700277.pdfC
No.:
BUILDING DEPARTMENT AppHeant F111
Inside HeavY Lines MADMEN
PERMIT APPLICATION
NAME (OR NAMJD_OF BUSINF.Pe)
a SIDE YARD SETBACK BTR:
40
MAUING ADDRESS
USE ZONE LOT
CITY V;LEPLIVNE NUMBER
I
PLOT,;LAN RO D
ADDRESS J*
STREET SM W.0 0 .. I
____rING STREET R/ ..
CITY TELEPHONE NUMBER COUP. PLAN ST. R/W.. 6
REMARKS
NAME
nriynway slopAn no
indicate-1
ADDRESS
on Sty
Ap,pZe hJ
CITY TELEPHONE NUMBER cilb, !;I-Zjw dt 4 c 0
_41, sn-e4sth 4y be
STATE LICENSE NUMBER CITY LICENSE NUMBER MET, SERVICB� SIZE
REMARKIF
Legal Description of Property (Show Below or Attach Four Copies)
NEW
RESIDENTIJ LL
AS
G
LINE
NON-RESIDENTIAL
SIGI,
ADD
RETAINING
WALL
DEMOLISH
EXCAVATE
PENCE
ALTER
OR FILL
( x Ft.)
REPAIR
E]
PRE -MOVE
INSP.
........ . ..........
swim
POOL
iUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
PROPOSED USE
PLOT PLAN (Indicate Building setbacks,
_44n—A ro-T
lbo,
;0
r Sal
0 YES M NO
'a
Plan Check No ............ . .......
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
tRETAINING
13IGN
I
WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
U In
I hereby acknowledge that I have read this application; that the In-
�bor
formation given Is correct; and that I am the owner, or the duly author.
"orron
wo'
ized agent of the owner. I agree to comply with city and state laws regu-
'zed s reg U0
ATTENTION
Person
lating construction; and in doing the work authorized thereby, no person
laun'
ashington
will be employed In violation of the Labor Code of the State of Washington
will b
THIS PERMIT
rel nX to Workmen's Compensation Insurance.
ath
AUTHORIZES
8 which
LNOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
C,m_
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
t
CITY OF
EDMONDS
NOTE: Appli"nt Subject to Plan Check Fee
PH 6-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
fl
PERMIT
NUMBER
,4e
?BACK
I/ I
DEFICIENCY
Drqwlng
M
r. f�608 0 k-j-1 *
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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LEGAL DESCRIPTION FOR: THOMAS E.' BELT
PARCEL B
Cal The East 104.00 feet of the West 254.00 feet of the North 110.00 feet
0 f Tract 12, Puget Sound Machinery Depot Five Acre Tracts, according to the
plat thereof recorded in Volume 5 of Plats, on page 47,. records of Snohomish
County, Washington.
SUBJECT TO AND TOGETHER WITH an easement for Ingress, egress and utilities
over, under, across, through and upon that portion of Tract 12, Puget Sound
Machinery Depot Five Acre Tracts, according to the plat thereof recorded in
V lume 5 of Plats, on page 47, records of Snohomish County, Washington, described
ot
as follows: Commencing at the northwest corner of said Tract.12; thence-S 0*111
Ll;l
38"E, along the west line of said Tract 12, a distance of 100.00 feet to the
Y True Point of Beginning; thence S 8903412811E. parallel with the north line of
Tit
.0, said Tract 12, a distance of 130.00 feet to the point of curve of a curve to*the
left having a radius of 19.78 feet; thence easterlys along the arc of curve to
the left and consuming a central angle of 90*37110". an arc distance of 31.28
feet; thence S 89*34128"E,.a distance of 20.00 feet;. thence S 0011138"E, a distance
of 60.00 feet; thence N 89034128"W, a distance of 20.00 feet to an Intersection
with a curve having a radius of 20.22 feet, from wh'ich'intersection the radius
point of said curve bears S 89*48122"W; thence northerly, along the arc of said
urve
t
t c being a curve o the left and consuming a central angle of 89*22150", an
arc distance of 31.54 feet; thence N 89*3412811W, a distance of 130-00 feet to
Ah,ofli an Intersection with the west line of said Tract 12; thence N 0*11138"W, along
1 4,
sbid west line, a distance of 20.00 feet to the True Point of Beginning. EXCEPT
the West 30.00 feet thereof.
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7-
7*t�7 =7- t!
T, I,
rt
p
i4
RECORD OF, INSPECTIONS",
Date.
VY,
F64ndatlon
'Plumbing (Partl9l)
(Rough)
Y�t
Frame
Furnace & Fuel lin
j es
:�,FlnaU
IT
RECORD iOF.INSPECTIONS 4�6 1:, 1.,
Drainage
Se er:,,
4, W
Farking
Landscaping
i . F D t
re. ep,t_,:
is
I