680147.pdfBUILDING DEPARTMENT Appucmt Fin
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PERMIT APPLICATION LisIde Heavy
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NAME (OR NAME OF BUSINESS)
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M-AILING ADDRESS
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CITY TELEPHONE N UMBER
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NAME
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ADDRESS
CITY
TELEPHONE NUMBER
NAM
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CITY
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TELEP#ONE NUMBER
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PERMIT
680147
NUMBER
/
6 3'
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0— M/
SIDE YARD
SETBACK
STREET SETBACK
E&K YARD SETBACK
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USE ZONE
LOT AREA
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1 [] YES 13 NO
The south 2:001 of the N 200' of the
n+g I thru 11 Incl -
Together with the vacated alley; tog wit]
e s Y* of- Vacated Mweod A*e adjacent
thereto; all in block 189 first add to
NEW
RESIDENTLAL
N
GAS
LINE
NON-RESIDEITIAI
[:3
ION
RETAINING
DEMOLISH
WALL
ALTER
EXCAVATE
OR FILL
PENCE
( x Ft.)
REPAIR
PRE -MOVE
INSP.
.......... ..........
swim
POOL
DWELLING
UNITS
1 ��Au"Z, U" wv� AV MM "Ua�
004.6rAOCT S601PWIX6 40001— 1
I hereby acknowledge that I have read this application; that the In.
formation given 16 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.
vilT E: Permit Limit One Year (Except DE51OLITIONS which
a be completed In ninet;.17 ys; DIOVED-IN BUILDINGS shall be com-
e e In six months.)
1,41 —
NOTE: Appfi4t Subject to Plan Check- Fee
This Permit covers work to be done on private property ONLY.
Any construction on the pubtle domain (curbsp sidewalkso drIverwaYs,
marquees, etc.) will require separate permission.
KISTING STREET R/W
COMP. PLAN ST.
[3 YES [] NO
Plan Check No ........
DEFICIENCY THIS PROPERTY
Valuation
YES E] ITO
Fee
D
BUILDING
B U L
P
PLUMBING
L
HEAT & GAS LINE
H I
E N E
FENCE
F C
N
SIGN
S I G
RE T
RETAINING WALL
SWIMMING POOL
DEMOLITION
EM
(
PRE -MOVE INSPECTION
72—
EX L
CAVATION OR FULL
OTAL AMOUNT DUE
T TOTAL
'.
ATTENTION
TIUS ]PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
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.
DATE
FILE
EXCEPT THE EAST 10.00 FEET THEREOF.
PARCEL C
LOTS I THROUGH 11 INC,LUSIVE;.TOGETHER WITH.THE VACATED ALLEY; TOGETHER WITH THE,
SOUTH HALF OF VACATED ELWOOD AVENUE ADJACENT, THERETO;ALL IN BLOCK 18, FIRST
ADDITION TO THE CITY OF EDMONDS, ACCORDING To THE PLAT THEREOF RECORDED IN -VOLUME
2-or PLATS, ON PAGE 31, RECORDS OF SNOHOMISH COUNTY2 WASHINGTON.
EXCEPT THE NORTH 200.00 FEET THEREOF,AND EXCEPT THE EAST 10.00 FEET THEREOF.