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RHIiiniimr. nrPARTMENT I I I NUM
Applicant
Inside Heavy Lines —jCj3ADDRESS
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
SIDE
LNKk S, 'S I - I
G ADDRESS
TELEPHONE NUMBER
NAME
ADDRESS
TELEPHONE NUMI
Tx;"rluv�zh llv�.
—LieENSE
—EITY NUMBER
BE NUMBER CITY LICENUN
Ion of F;rperty (Show Below Four Copies)
-7
N RESIDENTIAL El
GAS
LINE
NEW
I
El NON-RESIDENTIAL
SIGN
ADD
RETAINING
WALL
E] DEMOLISH
ALTER EXCAVATE
M OR FILL
FENCE
( .......... x .......... Ft.)
REPAIR PRE -MOVE
M
swim
INSP.
POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
el
Ll IIJ
N
>
I hereby acknowledge that I have read this application; that the In-
formation given to correct; and that I am the owner, or the duly author-
lzed agent of the owner. I agree to comply with city and state laws regu
I&I construction; and In doing the work authorized thereby, no person
win be employed In violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
NOTE: PernilijAirnit One Year (Except DEMOLITIONS which
soon be compl'oto In ninety days: I%IOVED-IN BUILDINGS shall be com.
pleted ln.;Ilx n0nths.)
NOTE: Applicant Stibject to Plan Check Fee
This rermit covers work to be done an private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission,
'SETBACK HEAR YARD SETBA
7
ZONE LOT AREA VACANT SITE
[3 YES 0
HT --f—H-1URLDING AREA VARIANCE NUMBER Sk
F—LAN APP40VED
R-T—RI
EXISTING STREET R/W ............ FT. DEFIcIENCY THIS PROPERTY 0
COMP. PLA14 ST. R/W ............ FIT.
REMARKS
H
ZONE
CHECKED 0
3ERI SIZE CLEARANCE CHE��
!ION VER7 BY
PERMIT HER
7
TYPE OF CONSTRUCTION STREET IMPROVED
0 YES
—Z-77 0-fro
SPECIAL INSPECTOR UIRED OCCUPANCY GROUP
[3 YES ;:0-I
PLAN CHECKED BY
REMAW-
Existing house to be removed within 90
upon completion of new residence.
Plan Check No .....................
BUILDING
PLUMBING
I 'T
-1EAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PER311T
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDIVIONDS
PR 6-1107
Valuation
Fee
e-P z3'
APPLICATION APPROVAL
Qn
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is Etc-
knowledged in space provided.
FILE
Filed for Record at Request of
*7e
CLtr and
1 0
Statutory Warranty
THE GRANTOR rred J. Carlson and Olive Carlsont his wife
M
`Q
forAndincomidetationot partial fullfillmant of contract
V, In hand paid. conveys and warrants to Rowland E.M. Russell and Mary K. Russell,
his wife
the following described in[ smote, situated in the County of
Washington: ThOA 0.,ft State of
Lot 16 and Lot 19, Block 7. including vacated Bradley Road and
Shorelandal Lake Ballinger Land Co. Subdivision 01 according
to plat recorded in volume 435 of the deeds, page 373, Snohomish
County Court Records.
TOGETHER WITH an casement for ingress, egress, and utilities
over too whole of Lot 449 alock 6, �Ae BaiLi gar auwua�v&s on
01. according to plat recorded in Volume 435 of the deeds,
page 373, Snohomish County Cou rt Records. t"�O SAt-FES
Ri-001RED
FEE
This d"dis given in / R Hit t 1
MM of that certain real color. contract between the po
June 14 Iq 49 , and conditioned fur the conveyance of the abg e derl.d PMPc,'t0Ve-u7?d
the covernanit of artunty herein conlAtned shall not apply to got, title, intetem or 4c'umbionce arising by,
thfough M under the purchaser in said contract, and %hall not apply to any taxcst Ansessmertfs or other charges
levied, assented or b,conong due subgecivent to the d"le of gold contract.
Real Estate Sales Tax was pdid on thin note an prior to 1951 Roc. No. none
when tax on transfer became law
Dated this
K
STATE OF
County of
t
inA
day of 19 67,
a")
RECORD OF I 4SPECTIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough)
-77
Frame
Furnace & Fuel Line
Final
I