680018.pdfpoSTED ON KROLL MAP NO.:
PERMIT
NUM13ER 680018
BUILDING DEPARTMENT Applicant Fill
Inside Heavy Lines
PERMIT APPLICATION
NAM (OR NAME OF BUSINESS)
JOB ADDRESS
Sherwood & Roberts, Inc.
SIDE YARD SE'rBACIC gTr5F7E_TSETDACK_
ARV SETBACK
NG ADDRESS
2333 - 3rd Avenud
UBE ZONE
VACANT
1
CITY Wz�ULIR NUMBER
0 YES [3 NO
Seattle, Wash. MA 2-9141
HEIGHT BUILDING
I
AAEA VARIANCE NUMDma 1k
NAME 2- / 0 -7
—P—LOTPLAN APPROVED
ADDRESS
STREET R/W
EXISTING STREET R/W ....... ..... FT. DEFICIENCY THIS PROPERTY
TELEPHONE N
Crily UMBER
COMP.PLAN ST. R/W ............ F-r-
...........
-REM—ARKS
NAME
—CRECKED 9Y_
z
ADDRESS
IE CHECKED 33Y
WETXR SIZE SERVICE I
CITY TELEPHONE RUMBER
REMARKS
STATE LICENSE NUMBER CITY LICENSE NUMBER
TYPE CONNECTION
VERIFIED BY
Legal Description Of Property (Show Below -orAttach. Four Copies)
Present common address-8516-196th
PERC. TEST
PERMIT NUMBER
z
To be moved to: The W 65' of Lot
REMARKS
52 LESS the N 50' thereof; TO GET
wTT14 t-hp W 651 of Lot 6: all in
I
RACr F'S, accordin
JOHNSON GAR.DEN T 9
FIRE ZONE TYPE OF CONSTRUCTION STRE T IMPROVED
—+-^ I-11in n1a thp-ll r n-ll in
I [] YE13 0 ITO
all
Volume 16 of Plats, on Page 33,
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
Snahamish Countyp Wash.
of
0 YES E] NO
BY
GAS
El RESIDENTIAL LINE
NEW
REMARKS
NON-RESIDENTIAL F� SIGN
ADD RETAINING
F] DEMOLISH WALL
DALTER EXCAVATE PENCE
F-1 OR PILL ( .......... x ..........
REPAIR F71 PRE -MOVE swim
INSP. El POOL
FR OF
DWELLING
UNITS
rian Check NO .....................
PROPOSED USE
BUILDINC�
PLOT PLAN (Indicca—to Building setbacks, abutting streets)
PLUMBING
HEAT & GAS LINE
PENCE
t
SIGN
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-
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 THE
NOTE: Permit Limit One Yetir (Except DEMOLITIONS which
WORK NOTED
shall be completed In ninety days: MOVEDAN BUILDINGS shall be com-
pleted in all months.)
DA ED
INSPECTION
DEPARTMENT
A[SIATUkRE(OWNER
CITY OF
20�1111011111
EDMONDS
NOTE: Applicant Subject to Plan Check- Fee
rn 6-1107
This pern-at eovers work to be done on private Property ONLY.
Any construction on the public domain (curb$, sidewalks, driveways,
marquees, etc.) will require separate permission.
Valuation I Pee I Receipt No.
5_1
i .q 0 6 1 W-�Ll �;-
APPLICATION APPROVAL
This application Is not a pern-At until
signed by the Building official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
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