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POSTED ON KROLL MAP NO.: PERMIT
BUILDING DEP�ARTMANT .Appucant Flu NUMBER 700286
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PERMrr APPLICATION
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TE'LEPHONE NUMBE-R— EXISTIN STREET R/W J .. 411 DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ..... 10 .. FT.
REMARKS
Legal Description at Property (Show Below or A
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RESIDENTIAL
GAS
LINE
NEW
NON-RESIDENTIAL
SIGN
ADD
RETAINING
WALL
DEMOLISH
ALTER
EXCAVATE
OR FILL
FENCE
( x Ft.)
.......... ..........
REPAIR
El
PRE -MOVE
INSP.
El
swim
POOL
1UMBER OF STORIES
NUMBER or
DWELLING
UNITS
REMARKS
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Plan Check No .....................
BUILDING
PROPOSED USE
PLUMBING
Q
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
formation given In correct; and that A am the owner, or the duly author-
Ized 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 Coda of the State of Washington THIS PERMIT
t
TOT"
he In'
'y allth"r-
re u- A
'Iwo pe on
no r
"Bhlngton T �1
relating to Workman's Compensation Insurance. AUTHORIZES
_-S "'h1ch ,ONLY TAKE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
11 be com_
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0-1
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
HGNATURE (OWNER OR G DATE SIGNED INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: ApplicarASubject to Plait Check Fee PR (1-1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
m"queec, etc.) will require separate permission.
Valuation I Fee I Receint No.
7, -7 & a I �S`7 0�9'
ILZ
APPLICATION APPROVAL
This application is not a pernilt until
signed by Uie Building official or his Dep-
uty; and fees are Paid, and receipt is ac-
Imowledged in space provided.
DIRECTOR WSIGNATU
.DATE
7
FILE
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SOUT14 89001!50!' WEST 3 o F#ET
20" E
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4 AST 333*6
7 "TH 890041
THENCE NORTH
0-P D.TRACT THE SOUT14 20 FEET AMP
11,SAID LAST DESCRIBE
ftft' ROADS.- I TY OF EDMONDS
N4j!'�ED TO C
moftiva .,."E: SOUT14 5 FEET CO
05191.
LE NO. 21
TAX UPON ANY SALE OF SAID.
ESTATE EXCISE SALES
:UNPAID.
R ORDINANCE NO.
Y CITY '16B�.PA
135,p AS THE
OF EDMONDS VOR SEWERp UNDE
MT. No. YABLE IN TEN ANNUAL
Ila* -
� 0 -,ol N ORIGINAL AMOUNT OF $454*800.
PLUS INTERESTp IN THE
ARF.-PAID. THE FIFTH INSTALMENT WILL'BE
VIRSTFOUR !NSTALMENTt
KUNQUENT,MARCH 20, 1971v IF UNPAID.