680363.pdfOB D ON KROLL MAP NO.:
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680363
BUILDINO DEPARTMENT
Applicant FIR
I
NUMBER
PERMIT APPLICATION
Ins'de Heavy unes ioB
ADDRESS T-da-�
Q ;3 D BETHO
YARD SEWISAUIL STREET SETBACK ]HEAR TAR
NAME (OR NAKAO or BUSINESS)
SIDE
kc. h , A - C 6o
-J
G a
IF -
08- 7 41
TELEPHONE UMBER
IV
USE ZONE LOT AREA VACANT UWKE
CITES (3 NO
HEIGHT BU-1.1 ING AREA IiIARIANC)E WUMBER
NAME
PLOT PLAN APPROVED
ADDRESS
ET R/W
EXISTING STREET R/W ........... FT -DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT.
CITY TELEPHONE NUMBER
REMARKS
NAME
-Y
44A 6 a,�� A E NUMBER
5e 6 T_rL 6 Ehl t( 2)
�BY
METER SIZE SERVICE SIZE.
CIZARANCE
cK=KVD BY
STATE LICENSE NUMBER ci CE
I
-i WMA Rx
Legal Description 01 11 tanow Below or Attach
TYPE CONNECTION
VERIFIED BY
Z
PERC. TEST
PERMIT NU�BER
REMARKS
FIRE ZONE TYPE OF CONSTRUCTION STREET IMMOV]
C3 YES C3 NO
SPECUM INSPECTOR REQUIRED
OCCUPANCY GROUP
[J YES [3 NO
NEW RESIDENTLOLL ME
NON-RESIDENTIAL SIGN
REMAINING
DEMOLISH WALL
E] ALTER EXCAVATE FON140
.. _4
El 0 R FILL &Ft.)
REPAIR F1 PRE -MOVE POOL
INSP. El "I
PLAN CHECKED 13Y
REMARKS
DWELLING
UNITS
I
N
No.
plan Check No ......... ... .......
PROPOSED USE
BUILDING
ao!� Building Setbacks, 11:119 11:1 ree
PLOT PLAN (Indiclil: abIL1101 t to)
PLUMBING
HEAT & GAS LINE
FENCE
t
SIGN
N
RETAINING WALL
SWIMMING POOL
OLITION
pRE.MOVE INSPECTION
EXCAVATION OR FILL
_F
TO TAL AMOUNT DUE
I hereby acknowledge that I hAvs read Win application; Mat 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 laws regu-
ATTENVION
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
Tolls rEntiliT
This application is not a permit until
relating to Workmens Compensation Insurance.
AUTHORIZES
signed by the Building Official Or Ids Dell -
NOTE: Permit Limit One Your (Except DEBIOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt Is ac-
be completed In ninety days; MOVED -IN BUILDINGS shall be com-
knowledged in space provided.
shall
pleted in mix months.)
EFI—GIMTOIRTB i6:AJ;ER 0111 .!1 ]ENT) DATE SIGNED
INSPECTION
DIREIC;rORIS SIGIIIIII&T YRE
DEPARTMENT
OF
Crry
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PE 6-1107
This permit covers work to be done on private property ONLY.
Any construction On the pUbIle domain (Curb$, sidewalks, driveways,
rum
marquess, etc.) will require separate permission.
%J4
I I
1%
rl�C441'1
Appl. No. ......
Permit limit� one year
PPUCATION is hereby made for a permit to construct the following work, in accordance with the acoom-:.
7,
wo sets are 'submitted herewith for approval.
�,,,,,,panymg plans and specifications. T
alter Off -St.
,W6rk(:1 . -.- C:
repair ..... Z.�.
................................................................................ Parking ........................
V,
c...........................
cupancy ................................ Const. type ................................ Use wne .... A-111 . ........ e zo
... Lot ..... "t) ............... Blk ........... ZZ ...... Addn . .. ...... ..... .....
Septic ta
Lot: frontage ........................................ Area k ........ .................
7-...
. ..........
Bldg. set
front ....... id . .......... ... . ... 1. side ........... rear ....... ...........
.9'"A N ... r-1-7-7
uyW Owner .... ....... Address.... ........... ... Tel. No...
I �, : , . f ........................ 7-
r
...... Address ................................................... Tel. No .....
Builder .............................................................
......................
Plans, by ................................ I .................................. Address ................................................... Tel. No .............................
Remarks...................................................................................................................................................................................
................................................................................................ .................... . ..........................................................................
.......................... 0 ................................................................. ... ........................ ...... ........................................................ ..........
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating, this
work.
Signed Owner/Agerf -16 Address../62;� ... Date.
�z .. ............. .........
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specifications, and Building Department notations thereon.
Valuation ..................... 4 ... �.. Permit fee ....... 43.6::� ............ Recd. by ... ... .
P-416/--f Date.
............................
Building Department, By .................................. log toru f— *1
*WIA
wt,�, OF EDMONDS
& BUILDING PERMIT
Building Deparhnont
F '7'
�4
:A)rm MOITA�OIJ9U
ov"T Imli ;�(Islq I'MVxf'( I
ff
1p
............
r irl,., ........ .... tv" Rkw'��
LEGAL DMFaFrION
Parcel A (23115 75th Pig we)
Subdivision
That portion of Lot 4 in Block 2 of Lake Ballinger Land Company's Plat 7
Volume 9 of Plats on pages 57 arid 58$ records of Snohomish
No. is as recorded in
scribed as follows:
Countys Washingtonp de
Commencing at the mi corner of said Lot 4 and running thence southerly along
ht with a radius of 350oOO feet andfollowing the
the arc of a curve to the rig
Bradley Road a distance of 146.2 feet to a point of
I feet
easterly margin of
tangencyi thence continuing along said road margin S 130221301 Be 172,30
point of Beginning of the tract herein described; thence continuing S
to the
00 feet; thence No 8901110211 E, lo4.22 feet3 thence No 004815811 W
13022130" Be 75o S, 89 01110211 w 12o,52 feet to the point of Beginninge
73.21 feet; thence
ual wiw Lol
...... .....
......... . . . . . . . . .
I
"Ime muff
M
IMI
A,
Appl. No..:
Permit limit, one year
a to construct the following work, in accordance with the z4,ml
Two am am" itted herewith for approval.
Off'st.
........................... ....................... Parking . ................... J
....................
............. ir e .................. . .......
..&I.Const. type ............................... . ... e
.......... ............. ........... Lot. . ............ Addr
.... O_Js�'L! Blk...
.................. 4k Septic tank... R17 ........... * ..................
Awr�Lot frontage ...... rea...
.................... ..... M., .. B;;;;;p
............... A
DId `ii+icks front ....... ,9 side .............. 1. side .... IS ..................... rear ................................
........... r.
g.- ......
<; 20A
LtA ... !2 Z ... .............. Tel .................
.... .. ... _x �,
...... td ...... Address, ... Nolf?.-n-
;L':". �Builder ................................................................... Address .................................................... Tel. No ..............................
Plansby .....................................................
Remarks......................................................
The above is a correct statement, and I agree to
work. J-) -�
Signed Owner/
Address.................................................... Tel. No ...............................
..............................................................................................................
.............. .......... i .....................................................................................
:)mply with all applicable Codes and State laws regulating
Date. .......................
MMff for the above work is hereby approved, subject to the above conditions, and to compliance with the ap-
proved plans and apecifilqations, and Building Department notations thereon.
........... Rec
..........
Valuation ............ VQ' - 0 .......... Permit fm ........ 5. d. by44. ... .. .......
Building Department, By ............................................. I& �1_ . ......... Date.��/q ...... 6.'.',?vr . . ..............................
NOTE — This permit does not cover plumbing, sewer, or electrical installations, nor does it PermitanY Work to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and alleys, and plans for future sidewalk development -
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q....... ....
ih
-r-OTPTION
(23117
75th PleWe)
ivision
lock 2 of Lake Ballinger Land Company's plat Subd
n of Lot 4 in B homish
That portio 8., records of Sno
es 57 and 5
corded in Volume 9 of Plats on pag
ls as re
ingtonp descri
bed as follows:
County., Wash
thence southerly along the
corner of said Lot 4 and running
following the
Commencing at the NW al
ight with a radius of 350,00 feet al
arc of a curve to the r
listance of 146.2 feet to a point of tangency;
easterly margin of Bradley Road a
1302213011 E 247,30 feet; thence
thence contimAng along said road margin S ct herein described;�,
he Point of Beginning of the tra
N 8901110211 E 104-22 feet to t
thence N o04815811 W 73.�l feet; thence N 8901110211 E 122*% feetj, more or lessq
erly along
to the westerly margin of Old Interurban right -of -WY; the� ce south if
or less$ to a po rom ch the f h; of.
ght-of-way margin 75.00 feet., more
said ri lies S B9011102" if.; thence S 8901110211 W 102.20 feets more J':
Point of Beginning
nning*
or lessq to the Point of Begi
I . �Ir," r.
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bfir wolunlit"o-j- bn.`� ".#Aq bwfMq
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