710130.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
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Rcb,ERT M PFLU 6RA►�
MAILING ADDRESS
110 NTH s
oia'Y
IC-0/MCAI 0 s tyro
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S'6r- ArTrrc4r=n
Applicant Fill
Inside Heavy Lines
1711
R-WAM
o
HT '
,So
0.: PERMIT
NUMBER
B^,EET SETBACK
1 t7 1 M Ali
710130
REAR YARD SETBACK
0
VACANT SI
17 YES �NO
0Kxmz,X DSO
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
or Attach Four Copies) 'NQ Qt/t/I t er6�
❑ NEW
Ir7l
LCII RESIDENTIAL
M
GAS
LINE
El
NON-RESIDENTIAL
❑
SIGN
ADD
RETAINI❑ NO
DEMOLISH
WALL
ALTER
❑
EXCAVATE
ORFILL
CE
(�...N.-xFt.)
..........
REPAIR
PRE -MOVE
INSP.
SWIM
POOL
DWELLING
UNITS
2 131
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-
ised agent of the owner. I agree to comply with city end state laws regu-
lating construction; and In doing the work authorised 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.)
4-7- -7r
NOTilApplicant Subject to Plan Check Fee
This Perralt coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
TYPE OF CONOTRUCTION ST
YES
Plan Check No .....................
BUILDING
PLUMBING
HEAT d: OAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
i] YES
ROUPP
+J..
Fee
r,12
No.
rTOTALAMOUNT DUE 5-77ox APPLICATION APPROVAL
IT This application is not a permit untAES signed by the Building Official or his Dep-
ONLEut and fees are paid, and receipt is acTHE
ED y�
knowledged in space provided.
INSPECTION DIRZCTOR%W1SIGN4tE
DEPARTMENT
CITY OF DATE
EDMONDS
PR 6-1107
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This sketch shows the location and boundaries. of 'the property`'' r° `�
`described; in the mortgage covered ,by the annexed policy; `and
` ari approximate general location of:the.improvement'sJ,es;whey I ),
r � '` :appear on inspection" without Ian actual. survey .or•Imeasurement;,,41 1.r ,
of'. _improvements,- the street number -of •which is; , I4^ i ! I •5,t, x „
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s for and in consideration of Tan and no/100 ($10.00) Dollars, and other valuable consideratie ty
In hand paid, conveys and warrants to Robert M. pflugrad and Helen J. Pflugrad, his wife
the following described real estate, situated in the County of Snohomish ,`State of ;
{ Washington:
lie
. . . i ✓ie ' .
Bouth 85.feet of the following described property:
I All that portion of the SW 1/4 of the NE 1/4 of the SW 1/4 of Section 25, Township.2 <a
4• N.R, 3 E.W.M., described as follows:
'j ` Beginning at the northeast corner of said SW 1/4; thence West along North line is I
195 feat; thence South 1' 070 West along East line of Tract conveyed to J.V. Cockrta•
1 aad Edith Cockrum, by deed recordid uadas Auditor's file Na. 1157375 for 155 feats d
f ? thence East parallel with the North line of said subdivisigq to. the Bast li,:ta thSsac
thence North along the East line 05 feet to true point of -beginning; EXCEPT tha,Zr►u ;i
30 feet for road; situate in the Couaty of Snohomish. State of WashinQtoa. ,
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RECORD OF INSPECTIONS
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' Date ass
_. .. .,. ,-1i Foundation
Plumbing (Partial)
ry. x ii (Rough)
t Frame
:Furnace &Fuel Lines �----- - i
Y
�� ... _ __ ... _ 0RD.9F- INSPECTIQNS ._ xa
1 lY .._,,. .. .I
Date Passed tI
t
et
P 1 J
i i Drainage`:
a, t atcsrt „ Sewer jk
" Parking a� I
i 3> ,. 1
r t r,
Landscaping
Fire` Dept.
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