700329.pdf■ Nsngla■
■ Ime ■ ossvmr s ava.
NAME (OR NAME OF BUSINESS)
Don De Robs
.MAILING
ADDRESS
19117 Olympio View Drive
CITY
TELEPHONE NU'.
Edmonds
776m8856
NAME
John Adams
U
ADDRESS
Smith Tower
CITY
TELEPHONE NU
Seattle
..5.. NAME
Owner
J W ADDRESS
f aa
CITY I TELEPHONE NUMBER
8 STATE LICENSE NUMBER I CITY LICENSE NUMBER
Legal Description of Property (Show Below or Attach Four Copies)
Edmonds Sea View Traots;W.150fte
' of Sehalf of Traot 81,less the N.
We ft. thersof;All of the We150 fte
a
I of Treat82yless the Se93 ft. there
ennarding to plat reoorded do voluu
IS-eeaa 76,reeords Olt Snos County
GAS
NEW RESIDENTIAL O LINE
NON-RESIDENTIAL ❑ BICN
ADD r ❑ RETAINING
DEMOLIO WALL
SH
ALTER CE
❑ OR FILL E ❑ FEN..z_........ Ft.)
PRE-3iovE swim
REPAIR O INSP. POOL
DWELLING
UNITS
Roof rebuild.
T
N
I
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-
ized agent of the owner. I agree to comply with city and state laws regu-
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
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.) ,
NOTE: Applicant Subject to Plan Check Fee
This Permit coven
work to
be done
on private property ONLY.
Any construction on
the public
domain
(curbs, sidewalks, driveways,
marquees,
etc.) will
require
separate permission.
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•OOTED ON KROLL MAP NO.: I I Id '
N 700329
r�
OR ADDRESS
opt/ e Ve cam) `d ie ,
TIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK ,
USE ZONE I LOT AREA VAOANT BITE
O YES 13 NO ).
1EIGHT (BUILDING AREA (VARIANCE NUMBER
PLOT PLAN APPROVED
STREET R/W
EXISTING STREET R/W ..._._....bT. DEFICIENCY THIS PROPERTY I S
f;
Lai
Pfau Check No, __.............
�.10i+1ORICl
HEAT d: GAB LINE
FENCE
SIGN
RETAINING WALL
r'S'. � i•*. i.'•i i`. zi>♦ I.I.)
DEMOLITION
7:i �.0'•I•1'f bi i s i=1 }:,tti 3S•I�il
i�Y�I�I (•3�Li3i��a lit+
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR g-1107
APPLICATION APPROVAL I y
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
Imowledged in space provided.
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