710525.pdfmill 031111 POSTED ON KROLL MAP NO.: PERMIT
NU HER I l-'v25
FILING DEPARTMENT AppllcantFIR
ITAPPLICATION Inside Heavy Lines JOB ADDRESS X^
R NAME OF IIU81NE88) 7O �V 7
HIDE YARD BE
IT STREET SETBACK (REAR YARD gETIIACH
DRESS U, / r 7 USE ZONEVACANTBITE
V n� z
TE YHONID NUMDB;R /C. �Z ❑ YEBNOHEI HT A VARIANCE UMBERPLOT PLAN APPROVED
CkCQr
STREET R/W
� EXISTING STREET R/W .... d..FT. DEFICIENCY THIS PROPERTY
I
{a
z
lin is �
x
W
A
n
W
a
RESIDENTIAL
AS
LINE
NEW
ADD
ALTER
REPAIR
NON-RESIDENTIAL
❑ DEMOLISH
EXCAVATE
❑ ORFILL
n PRE -MOVE
INBP.
❑
❑
i—I
SIGN
RETAINING
ALL NINE
FENCE
3.......... Ft.)
SWIM
POOL
DWELLING
UNITS
W I PROPOSE USE
Uq
Wa PLOT PLAN (Indlate Building setb
n
I 90 L��_
C.<<Y
Z� l
t--/00 `I
I hereby acknowledge that I have read this application; that the in-
formation given to correct; and that I am the owner, or the duly author-
Ized 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.)
it }VATU (OLVNNII OR /-PENT) DATE SIGNED
= NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the pabtle domeln (curbs, sidewalks, drivoways,
marquees, etc.) win require separate permisslon.
COMP. PLAN ST. R/W •er7..: b..FT. ...0....M.
REMARKS Drive;)ay elopes not to e::ceed those
indicated on Standard Drawinn=•103
F >u S_r . 00 C1 A4MGrC
TYPE
,'- / V I ❑ YES ❑ NO
❑ YES O
PLAN CHECKED BY THIS SITE IS LOCATED IN THI,
.
CITY OF EDnnnr.�nc 1 nrnl PA."
.��I '
REMARIIB TAX SHOULD BE CODED 3:.0+1
Plan Check No ....................
BUILDING
PLUMBING
HEAT d: GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
Fee
W
,0
w
m
No.
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.
/d-Zq-7
FILE
(2, f
I
s'