670198.pdf�.�.B.QILPING DEPARTMENT Applicant F111
"PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
W
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NAME
Y
—ADM
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tow �te-A
IFTATE —LICENSE
j57A5 4L P 4;
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al
PTO
P_ 9 10 ?
ueiow or
ow I r
DNEW
FJ RES:DENTIAL
1:1
GAS
LINE
DADD
1:1
NON-RESIDENTIAL I
EJ
SIGN
RETAINING
ElDEMOLISH
WALL
ALTER
M
EXCAVATE
OR FILL
FENCE
( x Ft.)
.......... . ........
REPAIR
F3
PRE -MOVE
INSP.
swim
POOL
DWELLING
UNITS
I hereby acknowledge that I hava 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-
j&tlng construction; and in doing the work authorized thereby. no person
will be employed in violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
NOTE: Pe7mit Limit One Year (Except DEMOIATIONS which
shall be completed in ninety days; MOVED -IN BUILDINGS shall be oom.
plated in six months.)
NOTE: APPlicant Subject to Plan Cbeck Fcc
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, drivewe'va,
nuu-quees, etc.) will require separate permission,
77 I
POSTED ON KROLL MAP NO.:
ErWIT
670198
FOB ADDRESS
a-o
/'7 o
UDE YJRD SET SETBACK
BACK STREET SETBACK AR
USE ZONE LOT AREA VA SITE
E3 YES [3 NO
.
HEIGHT BUILDING AREA JVARXANC,� NUMB —MR
PLOT
STREET BIW
EXISTING STREET R/W ............
FT. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W ............ FT.
1 NMARKS
CHECKED BY Z
N
METER SIZE SERVICE SIZE
CLEARANCE CHECKED BY
TYPE CONNgCTXON VER1FIMD BY
PERq�rST
PERMIT NUMBER
REMARKS
FIRE ZONE TYPE or CONSTRUCTION STREET IMPROVED
E3 YES [3 NO
SPECIAL INSPECTOR !MQ_UU= OCCUPANCY GROUP
t
YES [3 NO
PLAN CHECKED BY
REMARKS
Valuation Fee Receipt No.
Plan Check No ................ . ...
L
PLUMBING
'HEAT & GAS LINE
F
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
0 0
ATMNTION
APPLICATION APPROVAL
THIS PERMT
AUTHORIZES
This application is not a permit until
signed by the Building Official or his Dep-
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
knowledged In space provided.
INSPECTION
DEPARTMMT
IGNATURE
CITY OF
Iff
EDDIONDS
A—T E
5- c, -
PH 6-1107
... . ..... . .. ...
Governme nt Lot
2
Section
71 Townsh
D: That
portion of
4.E.W.M,', described as 10110noo
Beginning at the Southeast corner of
East, goo.47 feet; thence West 771.26
,,true point of beginning; thence Soutt,
..Of.a curve to the rights said curve I
�'continuing Southerly along said curvE
1. on I said curvep at which point the tar
..o 14811 West; thence North 450,431
161 50" West 82 feet; thence Ncirl
thence North 29* 301 East for 81 feel
155-75 feet; thence South.570 40, 06'
'po I int of beginning. Together with ai
over a'5 foot strip Of land as descr
of -real estate contract dated Jan.. 2
Vol. 801 of Deeds., Page 248.9 Auditor