700386.pdfTED ON KRO' MAP NO:
ERMIT
: 11q NUMBER 700386
I BUILDING DEPARTMENT Applicant FIB I I
PERMIT APPLICAI Inside Heavy Lines
NAME (1CR-lTX3nTW BUBINESS)
Ik /-Ic/ FF-R
MAILING ADIJ EBB
F? / 0 2- 1,',* No
CITY NUMB —Lit
DMOND-5- I P96-94_6 i5;_
NAME
L ffAmm-TO/v. 1oA)1vsoA)..
ADDRE135
FE
- 0 1 - V1 IK 11
Legal Description of Property (Shov
LOT 7* 511A
52i5 C 7�/ o A/
ri 2- �7 /V
F, D M ON 05
IQ
2
M NEW
ElADD
ALTER
REPAIR
177&�
FER
�(2
3
0' T1,
3ETBACK I
� t
STREET SETBACK
1-12 e.- 1
REA11 YARD I
.01 t�, e
— r—L.-- I 1,A?TES (:] NO
PLOT N P
i P A 0 OVED
EXISTING STREET R/W,�o
... 4-T. DEFICIENC THIS PROPERTY
COMP. PLAN ST. R/W 41-FT. �a ..... FT.
REMARKS
Driveway Slopes notto exceed those indicatd
on Standard Drawing #103.
CITY LICENSE NUMBER
3/4� @a
RISMARKS
or Attach Four Copies)
14
TYPE CONV
iE�
PERC. TES,
REMARKS
I R CASE
RESIDENTIAL LIN
NON-RESIDENTIAL SIGN
RETAINING
DEMOLISH WALL
0 OR FILL FENCE
EXCAVATE F
PRE -MOVE swim
INSP. M POOL
DWELLING
UNITS
41 N F
0 W &�� c,-;
El PROPOSED USE
PLOT PLAN (Indicate Building setbacks
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 atnto 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 Yecir (Except DEMOLITIONS which
shall be completed in ninety days; MOVEDAN BUILDINGS shall be com-
pleted In six months.)
FIRE ZONE
[3 YES
plan check NO.
.3
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DMIOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
—7101
NOTE: Applicant -Sit ct to Plan Check Fee
This Permit covers work to befdone on private property ONLY.
Any construction on the public domain (curbs, sidewalks, drivewlLys,
marquees, etc.) will require separate permission.
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
ED51ONDS
PR 6-1107
HE�7CK D Y
BER
;STREET PROVED
:;F�E3 NO
GROUP
Fee
No.
C) -5:5-6 LCL4
�1_ -
APPLICATION APPROVAL
This application is not a pernilt until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
Imowledged in space provided.
�- (T-
FILE
I
one
o0e.
40
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RECEIVED
AUG 12 1970
CITY OF EDMONDS
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77b 0006S41
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