710092.pdf.............. - -
PORTED ON KROLL MAP NO.:
BUILDING DEPARTMENT Applicant Fill
PERMIT APPLICATIQN Inside Heavy Linos JOB ADDRESS 115
NAME..4 ayyt _ [9 H6✓IA g 'W la-,Kk SIDE YARD SETBACK STREB
N q O ADDH 88 C f11 ' O
Z
' I�/ _ �'. USE yZONE LOT A
1TY t ,.i� TE PHONE), UMBER y C —I
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kl�rj s'l �„ 7' ��j p!� HEIFO•II•T•J 1 BUILD
N 3o Max
[� kUl �,<z,, iawrd I+ PLOT PLAN APPROVED
ADDRE52388 i r�� Sit
STREET R/W
- _ tTELEPHONIC NUMBER EXISTING STREET R/W
[,AeT(-91 3 b COMP. PLAN ST. R/W .W..K...
REMARKS
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ilniVPway slopes ng
IQ ADDRESS // d / }�
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C1T�Y I TELEPHONE NUMBER
8 C, l VN-r - METER SIZE I SERVICE SIZE
STATE LICENSE FMHER_ / CITY LICENSE NUMBER 3 /' 1�\
6 /0 i1 I R—E—dMA/�RKB{�O
Legal Description of Property (Show Below or Attach Four Coples) _ _ i ?,
TYPE CCOTNNN•iE�✓CTiON�.,rr.rr)) vs
C S6-vjy '�
PERC. TEST
w
.. aQ REMARKS
WOl1j
rl FIRE ZONS 1 Tvnm nvi nma
DEFICDENO/ !I IS PROPERTY
Y....FT.
eF c�iNSPLEcUFoR REQUIRED OCCUP ata YES PO
RESIDENTIAL ❑ GAS ❑ YES NO ♦ /
NEW LINE PLAN CHECKED BY V
NON-RESIDENTIAL El
ADD RETAINING REMARKS -
DEMOLISH WALL
❑ ` uE�e4T ���Ita((�-
ALTER EXCAVATE FENCE
OR FILL (.......... x..........Ft.)
REPAIR swim
❑ INSP. POOL
NUMBER OF STORIES NUMBER OF
7 DWELLING
UNITS
NATURE OF WORK TO BE DO P Valuation Fee Receipt No.
DAA i .1 �'L'�� Plan Check No .... ................
O
i" BUILDING
PROPOSED USE 04
Of a, V
GGy�� PLUMBING
q PLOT PLAN (Indlcato Bulldtng aetbacks, abutting street.) REAT& 6A8 LINE '
2
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have read this application; that the In-
TOTAL AMOUNT DUE
; 0
I I
formation given Is correct; and that I am the owner, or the duly author-
,
ized agent the owner. I agree to comply with city and state Inwa ergo-
regu-
tr
lating construction; and In doing the work authorized therapy, no Demon
ATTENTION
APPLICATION APPROVAL
will be employed In violation of the Labor Code of the Biala of Washington
Hinting to Workme¢'s Compensation Insurance.
THIS PERMIT
This application is not a permit until
•
NOTE: Permit Limit One Year
AUTHORIZER
ONLY TILE
signed by the Building Official or his Dep-
(Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be earn-
WORK NOTED
uty; and fees are paid, and receipt is ac-
plated In six months.)
knowledged 111 space provided.
81 TU (OWN R OR GE DATE SIGNED
INSPECTION
DIRECT IGNA
n„ a
DEPARTMENT
CITY OF
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
Pit s-Ilov
DATE
This Permit coven work to be done on private property ONLY.
e�
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permisslon.
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i Legal Description: "All. that portion of Government Lot 2,3rI
Section 70 Township 27 N.R. 4 E.W.M., described as: Beginning t:tu•
at a point on the East Margin of Talbot Park Road, 301.57 feet alp?
North 44016'50" East from the interesection of the East margin
of Talbot Road and South line of the said Government Lot 2; thence4
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