670558.pdfI
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BUILDING DEPARTMENT 7APPUCIMt Fill
181
PERMIT APPLICATION Inside Ileavy L11nes —j(
d 3 Ileal"y Ll
NAME (OR NAME OF BUSINESS)
6 ) t:' li /1 6-) / -,-i // �2 81
MAILING ADDRESS
A1141 0
-2
'ED ON KROLL MAP NO.: PERMIT
NUMBER
0DRE80
YARD SFTBAC14Z STREET BET13ACK
ANAit YMID SETBACK
ZONE
1A)T Al�' A
VACANT SITE
144
No
HIT
BuILDING AREA WXjUN_CENUUBI,1R
P4
r PLAN APP OVED
EXISTING STREET R/W7.P��.r!r- DEFICIENCY THIS PROPERTY 0
TELEPHONE NUMBER (7
COMP. PLAN ST. R/W FT. .......
REMARKS
CHF,CILP z
a
�Z-23-0 0
L of Property (show j3eiow or AttaCn
ci. ch r-vl V14'a J- e
�x
NEW
RESIDENTIA 'L
0
GAS
LINE
NON-RESIDENTIAL
F
SIGN
FADD
RETAINING
WALL
ElDEMOLISH
FALTER
F1
EXCAVATE
OR FILL
E]
FENCE
( x Ft.)
.......... ..........
REPAIR
F
PRE -MOVE
INSP.
El
swim
POOL
IUBI13ER OF 13TORIES
___T_
NUMBER OF
DWELLING
UNITS
172
6
I / sp 4�*��17� Z,-/. --I- -
I hereby acknowledgo that I have read this appliratton; 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-
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
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITION'S which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.) �j
11 1& ��j ;�,�/u
NOTE: Applicant Stibject to Plan Check Fee
This permit coven work to be done on privets property ONLY.
Any construction on the public domain (curbs. sidewmIks. driveways,
marquees, etc.) will require separate permission.
j r
[I YES
.a
Plan Check No ...........
BUILDING
PLUM33ING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL A31OUNT DUE
A=NTION
THIS PET01IT
AUTHORIZES
ONLY THE
Wortli NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
t(-
Cd
[] YES
Valuation Fee Receipt No.
----1 —rd
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-
lmowledged in space provided.
-. t!;7 -
11. — \0 I
FILE Pre
RC C
Lot s 12
through 22
u
incl sive,
Block 18, First Addition to the City of
Edmonds,
according
to the plat
thereof recorded in Volume 2 of Plats, on
Page 31,
records of
Snohomish
County, Washington; TOGETHER WITH that