720548.pdfBUILDING DEPARTMENT
'PERMIT APPLICATION
NAME,(OR NAME QF BUSINESS) _
&bkOA103
Applicant FIII
Inside Heavy Lines
Wo
/b
GAS
RESIDENTIAL ❑ LINE
NEW NON-RESIDENTIAL SIGN
ADD ❑ DEMOLISH
WAL NING
ALTER ❑ EXCAVATE ❑ FENCE ORFILL ...x.»...»..Ft.)
REPAIR ❑ INSEP-, _ swim
❑ POOL
iUMBER OF STORIES NUMBER OF
DWELLING /
( UNITS
QATURE OF WORK TO BE DONE
Qtc LasF CARPO2T
/uo CaAJ&jer-c
PNUMBER 20548
/421/ - %1001e)z y. U/ 6ry D2.
EXISTING STREET R/W .......»...FT.
COMP. PLAN ST, R/W .......»...p'r.
N/G
13 YES 17 NO
DEFICIENCY THIS PROPERTY
WCO
/j/C.
YES
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES ?6 NO I � /
CITY OF EDMONDS. LOCAL
S�T+�SItQ?/O!J
occ: /W=AV
Valuation
Plan Check No............_..»...
BUILDING
PLUMBING
I:ial.4''li►� ial�Y:i
FENCE
SIGN
tRETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
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.
Ized agent of the owner. I agree to comply with city and 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 Orip Year (Except DEMOLITIONS which
shall be mpleted In blast y ; MOVED -IN BUILDINGS shall be com.
pleted ilx months.)
t/
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalkst driveways,
marquees, etc.) will require separate permission.
TOTAL AMOUNT DUE
Fee
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ATTENTION APPLICATION APPROVAL
TMS PERMIT This application is not a permit until
AUTHORIZES signed by the Building Official or his Dep-
ONLY THE
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged in space provided,
INSPECTION RECTOR' IGNAT
DEPARTMENT
CITY OF DATE
EnMONDs PR 6-1107
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DESCRIPTION OF THE REAL ESTATE WITH RESPECT TO WNICH THIS POLICY IS ISSUED.
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A ,. That portion of vacated Lake Avenue and Block 44; Plat'.of North Edmonds,
,t according to the plat thereof recorded'ir. Volume'2 of 'r
' 'Platt, page 75� records of the Auditor of the County of'Snohomish,' "I
I State. of 1�'ashington� Described as follows,
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F• i;' Beginning at a point on the Easterly 'line of Third Street and ` „. I
: ~x ' intersection of the Northeasterly line of Block 446 thence North k`
1';:i1 38°34'-L•ast along the Easterly margin of Third Street 70 feet; thence � II
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I,� ` South r51•26' .East 115 feet; "thence South 8.381, Nest 109'.40- fcet; ..{ , I: {
f ;J+ ;';.; theme North 51.2G': West 159.38 feet to the Easterl line of"Third �. I°
I, :;.'6'Street•' thence. North 38034' East 30 .feet to the "point of beginning'. �l 'r
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