680420.pdf-rtKMII _ArrL1%,AU1Vn
-NAME (OR -NAM OF BUSINESS)
An YARD SETBAC
SIDE YARD SETBACK STREET SETBACK RE
A A &ISTR
5"
_MMLING ADDREISH
VACANT HL'AAi
LOT AREA
/Ute
P00 I & TELEPHONE NUMBER T, E S NO
HEIGHT BUILD N E NUMBER
VA
G AIMA. VA
NAME
PLOT PI
STREET It/w
TELEPHONE NUMBER EXISTING STREET R/W ..APYT. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R1W.J2:P_FT- .-OLFT.
REMARKS
Driveway slopes not to exceed those
1A CoNGF0
indicated on Standard Drawing #103. Z
-39 A/ rE. CHE D BY
TELEPHONE NUMBER I
F. ) &e/ a 1614 1 METER a ERVICE SIZE CLEARANCE CHW BY
R Iff" LICENSE NUldZElt
Deice tton of Property (Show 13clow or Attach Four uoples)
TYPE CONNECTION VE
PERO. TEST PEr'ZCMBER
REMARKS
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
C] YES [3 No
OCCUPANCY GROUP
EfPECIAL INSPECTOR REQUIRED
E] YES -;0
GAS
RESIDENTIAL LINE If LAN -CHECKED BY
NEW
NON-RESIDENTIAL SIGN
ADD RETAMNG REMARKS
DEMOLISH WALL
FALTER EXCAVATE FENCE
OR FILL I .......... X .......... Ft.)
REPAIR PRE -MOVE swim
INSP. NUMBER OF POOL
DWELLING
UNITS
,..t
2.4
NATURE Or W�TO BE DO
YAAJ CIE -
Valuation Fee Recelpt No.
rian check No ............... ....
PROPOSED U13E BUILDING ou Ts, t? o
PLOT PLAN (Indicate Building setbacks, abutting strects) PLUMBING
0
HEAT & GAS LINE
L110 1 �19 0�
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
j
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR PI
j
TOTAL A31OUNT DUE 50
I hereby acknowledge that I have read this application; that the in-
i'the duly author
formation given Is correct; and that I Sla the ownerr-b
lzed agent of the owner. I agree to comply with city and state lawn regu- ATTENTJION 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 THIS PERMIT TWs application is not a permit until
relating to Workmen'ff Compeng&tloxt Insurance. AUTHORIZES signed by the Building Official or his Dep-
ONLY THE
NOTE: er . t Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt Is ac-
in ninety days; MOVEDAN BUILDINGS shall be com. Imowledged In space provided.
shall be core /I I/ I
pleted In ., onths.) /' , VDA 0 1 NFL) INSPECTION DIRECTOWS SIGNATURE
SIGN RE E S T
4 DEPARTUEN
CITY OF
EDMONDS DATE
0 Plat; Cfcck Fcc
p pla tn. PR 6-1107
NOTE: A t Subjcct I
Thin Permit coverg work to be done on private property ONLY.
Any construction or, the public domain (curbs, sidewalks, driverways, FILE
Marquees, etc.) will require separate permission.
........ ..
North 70.00 feet of Lot 6, Block Fruitland Acres Division No. 2 to
I -. I-Iriger, according to the plat thereof recorded in Volume to of plats on
403; records of Snohomish CountV, Washington.
SUBJECT TO AND TOGET14ER WITH an easement for Ingress and egress and for
Ing described tract of land:
A&Illfles overl under, and upon the follow
A strip of land 40.00 feet in width extending northerly from thesouth line
Block 3, Fruitland Acres Division No. 2 to Lake Ballinger, according to the
rded In Volume 10 of Plats, on page 103, records of Snohomish
01-at thereof reco
Ju$ of 35.00 feet, the
County, Washington, and terminating In culdesac having a rad
centerline, of which strip of land Is described as follows: Beginning at the southern-,�
most corner common to Lots 6 and 7 In the aforesaid Block 3; thence north6rly'� along,
the line common to said Lots 6 and 7, a distance of 213.40 feet to the center of -the.',
aforementioned culdesac and the terminus of the centertine herein described..
Except that portion thereof described as follows: Commencing at * the southwest
corner of said Lqt 7; thence easterly, along the south line of said Lot 7, a dIsfa6c6
of 10.00 feet to the True Point'of Beginning; thence continuing e6st6rl,y, along the
south line of said Lot 7, a distance of 10.00 feet; thence northerly, parallel with
the west line of said Lot 7, a distance of 35.00 feet; thence southwesterly to,the
true Point of Beginning.
RECORD OF INS.PECTIONS
Date passed
�9--Y &I-)
Foundation
Plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Lines�
Final
I OkL
RECORD OF INSPECTIONS.
Date Paw4
Drainage
Sewer
Parking
Landscaping
Eire DepL
dl I