700246.pdfPERMIT
B R 46
POSTED ON KROLL MAP NO.:
7002
BUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATION Inside Heavy Lines jOB ADDRESS 00
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MAILINGADDRESS 1 "1 . -_
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CITY > HEIGHT BUILDIN 3 AREA VARIANCE NUMBEI
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NAME PLOT PL A ROVED -------------------
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ADDRESS
NG STREET R/W . ....... FT- DEFICIENCY THIS PROPERTY
f9IMPHONF, NUMBER
COUP.PLAN
CITY REMARKS ST. It ....... 6.rr.
NAME iy-ew ot to ex apa thone
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C4 ADDRESS
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01 CITY
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A WA 3 to,-> CLEARANCE CHECNEV BY
—CT—ATELICENSENUM1315n CITY LIVNINtill! Plum�c`�
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REMAKKS
Legal Description Of Property (Show Below or Attach Four Copies)
TYPE CONNECTION VERIFIED 15%
PERC. TEST FFERMIT NLNdBER
Z
RESIDENTIAL
GAS
LINE
g YES [IWO
PLAN CHECKED 13Y
NEW
NON-RESIDENTIAL
SIGN
DADD
RETAINING
WALL
REMARKS
DEMOLISH
EXCAVATE
FENCE
ALTER
D OR FILL
( ........ . x .......... Ft.)
REPAIR
PRF-MOVE
El INSP.
El
swim
POOL
,;UMBEI-L Up- DIUL%1�0 UBER OF
�W�ELLING
UNITS
I
q Tk-ac�- H N,; �n
rian Check No.
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
tRETAINING
I
WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
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 -
tied agent of the Owner- I agree to comply with city and state laws regu-
tilling construction; and in doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington
relating to Workman's Compensation Insurance.
Li . which
NOTE:(F M One Year (Except DEMOLITIONS
TA L'r
_ _�F IV -
shall b 0 p tied lh-lti hy, ; 1r)III1,111 BUILDINGS shall be com
y ly
-7 91,
plg�d InIsix months )_
I NoTg: Applicant Subject to Plan Cbcch Fee
.as permit coven work to be done on private P party ONLY.
r construction on tile public domain (curbs, sidewalks, drivewa7m,
marquees, etc.) will require separate Permission -
Valuation
13 YES NO
'toup
Fee
dV
r
A
No.
TOTAL AMOUNT DUE I 195'. 0 1 sso I
ATTENTION
APPLICATION APPROVAL
TIUS PERMIT
This application Is not a perralt until
AUTHOIUZES
signed by the Building Official or Ids Dep-
ONLY THE
uty; and fees are paid, and receipt is ac-
WORK NOTED
Imowledged in space provided.
INSPECTION
'
DEPARTMENT
U18110
CITY OF
41)IRECITO
DA
EDMONDS
PR 6-1107
FILE
13�
1W
Nu
A �10
y--
& MRS. DON FITZGERALD
PROP.
LEGAL DESCRIPTION:
That portion of Gov. Lot 1, Section 18, Township
27 North
Range 4 Easts W.M., described as follows:
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