690074.pdfi
BUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
RRS \71725-Pn�Z
MAILANU ADDRIPM
2 /c;,, / � 9 4 -iZ, -
CITY TIQLEPIMNE -NUMBER
E-P;77 0 1 Jpk� L/ —
EXISTING STREET R/W ........ ... FT.
COMP. PLAN ST. R/W ........ I. XT.
or
PER IT
NUMBER 6%074
7d
[] YES 13 NO
DEFICIENCY TIrLS PROPERTY
E3 YES [3 NO
0
Z
— GAS
El RESIDENTIAL LINE
0 YES [j NO
NEW
1
PLAN CHECKED BY
1:1 NON-REI SIDENTIAL SIGN
F-1 RETAINING
WALL
REMARKS
DEMOLISH
0 ALTER EXCAVATE �1
OR FILL .�3N E
REPAIR PRE -MOVE swim
El INSP. POOL
NUMBER 039' STORIES NUMBER or
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Valuation Fee Receipt No.
Plan Check No ........... ........
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUMBING
0
HEAT & GAS LME
FENCE
4'
0 o
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
_S
Lo M47
TOTAL AMOUNT DUE
-
I hereby acknowledge that I have read this application; that the In-
o
formatlon given in 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-
ATT]ENTION
APPLICATION APPROVAL
tating 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 rERMIT
INS application is not a permit until
relating to Workman's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit one Year (Except DEIMOLITIONS which
ONLY THE
NOTED
uty; and fees are paid, and receipt Is ac-
shall be completed in ninety days; MOVEDAN BUILDINGS shall be com-
Imowledged in space provided.
pleted in mix months.)
81 ATURE (0 It A DAIE SIGNED
WN
INSPECTION
DIRECTPR'S SIGNATURE
/no
DEPARTMENT
OF
11 , i 1 .1
CITY
DATN� ow
Plan Ciech Fce
0
NOitb(ect to
APPlica"t S
,,fl(
rn 6-1107
This Permit covers work to DO done an Private Property ONLY.
Any construction an the public domain (curbs, sidewalks, drlvmvays,
In
marquees, eta.) will rmulre separate permission-
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'Beginning at the Southwest corner of said Government Lot 4; thence
South 89042127" Ealst along the South line thereof 333.30 feet; thence
North 325-99 feet'; thence West 130-00 feet to the true point of beginning;,
thence continue West 10.00 feet; thence North 129.90 feet; thence South
28041-14" West 379-04 feet to a point on a curve th,7.- --)f wh!r-1-
. ?i
bears South 7104U'_t)( 7,u3L; thence Southeasterly along the arc of the
curve. to the rtght, having a radius of' 389.26 feet and a central angle
of' 4005'2111 a distance of 27.78 feet to a point on said curve the
tangent of which bears South 67039'3611 East; thence North 53049'42"
East 8';.93 feet; thence North 68052130" East 162-54 feet; thence North
3NO10'49" West'112.\12 feet; thence North 300),7 '45" East 9.13 feet to
the true noint of' beffinnina.
Situa+1(- 'n rhe CountY of Snohomish, State of' Washington.
STTBJP.r1�' f-o Easptne,,t for engress, egress anO parking to Lot A, Yt ql;,
on all. the J'ollowi.ng descrtbee property EXCEPT the Westerly
20.0 fret ther-eof:
BegnnIng at I ' he Southwest corner of said Lot 4; thence South
89042127" East, along the South line 33').30 feet- thence North (H ISO OF 1935
125-99 feet- thence West 130.0 feet; thence South 30047'b5l'
West, 9.13 Veet to the true point of beginning, thence continuing
South 3()01171W' West, a dt-tance of 87.92 feet: therice Soutl
21007'30" East, a distance of 55.0 feet; thence North 68052'i011
East, 94-51, feet;'thence North .34010'b9" West, a 0!stance of
112.12 feet to the true point of beginning.
ALSO subject to easement of record for ingress aj�.egress.
RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Lines
Final
RECORD OF INSPECTIONS
Date Passed
Drainage
Sewer
Parking
Landscaping
Fire Dept.
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