680415.pdfBUILDING DEPARTMENT
PERMIT APPLIC)
Applicant Fill
Inside Heavy Lines
1919 IN Blue Rifte Wive
TELOPHU" 14-UMB
Seattlel Wn, I su 4.2oll
Both Me Fulcherg A I A
95-8
700 N,W, 100th
TELEPHONE NUM
Seattlel Wn, Su 3-3o6g
NAMM
Olympic Constructiong Inc,
R ADDRESS
18819 Beardslee Blvd*
CITY TELEPHONE NXI
8 Szm*t Bothell 9 wn, 822-4178
�gau "ancription ox vroperty tbnow isciow or Atutca is -our uopieni
Portion of Lot 2 lying easterly of
z
Great Northern R R Co. right of way
All in block 13, Plat of Edmonds
Li
RESIDENTIAL
GAS
LINE
NEW
N1
NON-RESIDENTIAL
SIGN,
ElADD
DDEMOLISH
RETAINING
WALL
EJALTER
EXCAVATE
FENCE
El
OR FIT-1
( x Ist.)
REPAIR
n
PRE -MOVE
INSP.
........ . ..........
SWIM
POOL
DVMLLING
2 UNITS
NATURE OF WORK TO BE DONE
Nev construction
PROPOSED USE
Office Bldg,
PLOT PLAN (Indicate Building setbacks, abutting streets)
I hereby acknowledge that I have read this 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 laws regu-
lating construction; and In doing the work authorlad thereby, no person
will be employed In violation of the Labor Code of the State of Washington
Workman mi *Ion ne
OrMit Li it a r:(,Exc4,)pt DEMOLITIONS which
tya C)t!plet 0� ys,
ed In UILDINGS shall be oom-
In x monthx.j
12, 1560V
NOTE: Applicant Subject to Plan Check Fee
This Permit oovers work to be do" on private property ONLY.
Any eonstruction on the public domain (curbs, sidewalks, driveways,
marquees, ate.) will require separate permission.
K".
0 ON KROLL MAP No.:
PERMIT
680415
NUMBER
DDRESS
111 Sunset
Avenue
YARD SETBACK
STREET SETBACK
REAR YARD SETBACK
ZONE
LOT AREA
VACANT SITS
BG
YES No
IT
UMDING AREA
VARIJkNCII1 NUMBER
35 ft Maze
PLAN "PROVED
STREET R/W
EXISTING STREET R/W DEFICIENCY TM13 PROPERTY
COMP. PLAN ST. R/W ....... -FT- Ll I
[] YES C3 NO
Plan Check No .................
OEN� PI Li Ai &-
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1167
FILE
I d
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