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BUILDING DEPARTMENT
PERMIT APPLICATION
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POSTED ON KROLL MAP NO.: PERMIT
710294
Applicant FLU
NUMBER
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Inside Ifeavy Lines
IOB ADDRESS
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BIDE ARD SETBACK
STREET BETDACK
REAR YARD BE.
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0 YES
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EXISTING STREET R/W .%%........ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W "'..... Q..FT. •• •••FT•
REMARKS
)escrlpLtion of Property (Show Below or Attach Four Copies) e—A Sr(
` A rrr9 e /yF D TYPE CONNECTION
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❑ YES 0 NO
® RESIDENTIAL ❑GAS LINE❑ YES %�] NO I J
❑ NEW PLAN CHECKED DY
NON-RESIDENTIAL ❑ SIGN
RET.UADD ElDEMOLISH❑ WALL NINO REMARKS
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ALTER EXCAVATE FENCE z. ` (/J/ h�K,! �rO�/
OR FILL El (.......... x..........-... D U G
PRE -
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❑ REPAIR ❑ IN P. ❑ POOL
LUMBE
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'OF STORIES NUMBER OF
DWELLING /�/) 'r lid
/✓F I /tj�
UNITS
MATURE OF WORK TO BE DONE I I Valuation I Fee Receipt No.
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PROPOSED USE
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APLOT PLAN (Indicate Building setbacks, abutting streets)
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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-
lzed 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.)
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NOTE: A�(�lieaflt Su ject to flan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Plan Check No.
BUILDING
PLUMBING
HEAT do GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
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ATTENTION
APPLICATION APPROVAL
TIUS PERMIT
This application is not a permit until
AUTHORIZES
signed by the Building Official or his Dep-
ONLY THE
uty; and fees are paid, and receipt is ac-
WORK NOTED
knowledged in space provided.
INSPECTION
DIRECTOR'S GNAT lE
DEPARTMENT
CITY OF
DATE
EDMONDS
1
PR 6-1107
FILE
I
All that portion of the Southeast quarter of the Northeast quarter of Section
199 Township 279 North Range 4 East, W.M., described as follows:
Beginning at a point on the North line of said subdivision 450 feet West of the
Northeast corner thereof; thence South 170 feat to the true point of beginning;
thence continue South to the centerlide of Dale Street as shown on the Plat of
Central Park Addition to Edmonds, (vacated); thence West along said center line
a distance of 179.5 feet; thence North to a point 130 feet South of the North
line of said Southeast quarter of the Northeast quarter; thence East to point
of beginning.
EXCEPT the South 30 fee:t thereof; and EXCEPT the West 85 feet thereof.
Situate in the County of Snohomish, State of Washington.
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