680061.pdfPOSTED ON KROLL MAP NO.: PERMIT
680061
BUILDING DEPARTMENT Applicant Fill NUMBER
0
Inside Heavy Lines JOB ADDRESS
PERMIT APPLICATION -1
N ill (OR NAME OF BUSINESS) el 4 A f
SIDE YA11 1111AIK STREET SETBACK nEAjt xmm SETBACK
rd, d 1-" ^7 A5 At 7-
2NG ADDRESS AOL410 0
USE NE iuw AREA NFA—CANT SITE
,n
V
t
y
BOB
I T!7PHONE NUMBXR NO
ZCTY E 2 e
HEIGHT BUILDING AREA NER
VA/idwopc/ /Y t?lp- 4, 6,
I'NAME
FL—OTPLAN APPROVED
ADDRESS
e: STREET B/W
ER EJUSTING STREET R/W ..... ...... PT. DEFICIENCY THIS PROPERTY
CITY TELEPHONE NURBO�__
11 1 COMP. PLAN ST. R/W.10 XT.
or
rK
- �746 4
NEW RESIDENTIAL
GAS
LINE
tNON-RESIDENTIAL
SIGN
ADD
RETAINING
DEMOLISH
WALL
EXCAVATE
PENCE
ALTER
OR FILL
( x Ft.)
REPAIR
PRE -MOVE
INSP.
........ . . ........
SWIM
POOL
TUMBER OF STORIES
NUMBER OF
DWELLING
UNITS 371
1pi
TATURE OF WORK TO BE DONE
4 -
- . - _Z__ . -
4- � J__ . .
FRI
PLI
1(
Plan Check
BUILDING
PLUMBING
q, 07. Ylt iq�,f o joe 4) #4 BEAT & GAS LINE
FENCE
I
T SIGN
N
RETAINING WALL
SWIM NG POOL
DEMOLITION
PRE -MOVE INSPECTION
Valuation
ME
MCNED
STREET IMPROVI
13 YES [3 I -TO
Fee Receipt No.
&T 7mu
1 If -
/2,
4
q, 07. Ylt iq�,f o joe 4) #4 BEAT & GAS LINE
FENCE
I
T SIGN
N
RETAINING WALL
SWIM NG POOL
DEMOLITION
PRE -MOVE INSPECTION
Valuation
ME
MCNED
STREET IMPROVI
13 YES [3 I -TO
Fee Receipt No.
&T 7mu
1 If -
/2,
4
E)CCAVATION OR FILLI
I
TOTAL AMOUNT DUE
a 0
1 hereby acknowledge that I have read this application; that the In-
formation given In correct; end 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
APPLICATION APPROVAL,.,-,
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
TIHS PERMIT
This application is not a permit until
rclating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOTATIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
shall be completed in ninety days: MOVED -IN BUILDINGS shall be com-
Imowledged in space provided.
pleted In six months.)
ILG TURE (OWNER OR AGENT) —IEDATE SIGNED
INSPECTION
DEPARTMENT
DIRE OR'S SIGMA
CITY OF
EDMONDS
DATV
NOTE: Applicant Subject to Plan Check Fee
PR 6-1107
— This Permit covm work to be done on Private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
manuces, etc.) will require separate permission.
I
- ------------ ----- ----- .. ....
Job No. 6 -e - --rl,07
Survq for
Z -PAY- Alve. W'.
TecoTdi-of
Block S, Park Addition to Edmonds, Volume 2, page '88, *
v and that
TOGETHER with the E 1/2 of acated street
47-4, lying bet�eefi.*ihe
4 oUthe SH 1/4 of the S
nort
E 1/4 of See. 18 h'
Wt: and.the center Ip
line of said vacated street roduced to"th6'
-/4, SE 1/4, S 0
W994' E-1/4 said -27-4.,
Section 18
LL
20
/00
0
G A A A4 i�
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1�0
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