680336.pdfv
POSTED ON KROLL MAP NO.i: PERMIT
NUMBER 6803316
BUILDING DEPARTMENT
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PERMIT APPLICATION
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NAME
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CITY 11 TELEPHONE NUMBER
COMP. PLAN ST. R/W .;aQx-r. ...... CLFT. 0
REMARKS
NAME
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ADDRESS
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CKED BY
CITY TELEPHONE NUMBER
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METE!� SIZE SERVICE SIZE
CLEARANCE CHV�Pzo BY
STATE LICENSE NUMBER CITY LICENSE NO ER
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Legal Description Of rroperLy ttsnow Irelow or Attach Four Copies)
TYPE CONNECTION
BY
'S
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PERC. TEST
PERIffT NUMBER
REMARKS
0
FIRE ZONE TYPE OF CONS RUCTION STREET IM;R:O,,VED
YES
SPE�CTORJJIRED
OCCUPANCY GROUP
GAS
YES 0
4 I
RESIDENTIAL LINE
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PLAN BY
NON-RESIDENTIAL D SIGN
2CHECK�E
ADD DRETAINING
WALL
REMARYP:��-
EMOLISH
ALTER EXCAVATE FENCE
OR FILL ( ........ . x .......... Ft.)
REPAIR PRE -MOVE swim
INSP. 0 POOL
_S NUMBER or
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation Fee -Receipt No.
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Plan Check No ............. ... ...
-3 1 a- ID 0 00 94rL
PROPOSED USE
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BUILDING
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PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUMBING
HEAT & GAS LINE
PENCE
t
SIGN
RETAINING WALL
SWIMMING POOL
OLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read thin application; that the In-
formation given is correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state Iowa 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
TIUS PERMIT
This application is not a permit until
relating to Workman's Compensation Insurance.
AUTHORIZES
signed by the Building official or ills Dep-
NOTE: Permit Limit One Year (Except DE590TJTIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt Is ac-
shall be completed in ninety days; MOVEDAN BUILDINGS shall bo oom-
Imowledged in space provided.
plated In six months.)
I SPECTION
SIGNAT E OR AGENT) VATZ blUINNU I
12- 6� DEPARTMENT
I
DIREGTOR'S SIGNATURE �-7
CITY OF
V
EDMONDS
NO'TE: Applicant Subject to Plan Check Fee
PR 6-1107
This peraoR covers work to be done On private property ONLY.
Any construction ou the public domain (curbs, sidewalks, driveways,
FILE
marquees, etc.) will require separate perndaston.
680336
Wnliam Wward Browse and Geneva L. Browse 23016 80th Place West,
Edmonds., Washington
DZSMPTTjON OF PROPERTY AT 8424 192nd S. Vt., Edmonds, Washingt n
o
Snohomish County
The South 143,89 feet of the North 317.78 feet of the East half of the Northeast
quarter of the Southeast quarter of the Southwest quarter of Section 18# Township
27 Norths Range 4 East, W. M.
WEPT the East 220 feet thereof (said parcel being a portion of Tracts 33 and 34,
Maplewood Gardensp unrecorded)
WEPT that portionp if any,, which -lies within the following described tract:
The South 252 feet of the East half of the Northeast quarter of the Southeast
quarter of the Southwest quarter of Section 18., Townsldp 27 North, Range 4 East,
WOM.
All situate in the County of Snohomishj, State of Washington.
TOGETHER WITH AND SUBJECT TO easement for roadway and utility purposes over,
upon and under the West 20 feet of the East 240 feet of the South 287-78 feet
of the.North 317.78 feet of the East half of the Northeast quarter of the
Southeast quarter of the Southwest quarter of said Section 18 (Also known as
portions of Tract 33,, Maplewood Gardens, according to the unrecorded plat
thereof).
RECORD OF INSPECTIONS
Date Passed
RECORD OF INSPECTIONS
Foundation
Date Passed
nage plumbing (Partial)
Sew I er (Rough)
Dra! Frame.
le
0
Parking 8-
Furnace & Fuel Line b
Landscaping stz
Final
Fire Dept.