690067.pdf----- -------- ---------
BUILDING DEPARTMENT
ATION Applicant Fin
PERMIT APPLIC Inside Heavy IM11cf;
NAME (OR NAME OF BUSINESS)
SF_F
MAILING"ADDRESS
A0
11GLEP ONE NUMBIOR
N A
U a Aff 6efl
t
N ADDRESS
CITY TELEPHONE NUMBER
7 - H a 41 r;:: S'
F71
NEW RESIDENTIAL
NON-RESIDENTIAL
ADD
DEMOLISH
ALTER EXCAVATE
OR FILL
PRE -MOVE
INSP.
-I
r
GAS
LINE
SIGN
IM,17�411XG
WALL
FENCE
( ........ . x .......... Ft.)
swim
POOL
F]
0
DREPAIR
TUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
KROLL MAP No.: PERMIT
NUMBER
690067
SETBACK STREET SETBACK REAR YARD SETBACK
44r,
LOT AREA VACANT SITE
Ir I M_V�s [3 NO
I BUILDING AREA I VARIANCE NUMBER-1;W1
KISTING STREET R/W ..&JP. -PT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W./�-!? ... 77. ..... I
EMARKS
Driveway slopes not to exceed those
shown on Standard Drawing #103.
,lj,j 41
[:] YES
Plan Check No ..................
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets) PLUMBING
yo HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
W, SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formaUon 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- ATTF24TION
lating construction; mid In doing the work authorized thereby. no person
will be employed in violation of the Labor Code of the State of Washington TIUS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
shall be completed In ninety days; MOVED -]IN BUILDINGS shall be com-
pleted In six months.)
JIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION
Z DEPARTMENT
-3 CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee PH 6-1107
This Permit covers work to be done on Private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquess, etc.) wilt require separate permission.
Valuation
�� 2
YES mlgo�'.
Fee
No.
jd3 Z-gk
APPLICATION APPROVAL --�
This application Is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
Imowledged in space provided.
,2
FILE a tEe
I
I
......... .. . .... . .......... ..
,,,PARCEL "C"
THAT PORTION OF THE NW 1/4 OF NE 1/4 or SECTION 25, T?714, R3E W.M.. ,
6tk1fI9CD AS FOLLOWS! COMMENCING AT THE SOUTHWEST CORNER or SAID NW 1/4 Nrl/4'
THENCE S 88*152127"E 327.09.FECT; rHE:NCE N 0'31155"E 146.00 rEET; TO THE TRUE -
,PoiN-, or SEGINNINC; ii,r.Ncc N 0031155"E 146.00 FEET; THENCE S 88*52127"E 108.50
I -EFT; THENCE 5 0*32145"W 40.(Y) FcrT; TIJEIICE 9 17002100"W 110.23 FEET; THE?#(-r N
86052'27"W 77.15 FEET TO THE POINT OF BEGINNING.
ROAD DESCRIPTI014
THAT PORTION Or THE I'M 1/4 or NE 1/4 OF SECTION 25, T2711q� R3E, W.M
DESCRIBED AS FOULOWS: COMMENCINfl AT THE SOUTHWEST CORNER OF SAIDW 1/4 t4c.1/4-'-�
;THENCE S 88*52127"E 327.09 FEET; THENCE N 0031155"E 292.00"FECT; THENCE S 88"5�.' "�
,.277E'108.50 FEET TO THE TRUE POINT OF BEGINNING; THENCE CONTINUING 3 88052127":E��:'-`
188.71 FEET TO THE WEST MARGIN OF 10TH AVENUE; THENCE S 0*3214V'W 25.00
THENCE N 8.8'52127"W 148.71 FEET; THENCE .9 0*32145"W 15.00 FEET; THENCE N 88"52-1�1:1,.'
,?7 W.40.00 FEET; THENCE N 0*32145"E 40.00 FEET TO THE POINT OF BEGINNING.;-
YVAN
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LAP
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RECORD OF INSPECTIONS
Date Passed
Foundation 16 f /OJ
Plumbing (Partial)
(Rough)
Frame S:
Furnace & Fuel Line
Final -3J
P
RECORD OF INSPECTIONS
Date Passed
Drainage
Sewer
Parking
Landscaping
Fire Dept.