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WIS.) N W-if'S E PA It T M E N T Applicant Fill
Liside Heavy Lines -ro B
IRAIT APPLICATION
N (OR NAME OF BUSINESS)
MID]
-ELKILIVO,
ADDRESS I
7. d? T11 _S 4-61 us:
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NUMBER
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Plc? 67 0 76-0
NAME
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ADDRESS
CITY
UMBER
STATE LICENSE NUMBER
UI—Ty LICEN13E NUMBER
Legal Description of Property (Show Below or Attach Four op as
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GAS
Q-_�ESIDENTIAL 0 LINE
MNON-RESIDENTIAL SIGN
ADD RETAINING R
ElDEMOLISH El WALL
Or ALTER MCCAVATE PENCE
OR FILL El ( ........ . x .......... Ft.)
PRE -MOVE Wild
REPAIR El INSP. El POOL
NUMBER OF STUMIE-81
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DO
75utting streets)
PLOT PLAN (Indicate Building setbacks, I
IST
I hereby acknowledge that I have read thin application; that the in-
formation given In correct; and that I am the owner, or the duty 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 Workmans Compensation Insurance.
NOTE: Permit Vimit One Year (Except DE510TATIONS which
shall in ninety days; MOVED -IN BUILDINGS shall be oorn-
plated la 2 a.)
SION NE ORA NT) DA M SIGNW
NOTE: Applicant SIZ)ect to Plan Cbeck Fee
This permit covers work to be done on privage property ONLY.
Any constmctton on the public 40MOO (carbs, sidewalks, driveway#,
marquees, cic.) will require separate permission-
4
VED ON KROLL MAP NOA
PERMIT
I
oe�
NUMBER
680391
ADDRESS
Jkaa'-Ls!�
1(,(?e
RD SETBACK STR BET13AGM
BEAR YARD SETS.
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.,15-
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A-rj
M A* q
—
LO AREA
VACANT SITE
1 [3 YES
13 NO
'Mn ARTRA,
---T—VARJANCM
NUMBER ILI
STING STREET R/W
O.FT. DEVICrENCy THIS PROPERTY
OMP. PLAN ST. R/W C;�Q.rr. M.
rivewav slopes not to exceed those
ridicated on S:Fa-ndard Drawing #103*
I
YES
a
[] YES 13 NO
Valuation I Fee
Lan Check No ............. .. . ...
WILDING ,e V6 1
Z
W
IEAT & GAS LINE
PENCE
3IGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
epo
ATTENTION
APPLICATION APPROVAL
THIS PERMIT
This application is not a permit until
AUTHORIZES
signed by the Building official or his Dep-
ONLY TIM
uty; and fees are paid, and receipt Is ac-
WORK NOTED
knowledged in space provided.
INSPECTION
op IONA RE
Co�
DEPARTMENT
CITY OF
5DAT
EDMONDS
PR 6-1107
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iDESCR I ITIONOF'I'HF,111!',AI,ES'I'A'I'EWl'rH RESPECT TO WHICH THIS POLICY IS 135SUED
All that portion of Government Lot 2., Section 7., Township 27 orth,
Range 4 East IT
W.M.., described as follows:
Beginning at a point 918.40 feet North and 309.91 feet West o the
Lot 2; thence Nor IT.,:
th 90211 !4�; I
Southeast corner of said Government .3" West
thence along the are of a curve to the right havi g a
54.02 feet;
X, T 1011
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radius of 170 feet, a distance of 67.93 feet; thence North 13 22
East 4.07 feet to the Northeast corner of this description; It
ITT,
0 it 165 feet; then
ot fit North 89 03'05 West 393.24 feet; thence South
North 690141 East 51-76 feet; thence North 79041, East 109.54 feet;
thence South 89'03105" East 242-39 feet to the true point of eg lil
Situated in Snohomish County, Washington.
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