670514.pdf4
BUILDING DEPARTMENT
PERMIT APPLICATION
FT
Applicant Fill
Inside Heavy "W09
POSTED ON KROLL MAP NO.;
PERMIT
NUMBER
670514
JOB ADDRHSB La / 7
�7
]LInca
NAME (OR NAME OF BUSINESS)
SIDE YARD BET13ACK
STREET BE TBACK
An YARV BET73ACK
LING ADDREH8
1
USE ZONE
Rs'
LOT AREA
VACANT SITE
[3 NO
CITY. TELEPHONE NUMBER
HEIGHT
VARIAP _3E NUMBER
04
0
P
��_564V _Z14- 1
NAME
ADDRESS
M4 I TELEPHC
7��3 --0/ - !f� IZ9
I
LICENSE NUMBER
.9 s1r.,r
E<sIDENTIALL
GAS
El LINE
ElRETAINING
1:1
NON-RESIDENTI&L
El SIGN
ElDEMOLISH
0 WALL
ALTER EXCAVATE
0 OR FILL
PENCE
( .......... x .......... Ft.)
El REPAIR PRE -MOVE
INSP.
SWIM
E] POOL
4�1.'eWf?irra
NUMBER OF
I)WELLING
qATURlir OF WORK TO BE DONE
hTaXET IS/ IV
EXISTING STREET R/W DEFICIENCY THIS PROPERTY
COMP. PLA14 ST. R/W .6—OFT.
REMARKS
Z
I
COOK �Px
METEA SIZE I SERVIC39 SIZE CLEARANCE
3/ji, 1 3/�_ t t
I
7�
RVIN—AaKS
U
[] YES V NO
e7k_`
Plan Check No .....................
PROPOSED udis
BUILDING
PLUMBING 3, V"
PLOT PLAN (Indimi—teB setb Its utting streets)
77.A
k I
HEAT & GAS LINE
d
t
N
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DE OLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this appli&Ltion; that the In-
formation given In correct; and that I On the owner. or the duty 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
will be employed In violation of the Labor Code of the state of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEI.�JOLITIONS which
THIS PERIMIT
AUTHORIZES
ONLY THE
WORIE NOTED
shall be completed In ninety days: MOVED -IN RUILD111"GS $hall be com-
pleted In nix months.)
INSPECTION
DEPARTMENT
lIGNATURE (OWNER OR GENT) DATE SIGNED
CITY OF
EDMONDS
NOTE: Applicant Subject to Plait Cbeck Fce
PR 0.1101
_ii�s Perain covers work to be done on privote property ONLY.
Any construction on the public domain (curbso sidewalkst drlvcways�
atarquees, etc.) %vill require separate Permission.
Valuation
[3 YES 13 NO
Fee
71" &0
3F
No.
197,25 b+,1040_1
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.
FILE
I
I
6705/4
EASEM_F-NT
The grantors) CHARLES L, BURTON and MIRIAM D. BURTON)
for good and valuable consideration convey and
husband and wife,
d JOATT 14. BURTON, his wife, their
grant to ROBERT N. BURTON an
ent across the following described real
heirs and assigns, an easem
ates, Snohomish County,
ot lo, Mea6owdale Est
estate over a portion of L
e northeast corner of said lot westerly
Washington, beginning at th
e at 900 southerly
20 feet along the northerly line thereof, thenc
e northeasterly
to the dividi ng line between Lots 10 and 11, thenc
o the point of beginning.
along said line t
ly to
ed as a driveway on
Said easement is to be us
egress into Lot 11. All expenses for the con -
allow ingress and
d the real estate taxes
of said driveway. an
struction and maintenance
shall be borne by the grantee.',.
thereon
----------
' �anL
k Miriam
STATE OF WASHINGTON
ss
COUNTY OF KING
before, mt;
On this day personally app,�---area
AM D. BURTON 0 me known -Lo be thc�
t
BURTON and MIR! cuted the wizhi-r and
described --'In and who exe same as f,ree anc
and acknowledged t.,-iat they signed the �:rein ment-'Lo*aed.
voluntary acz and deed, for the uses and purpo�e� tn,
1 -14 day
-ia.L seal this
my hand and
GIVEN under
of (-J: 1967.
C 7n and the State
Notary Pub1i t Seattle.
residin,7 a
Washingto
of
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