710247.pdfI BUILDING DEPARTMENT Applicant FLU
PERMIT APPLICATION Inside Heavy Lines
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TELEPHONE NUMBER
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ADDRESS
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TELEYIiONE NUI.iBER
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NO.: I PERM
NUMBIER 710247
YARD SETBACK STREET SETBACK REAR YARD SETBACK
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YES ❑ NO
EXISTING STREET R/W %��v FT. DErICIENC�YnTHIS PROPERTY
COMP. PLAN ST. R/W ..`.:: p....FT. X^.... FT.
REMARKS
Drivewav slopes not to exceed those
ted on
Lt-9 v3s'
Drawing 0103.
FIREI TYPE OF C S,TRUCT,tON I STREET IMPROVED
// NN YES NO
SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP I
ll�J l✓ GAS ❑ YES NO ..—
RESIDENTIAL LINE PLAN CHECKS BYp�
NEW ❑ yyp—// I THIS SITE I LOCATED IN TH
ElNON-RESIDENTIAL❑ SIGN �lF — CITY OF EDMONDS, I_QCAI SAl
❑ ADD DEMOLISH ❑ RETAINING REMARKS TAX SHOULD BE CODED 31.0Z
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❑ ALTER ❑ ORCFILLTE ❑ FENCEy�C I.x-........Ft.)
❑ REPAIR PRE -MOVE SWIM
ElINSP. ❑ POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS /
NATURE OF WORK TO BE DONE Valuation I Fee Receipt 1
B.e ( X �-t�
Plan Check No ................ ..
I/4Z �7"-YA
BUILDING
[[Z
y PROPOSED USE
an
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PLVMBIN6
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a PLOT PLAN (Indlcnto Building setbacks, abutting streets)
HEAT & 6A8 LINE
O
O
FENCE
n
SIGN
TRETAINING
WALL
N
I
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 Is correct; and that I em 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 Berson
will be employed In violation of the Labor Code of the State of Washington
TIUS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
33ONATURE (OWNER OR AGENT)
DATE SIGNED
INSPECTION
J
— _ /
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 0-1107
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.
Io6 ! r'-j C-0
MH
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
FILE (2• IV
PARCEL
All TIIAT PORTION OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF TIC
NORTW4987 QUARTER Of SECTION 19, TOVNSHIP 27 NORTH, RANG[ 4 EAST W.M., DESCRIfts AQ1M "
. FOLLO1P5f COMCWCING AT THIC SOUTHEAST CORNER Of SAID ►USOIVISION; THENCE If
H, ALONG THE CAST LINE 0/ SAID SUISDI VISION, A DISTANCE Of 189.12 FEET; T49010E
89°52126"V, PARALLEL WITH THE SOUTH LINE OF SAID SUBDIVISION, A DISTANCE OF 75.00
FEET TO THE TRUE POINT or BEGINNING 0/ THI TRACT OF LAND weaciN DESCIIISEO; TNZ11C6„
CONTINUING S 89e52126"W, A DISTANCE Of 70.00 FEET; THENCE N 0e16137"v, A 618TANCIR
OF 120.00 FEET; THENCE S 69°52126"W, A DISTANCE OF 5.00 F[[T; TH[NC[ 4 0116A37i0W,
A OISTANC[ OF 60.00 FEET; THENCE N 89652126"E, A DISTANCE OF 30.00 Ft4,T; THENCE
3 0,*16137*E, A DISTANCE OF 00.00 FEET; THENCE S 29°36'0t*E, A DISTANCE OF.91.09
b v9:T1 THENCE S 0"16'9"Eo. 4 DISTANCE OF 40.00 F[ET TO..Yk[ Tout POINT OF likG1NNfMte
SITWATCD IN 5"19$8i1sf01 LO{W1TT/ yJS$kINQTON.
' � �a r, �i 6. ..4 P :,r' -.t•. <: F. _ tom. ,
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RECORD OF INSPECTIONS
��. Date Passed
Foundation
Plumbing (Partial) 2
@ � (Rough)
Frame
Furnace & Fuel Lines
! '% Final
RECORD OF INSPECTIONS
�. Date Passed
� Drainage
u n`
Sewer
Cp Parking .
Landscaping ,
Jp��t Fire Dept.
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