670367.pdf.. ...... . ..
POSTED ON KROLL MAP NO.: PERMIT
NUMBER b70367
B U I LD IN FDEP ART MEN T Applicant FIII
Inside Heavy Lines -Y-O—BADDRESS
PERMIT APPLICATION
(OR NAMJ� OF I3U13jNNtJb) 10
�BACK STREET SETBACK REAR
SIDE YARD SET YAJID SETBACK
t I+ CG WOO
-MAILING ADDRESS /m, a
--USE _ZONE LOT AREA
& 01
NO
CITY TELEPHONE NUMIU;lt
GHT BUILDING AREA. RIANcjs NUMDER ow
�41,4 06 VA
PLOT P
LLAN AVel
ADDRESS
NAME 0 J17 04v.
V�u
0010 STREEWR/W
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
C
COMP. PLAN ST. R/W ............ FT.
r_ REMARKS
N. -I-,,
CHECKED BY 4
ADDRESS
4 METER SIZE SERVICE SIZE RANCE CH7XED 33Y
-XN"MUNE NUMBER .1
CIT-K
CLEA
Klryy\ 1) S� REMARKS I
STATE LICENSE NUMBER uiTY LICENSE NUMBER
TYPE CONNECTION VERIFIED RY
Legal Description Of Property (Show Below or Attach Four Copies)
The S. 115' of the E. 150, of the N. _FERC. TEST PERMIT NU1rER
Z
nf Trnnt 10 - Lake McAleer Five
REMARKS
&0 aere tpan_ts less roads
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
[3 YES
SPINIT A I INSPECTOR REQUIRED OCCUPANCY GROUP
YES e-60-
PLAN C C D B
GAS
LINE;
RESIDENTIAL REMAaKS
V."NEW �, IIISMEITTIJLL M
NO SIGN
ADD RETAINING
1-1 DEMOLISH El WALL
ALTER gCAV
IfE FENCE
El ( .......... x .......... Ft.)
0 REPAIR PRE -MOVE SWIM
INSP. 1:1 POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
Finn Check No
PROPOSED USE;
BUILDING
C_ e. Ir &A r
PLOT P (Indicate B Iding setbacks. a5USg streets) PLUMMING
BEAT & GAS LINE
Vj FENCE
JL t SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
P-E-MOVE INSPECTION
EXCAVATION OR FILL
f 110
TOTAL AMOUNT DUE
I hereby ackn In-
owledge t I have read this application: that th
formation given to 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. 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 THIS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY TILE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
$hall be completed In nirety days; MOVED -IN BUILDINGS shall be com-
pleted In x months.) INSPECTION
8 GNAT (0 '0 . EN DATE SIGNED DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Stibject to Plan Check Fee PH 0-1101
--------------
This Permit rovers work to be done on privnte property ONLY.
Any constructiOn on the public domain (curbs, sidewalks, driveivays,
marquees, etc.) will require separate permission.
Valuation I Fee
No.
17 10- —10 1,3 q -3� 0
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.
r=
FILE C__ 0
7 Foundation ,7
7-1 Plumbing (Partial)
(Rough)
1AJ7,-VT, wt-
A 77 77
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