690145.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
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STATE LICIONOZ NUMBER
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POSTED ON KROLL MAP PERMIT
NUMBER
Applicantrw 144f 7ff- I —
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TELEPHONE Numf
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OWN
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690145
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LAR YARD BETI
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E3138TING STREET R/W -,'5J9PT. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. RIW 5!2.YT- FT. 0
REMARKS
Driveway slopes not to exceed those
indicated on Standard Drawing #103.
I
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GAS
NEW, RESIDENTIAL LAPI JU
ISTON-RESIDENTIAL SIC..
RZTAJNING
ElDEMOLISH WALL
ALTER EXCAVATE PENCE
OR FILL ( ......... A .......... Ft.)
REPAIR PRE -MOVE SWIM
INSP. POOL
[:I YES 13 NO
PLAN CHECKED BY
REMARKS
OR OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
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Plan Check No ..................
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BUILDING
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
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BEAT & GAS LINE eb
PENCE
W %_
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PPYMOVE INSPECTION
IMCCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given is correct; and that I am the owner, o r 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 authorized thereby, no person
ATTENTION
will be employed In Violation Of the Labor Code of the State of Washington
TIM PERMIT
relating to WorkmeWs Compensation Insurance.
AUTHOILIFMA
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TIIZ
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be oom-
pleted In six months.)
INSPECTION
DEPARTMENT
CITY OF
JIGNpTURE (OWN
DATIO SIGN ED
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6-1167
Igs--pangt coven work to be done on private property ONLY.
Any GoaggraeuOn an the public domain (Curbs, sidewalks, drIVOWAYS,
mematel, ate.) WW require, "pWs" permission.
Valuation
M,
C) YEII 13 NO
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-
kno,wledged in space provided.
I
LEGAL DESCRIPTION OF REAL PROPERTY SITUATED!N SNOHOMISH COUNTY:
... . .. ......
All that poz-4ion of Tract 68 Mendowdale Beachj, ciccordin,7-u6.plat thereof
recording in volur-e 5 of plats.,page �8, records of sinobu:nish County� Washington
described as follows: Beginnins;r. at a point on the South line of Tract 63., a
distance of 101 feet Uest of the Coutheast corner thereof; thence Horth parallel
:!to*tbe East linv thereofo a distance of 124 feet, to the true point of beeirming
-of this dazoription; thence North 75 54, 3411'.Vest 92,34 feet; th6nce North parallel'
W
-h line thereof; thence
..,to the E line.of said Tract 68 for 124 feet to the Nort
4East along sa1d Fo,-v*th line 90 feet to a point 101 feet I -lest of the Northeast
corrier; thence'Soutb parallel t-0 said East line 124'�Ceeti; thence North 89 371
East 101.,P�aaiv- to the East line of said Tract 68; thence South along said East line--
22.5 feet to a point that is 89 37' East of the point.of beginning; thence Gouth
89 10,71 Weat 101 feet, to the point of beGimiing. Situated in Snonomisk, Washincrtorle
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RECORD OF INSPECTIONS
Date Passed
F_
Foundation
Plumbing (Partial)
(Rough)
Zw6 Ok-,
Frame
Furnace& Fuel,
Lines�
AP.
Final
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