690241.pdfI MI I
NO DEPARTMENT
IT APPLICATION
3-6 1-
JAMM Description
a
Applicant F111
Inside Heavy UR05
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GAS
RESIDENTIAL LINE
Li NON-RESIDENTIAL
DEMOLISH
ALTER E] EXCAVATE
OR FILL
Lj
SIGN
RETAINING
WALL
FENCE
REPA
m 171
PRE -MOVE
INSP.
SMM
POOL
-7—NUMBEIR
OF
DWELLING
UNITS
NATURE OF WORK TO BELPONE -
hh��' % fl-21"
P No.: PERMIT
NUMBER 6
V -t—
STREET IJEWMAUM, REA1
.0
[3 N ' I
[UMBER ow
rG STREET n/w ... 4_�.frr. DEFICIENCY THIS PROPERTY
P. PLAN ST. R1WJC9"- 0
C
,me
Driveway slopes not to exceed those
shown on Standard Drawing No. 103. Z
111
13 YES
AN,
�j
M
Plan Check
PROPOSED UBE
BUILDING
PLUMBING
PLOT PLAN (indicate Building setbacks, abuttlag streets)
nEAT & GAS LINE
PENCE
t
SIGN
N
'A
7--
RETAINING WALL
2
r
SWIMMING POOL
OLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read thIs application; that the III -
formation 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-
ATTENTION
I&ting construction, and In doing the work authorized thereby. no Person
will be employed In violation Of the Labor Code of the State Of Washington
TWS PERBUT
rsl&Ung to Workmen's COMPUO&ttcn Insurance-
AUTHORIZES
ONLY THE
NOTE: permit Limit One Your (Except DEMOLITIONS which
WORK NOTED
shall be completed In nicety days; MOVE136IN DUUMINGS shall be oom-
plated-in-stm months.)
WNER OR AGENT)
DATE SIGNED
IN SPECTION
DEPARTMENT
crivy OF
EDMONDS
N07CAPPYicant Subject to Plan Check Fel
PIL 6-1107
This Permit coven work to be done 012 private property ONLY.
Amy consgructialz elm the public domain (curbsp sidewalks, drIVOWAYS,
marquees, eta.) will require separate PMO,1851001-
Valuation
YES QIKO_
erorFee
;:::�
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.
I
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ALL Of -THE SOUTH 80.00 MET
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or LoT 2, NAGGARDSMUND VIEW ADDITION.,: AC4*WDI14* TO
CT 014l.S" COUNTY, WASHINGTON.
'12 OF PLATS, ON 89, RECORDS Of SMOK
k VOLUME PAGE
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-9 -RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough)
4. 1 ' — -- L f
Frame
Furnace & Fuel Un
A7 74 AJ
Mail
RECORD OF INSPECTIONS
Date Passed.,
Drainage
Sewer
Parking
Landscaping
Fire Dept.
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or irmt MolIT11 .00.50 FEET Or T14C EAST 154.00
ALL Of -THE SOUTH 80.00 MET
THE PLAY THEREOf RECORDED'
or LoT 2, NAGGARDSMUND VIEW ADDITION.,: AC4*WDI14* TO
CT 014l.S" COUNTY, WASHINGTON.
'12 OF PLATS, ON 89, RECORDS Of SMOK
k VOLUME PAGE
7
SUIMECT TO AND TMj*ER WITH All rA2111qtMT FOR IAORCSS AND tQ A"P fait
eL
!��111611493 OUR AHD.UPOM 'MC MLOWINq OCOCRIS9.0,70ACT Or Wtol' 'ai "No M 4, T. T'tM -
mnsy CoRmt R or LOT I* HAGGA" SOUND VIEWAIDDITION,. Accoitc`i Pod'. T
.6. THi.
k406i Of - 8""9"1 $14 tOUNTY %JM04hov''
Conn
#N VoLuxt 12 *0 PtAve't orcrAut 89p
Oit.-'N '0638434-Ej,- 1�9.50 F*tlj: THenct N 88*480:39"W 1154M rwrl
0 *3a' 34"E
IWI.M ItCTI T"914CC -N 88*41111f39"W# 30.00 rtt"r-) -IrM.04-Ct S,6*�81'34"Ws
r9f Tj* TH9t#C$j'LN 0*31
48#.WE�"soxo -rt&,rj�,.!rH1itft9 S 6804$939.11E� 144ip !Jj
rs 1 .0.50 qty 'yo o�. a
r r
v
-9 -RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough)
4. 1 ' — -- L f
Frame
Furnace & Fuel Un
A7 74 AJ
Mail
RECORD OF INSPECTIONS
Date Passed.,
Drainage
Sewer
Parking
Landscaping
Fire Dept.
Z7