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680050
"N" 'Inm-mn nm wRnT-L MAP NO: PERMIT
BUILDING DEPARTMENT Applicant Flu
PERMIT APPLICATION Inside Heavy Lines
NAMK�Oft NAME OF BUPLNEBB)
4� � 6 ems
NUMBER
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ZONE LOT A.REA VA AM SITE ;r
TRJLEPHONE NUMBER I I 1 1 13 YES C3 NO
HEIGHT BUILDING AREA. VARIANCE NUMBER 14
d —P—DOT PLAN APPROVED
STREET R/W
Tjql� PH E NUMBEIt EXISTING STREET R/W ............ FT. DEFICIENG=78 PROPERTY 0
6,1 f2 COMP. PLAN ST. R/W ............ FT.
OL / 0( REMARKS
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Z
MET BUIE I SERVI910 SIZE CLEARANCE 7�
0:
TELEPHONE NUMBER 717
Mj/'' (,-,— 6 & '91
En NUMBER NUM13191t Wd
or Attach Four Copre-B)l
0 YES /-SLNo
LV RESIDENTIAL
R
GAS
LINE
ElRETAINING
1:1
NON -RE- SIDENTLALL 1
0
SIGN
WALL
DEMOLISH
MALTER
EXCAVATE
OR FILL
El
PENCE
( x Ft.)
El REPAIR
PRE -MOVE
.......... ..........
SWIM
INSP.
POOL
TUMBER OF STORIES
NUM13ER OF
DWELLING
UNITS
Plan Check No ............ . .......
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUAU31NG
ca
0
HEAT & GAS LINE
FENCE
t
SIGN
N
RETAINING WALT
SWIMMING POOL
DEMOLITION
PRE-movE INSPECTION
EXCAVATION OR FILL
TOTAL A31OUNT DUE
I hereby aanowledge 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
biting 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 PERBUIT
relatmg to Workmen's Compensation Insurance.
AUTHORIZES
L
NOTE: Permit Limit One Year (Except DE510TATIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days: MOVED -IN BUILDINGS shall be eom-
pleted In six months.)
4 SIGNATURE (OWNER Olt AGENT)
DATE SIGNED
INSPECTION
/7)
DEPARTMENT
gig
CITY OF
____ /
EDMONDS
NOTE: Applicant Sfibject to Plan Check Fec
PH 0-1107
This Permit coven vrork to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalkst drivewayss
marquees, etc.) will require separate pernilmalon.
Valuation
I
[] YES [3 No
Fee
s4Q ,
I ao IW64>
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.
DIR�CTO41�1 SIGr5ATURE
FILE
I
PLOT PLAN FOR: DON FINNIGAN
In
..Lot 30, Willowdale Gardens Division #1, according to the plat thereof recorded
'Volume 10 of Plats, on page 72, records of Snohomish County, Washington. EXCEPT
the South 360.00 feet and EXCEPT the North 165.00 feet thereof.
SCALE: 201 FEBRUARY 1968
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FILE # 3481_�n.�
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