIDENTIAL
D
SIGN
RETAINING
WALL
DEMOLISH
EXCAVATE
FENCE
ALTER
FILL
R.)
OR
( .......... x ..........
REPAIR
PRE -MOVE
INSP.
swim
POOL
NUMBER OF
DWELLING
UNITS
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7W
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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
rel"Ing to Workman's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
I le, A"e '"Ce'tt X'�. V�//— 67
NOTE: Applicant Subject to Plan Check Fee
This permIt coven work to be done on privnte property ONLY.
Any construction on the pubtie domain (curbs, sidewalks, driveways,
marquess, etc.) will require separate permission.
[:] YES
&90
Plan Check No ................
BUILDING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMIUNG POOL
OLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATMNTION
THISPERMIT
AUTHOEULZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
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YES 0416�_
Fee I Receipt No.
/ --'?. e5? 49
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged In space provided.
FILE
I
4
X
4
Parcel (a)s
jh&% portion of the North 75-00 foet of Lot 6t Bleak 3&
Lake Ballinger Land Company'a Flat Subdivision No- It according to
plat thereof rocor ded In volume 9 of platst pages 57 and 58p records I
of Snohomish Oountyp Washington# described as follow@%
&*'I ing at the Northwest carner'of said Lot 61 thenceS auth 89*
0 nn
4 300 VM*x"z2vzk Last along the North line thereof 112.00 foati
thenoo South 0*14030" Went 7,9-00 feet/ thence North 89*451300 West 116,73
feet to the East margin of Battle'Drive; thence North 3051130* Ust along
said road margin 75.14 foot to the point of beginning.
Tt�
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TI
MCORD OF INSPECTIONS
Date* Passed
Founi
Plumbing (Partial)
(Rough)
... ...
Frame
Y 17
Furnace & Fuel Lin S—a
Firlal;
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