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BUILDING DEPARTMENT Applten6tInu
PERMIT APPLICATION Iusldeea,�-I.ise
NAME (OR NAME OF BUSINESS) `
I-RA-M - zy�ca—
Q
S
'7
pOAS
LINE
pSIGN
pRETAINING
WALL
pFENCE
pSWIM
POOL
kkAEEf19Kt,�EIYP.IY'1lniL'M1P35CMT)N�iNIU?e5s14_^' ;+lfifolln
POSTED ON KROLL MAP NO.: PERMIT / 1
NUMBER o
fOB ADDRESS
ARD BETHA
_A .w r
NO
A
Driveway slopes not to exceed those shown
on Standard Drawing No. 103.
Plan Cheek No..._..__.......
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Bulldln sstbtyks, abutting streets)''^^�� PLUMBING
GG �{\' HEAT k OAS LINE
2S+
FENCE
� t SIGN
^�`, yy.
.�14 10 Q I RETAINING WALL
Cos ,�
SWIbIIMDi6 POOL
T •v,' DEMOLITION
—L PRE -MOVE INSPECTION
EXCAVATION 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, or the duly author•
iced agent of the owner. I agree to comply with city and state laws regu- ATTENTION
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
relating to Workmen's Compensation Insurance, AUTHORIZES
ONLY TIM
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS shall be oom-
pleted in six months.)
31ONATURE (OWNER OR AGE ) DATE SIGNED INSPECTION
0�1 / 9 DEPARTMENT �j CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 0-1107
This Permit coven
work to
be dons
on Private property ONLY.
Any contraction on
the public
domain
(curbs, sldawdks, drlvewaye,
marquees,
ate.) will
require
separate permission.
OTIN
GROUP
4tT
Tee Receipt No_I -
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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-
knowledged in space provided.
FILE
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Gentlemen - -
WE/I WILL HAND YOU, the total purchase price of less Earnest Money in the amount
of $ 50-00 , previously pafd to 2MMIE is!
in the form of IQ Check p Cash ❑ Note. (Note to be redeemed in the office of the Broker or in your,
office, if deposited with you by the Broker)
YOU ARE HEREBY A11THORIZED TO PAY OR DELIVER, above referred to funds, to the order of
Faneuf
or legal representativ , when you have for the account of the undersigned, a WARRANTY DEED,
EXECUTED BY
covering the following described real estate, situate in the County of :_ Snnhamith State of
i'
Washington:
It
'1'b3t_nien of 'rrw.,f iLR It
Plat of`H2ndowdale Deaeh rko� r;
•' vine Wewterl of O1� � �n Lice ?1r��'! w ,� s
Yr ♦.+ +1.� .,...
�t ,, thereof recorded in Vel,ene
"GGR'Wulmn, LA%;ZVl tho'North 192.24 fan+: &nd.
x µIIIII,
"iVlM L4W MOST• line cnere*r. .
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r�.{ jl f�Sf , f t.�, f t �.] e� v3
'S1rh 4}i'i i'F� ,/r !Yr`ff n iy. •. 1 ' .,, :sue
�r?•^4'{styii�i. 4,y..� i t Y s i:l �, t „(, , Y`
I 1; x1. '. c i t'S v p " J 1 e - It
IS I
l
" , �+ RECORD OF INSPECTIONS'
.)r.yni W 1 f F a Ss Y ,,, i ,•r 1 �S
r
Date Passed ,
P ,f
{ l FaYatiation
c; ` ;Plumbing (Partial)
f , ,
fi
(Rough) ..
F
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Frame
Furnace &Fuel Line
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fr 'RECORD OFIN
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€. Sewer
Parking , fi ..,
Landscaping
>v,L L Fire'Dept.
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