730254.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
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(U RESIDENTIAL ❑ GAB
I I NON-RESIDENTIAL
DEMOLISH
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OR FILL
PRE•MOV10
INBP.
NUMBER OF
DWELLING
VNITB ��
CEL
Appuealtt Flu
IDglde Heavy I.inee
C� xoN� u1tBa:R
C-G�� (DG 3 0
or
LINE
SION
RETAINING
WALL
❑FENCE
(.........s»........Ft. )
SWIM
POOL
VBE rj
zoNE Il�J
� NO
PERMIT 7.3C}25
NUMBER
EXISTING STREET
R/W
............FT.
DEFICIENCY THIS PROP.
COMP. PLAN BT.
R/W
............FT.
............FT.
Driveway slopes not to exc
d on S�ndard Dwe. No. 103.
l�iiili—I� _S1V1
�eei::{:1
IS LOCATED IN TH
JDS. LOCAL SALT
n/oty - ST/eycTv�aC., �� L .
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Piaa Check No...»...»...........
BUILDING
PLVMHIN6
HEAT A 6A8 LINE
FENCE
s1aN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE•MOVH INSPECTION
EXCAVATION OR FILL
I heroDy acknowledge that I hnva read thL application; that the la-
tormatloa given L correct; sad that I am the owner, or the duly author.
Ized agent of the owner. I agree to comply with city and elate Incas rogu-
latlag comtrucUoa; and In Qolag tha work authorised theroby, ao penoa
will ba employed Ia violation o[ Ule Labor Code of the State of WmDmgton
rotating to Workmen's ComDeasntloa Iaeutance.
NOTE: Permit Limit One Year (E:ceDt DEMOLITION6 which
aball De completed to ninety dnya; MOVED -IN HUII.DIN68 shall be com-
pleted t: months.)
116N TU (OWNER OA GENT) DATE BIONED
s-�`G.��,�� I�`l�nhll��
' NOTE: AQpllcant Subject to Plan Check Fee
This Permit coven work to be done oo Drlvate property ONLY.
Any eonstractloa oa the Dubilo domain (earbs, sldnwdke, driveways,
mar0uees, etR) wW teONre seDamte �Iuloa.
TOTAL AMODNT DDE
ATTENTION
TFHB PERMIT
AUTIIORIZEB
ONLY T1Q�.
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APPLICATION APPR
This application !B not a F
signed by the Bt111ding Official
uty; and tees are paid, and re
}Inowledged irl Space provided.
INSPECTION D RECTA BIG
DEPARTMENT /
OITY OF
EDMONDS DATE I
PB 8-I107 �_
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730254
SCRIpTION :
. .'F�.
Sea VieM;Tracts,or A
p�CEL A: of Tract 104, Edmonds
76, F144
ortion Volume 3 of Plats, pse
Zract 1A5 and aii that p recorded in State of:Was ington, $
;;� to the plat thereof of Snoho*ish.as the Edmonds
according also known
seconds` of the Auditor oictView�Drivo, K
crrtherly of Oly*p
lyiag Park Roads i
Beverly
BXCBPT County Road. lie
s;
\T ' ;AREBL H=��•- according to the plat
the,
recorded is
�cre�L
• , ''' Block 2, Admiralty 06- Bdnonds• } l
:9 ♦ 4e, rocords of the
of ?ractta he •C�unty of
; M{ Tract . . of .plats,, P All that per r
:in'roluwe 1Z hag ton. T6 records of the'�B Ve�lyOrk
F� ,, gppho�isb. State of Was iag of Edmonds i,,
northerly and eisuriy i� ; .,
d...Viex
Tracts volume 3 of Plats. pag
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