670188.pdfF BU I LDING DEPARTMENT
ICATION
PERMIT APPL
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mAws -or Busume)
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Applicant I=
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TELIDPRON NUMBER
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ITED ON KRO" MAP NO.: PEnKIT
MM131M 670188
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i ADDRESS
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E YARD SETBACK STREET SETBACK YARD SETBACK
0 N.
IE ZO LOT ARE VACANT SITE
YES 13 NO
IGHT BUILDING AREA VARIANUIS 14UMMMR
DT PLAN APPROVED
EXISTING STREET R/W ............ FT- DEFICIENCY THIS PROPERTY
!11
M TYPE CONNECTION
pr=ription of Property (Show Below or -Attach Four Copies)
't I I _r(� el 04 9 C- I PT C. TEST
1, 14 T r I L ra
REMARKS
0 YES
NEW
RESIDENTIAL
IR
E
2
NON-RESIDENTIAL
SIGN
RETAINING
WALL
ALTER
0
DEMOLISH
EXCAVATE
OR FILL
PENCE
( x Irt.)
........ . ..........
D REPAIR
D
PRE -MOVE
INSP.
swim
POOL
DWELLING
UNITS
NATURE OF WOM-C TO BE DONE
A 7-Y-0 rt J/-r (-r�4 �54 --To
.4,5 h:]�
.0*
Plan Check No .....................
IPROPOSED USE
S I AJ Aj C_ BUILDING
iz PLOT PLAN (Indicate Building setbacks, abutting streets) PLUMBING
00
0 BEAT & GAS LINE
-PENCE
t SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
torniation given in correct; and that I am the owner, or the duly author.
ized agent of the owner. I agfte�to comply with city and state laws regu- ATTENTION
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 THIES PERMIT
relating to WorkmeWff Compensation Insurance. AUTHOIUZES
ONLY THE
NOTE: Permit Limit One Your (Except DEMOLITIONS which WORK NOTED
shall be completed in ninety days: MOVED -IN BUI.LDINGS shall be com-
pleted In six mtnths.)
INSPECTION
81 ATU OWNER R AGENT) TE SIGNED DEPARTMENT
1�t ') -6 7
F( — L
a-e-d-- CITY OF
NOTE: Applicant Subject to Plan Check Fec EDMONDS
PH 6-1107
This Permit coven work to be done on Private property ONLY.
Any construction on the public domain (curbs, stdewalkst drivewaysp
marquees, etc.) will require separate permission.
Valuation
,,O� w I
0 NO
Fee
010
10,
No.
I V4, o -f) It 3 73 �
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.
1.1
f
1�'
w I Ti, ii i's P I: cT 1*o m I
E S (:,R I I, -I- I N (IF 'rm'. FSTA 1C.11 Till-' POLICY IS ISSUED.
�PARCEL A:
All that portion of the Northwest quarter of the Northwest quarter of
ows:
25-, Township 27 North, Range 3 East, W.M., descrkbed ss foil
Beginning 660 feet East and 660 feetSouth of the Northwest corner of*
sai
'd S ction 25; thence East 150 feet; thence North SO feet; thence
e
0 feet to the point of beginning,
West 150 feet thence South r
EXCEPT Streets,
PARCEL B:
150 feet
Eastcrl of the following described
The Northerly 12 feet of.the
tract
,�All that portion of the Northwest quarter of the Northwest quairter of
Section 2S. Township 27 North, Rang
e 3 East, W.M., described as follows:
oint 50 rods East and 32 rods*North of a post set for
Commencing at a 1)
the Southwest corner of said Northwest quarter of the Northwest quarter;
ence South 8 rods; thence
thence North 8 rods thence West 18 rods th
f 1) e v
ginn ing;
lEast 13 rods to the point of
E-xup'r Strects.
of Snohomish, State of Washington.
�All situate in the County
7 7—
RECORD OF INSPECTIONS
Date Passed
7-5--67
Foundation
Plumbing (Partial)
RECORD OF INSPECTIONS (Rough)
Frame
Date Passed
Furnace & Fuel U
Drainage Final
Sewer
Parking
Landscaping
Fire Dept.