670114.pdf. ......... ...... ...... . ------- -
POSTED ON KROLL MAP NO.:
PERMIT
BUILDING DEPARTMENT Applicant Fill t7l %7 , I NUMBER 670114
PERMIT APPLICATION Inside Heavy Lines J013 ADDRESS
NAME (OR NAME OF BUSINESS)
SIDE YARD SETIfACK STREET SETBACK REAR YARD SETBACK
t)�.Cv%xL. Mr5,R�ehnwcL POP, " e7
MAILING ADDRESS 0
USE ZONE LOT AREA VACANT SITE
0 10 iuk ,
ONE NUMBER
CITY I 'TELEPJU I wfgs� [3
VARIANCE NU No
NAME EA vv-,, BUILDING AREA 04
PLOT PLAN PR ED
ADDRESS X& - WPR
STREEXK/W
CITY TJILNrkluN� NUMBER EXISTfNG STREET R/W T. DEFICIENCY THIS PROPERTY 0
COMP. PLAN ST. R,,w 46.-&.-Fr. W0.49-1 .. �25.
VCD� L
NAME REMARKS drz7m0 0 - P
6ea 5c---F. CHECKED —BY Q
Z
C4 ADDRESS N
'or
L(- lic 5- f7 METER SIZE I SERVICE, SIZE CLEARANCE CHEq3pn n . Y
CITY TELaurHONE NUMBER t
NEMARKS
STATE LICENSE NUMBER CITY LICENSE NUMBER
TYPE CONNECTION VERI 7D Y
Legal Description of Property (Show Below ®rAttaCI1 Four Copies) TZZA�
West 140 feet of'S Y2 of E 44.5 feet of PERO. TEST PERMIT UMBER
Z E 125
Tract 46, Meadowdale Beach, Except REMARKS
feet thereof of N 47-75 feet; also lumndiv
Q FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
14 int. in W 30 feet of N y2 of E 46o rieet _Z?:5 E3 YES 0-116�
-of said Tract 46, SPECIAL INSPECTOR RE IRED OCCUPANCY GROUP
[3 YES
PLAN CHECKED BY
[21"RESIDENTIAL GAS
ID/NEW REVWKS
I El NON-RESIDENTIAL J E] SIGN
DADD — RETAINING
ElDEMOLISH WALL
ElALTER EXCAVATE PENCE
OR FILL ( .......... x .......... Ft.)
REPAIR El PRE -MOVE swim
1:1 INSP. POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation Fee Receipt No.
Plan Check No ............ . .......
PROPOSED, USE
BUILDING
PLOT PLAN (Indicate Building setbacks,_�b_utting streets) PLUMBING
CQ -L2-. _6213
HEAT & GAS LINE
FENCE
t SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL A31OUNT DUE .1
I hereby acknowledge that I have read this application; that the In- C/P
formation given Is 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 ATTENTION APPLICATION APPROVAL
will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application Is not a permit until
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE signed by the Building Official or his Dep-
NOTE: Permit Li it ne Year (Except DE51OLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
shall be completed in �IiaMeittyy,"Y&-�,MOVED-111( BUILDINGS shall be com- knowledged in space provided.
pleted In six months,.'�
SIGN �:��017 OR AGE71 DATE SIGNED.,/ INSPECTION DIRECTOR'S SIUNAI A101,
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Sitbject to Plan Check Fee PR 6-1107
Thin Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveivays, PILE
marquees, etc.) will require separate permission.
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