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740405IT
BUILDING DEPARTMENT Flll
�aNUM13ER
PERMITAPPLICATION y Lincs
aDADDRE88
s
G/I L 6t'OT
(OR NAME OF BLU8INE88) ,�tt1�TREET
COt1IHLF. �CTUALjLOT COVERAGES
LNAME
LOT COVERAGE
L 1
mMAILING ADDRESSPERMI8SIBLE
HEIGH
I PItOPOB A I(F.IHT •r• JCITYHl.R
TNU..E.
ACT AL LOT AREA
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TOTALi
ND ; '�- _�
- REQU.—D Y RDPROP08ED
O)VIO
YARUA__NAME
FRONT BID'
QI2EOAI,
REAR FRONT BIDE2�
LOT VA
NCE OR CO ITI AL SEADDHF.SS
YES ❑ NO PE
IT NUMBER-PLA
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CITY TEMBER
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EXISTING STREET R/W .. ..;......
DEFICIENCY THIS PROPERTY
NAME r
COMP. PLAN BT. R/W ............FT.
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............FT. � 1
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'ADDRESS
REMARKS
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CH�D BY
NUMBER
TELEPHONE NUMDR
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ME'CFSi el'LE SERVICE 131ZE CLEARANCE CIMCKED HY
U STATE LICENSE NUMBER I CITY LICENSE NUMHEIt
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REMARKS
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Legal Description of Properly (Show Below or Attach Four Copies)
TYPE CONNECTION
VERIFIED�$�'
Cdtz'"
PERC. TEST
PERMIT J11UMBEE,
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REMARKS
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FIRE ZONE TYPE OF CONSTRUCT -TRE T IDtPR0 ED
77 I E8 [3 NO ,
SPECIAL INSPECTOR UIRED OCCUPANCY GROUP
BQ
OAS
RESIDENTIAL LINE
❑ YES 10
PLAN CHECKE
IN CITY '
NEW
DY
THIS SITE IS LOCATED THE
TAX
El NON-RESIDENTIAL BION
OF EDMONDS. LOCAL SALES
CODED 31.04.
ADD RETAINING
A 9
HOULD BE
❑DEMOLISH❑ WALL
FENCE
�/ �r��
(/ Ute/ ! �,4a V19,72
ALTER E%CAVATE
❑ OR FILL (........_g.......... Ft.)
REPAIR ❑ INBPn[OVE swim
❑ PODL✓�c76
t�� �� OI./ I��e✓-� -
NUMBER OF STORIES NUMBER OF
1
DWELLING
I
J UNITS
NATURE OF WORK TO BE DONE .r+[l /p A l� C
�6-S �d
V.1-tion Fee Rccelpt No. Ij
u �( /Ili/ I
flan Check No.....................
BUILDING
�/ l �O �� 1
f�
of
6, PROPOSED .USE
PLUMBING
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4L
PLOT PLAN (Indicate Hullaing eelbaeks, abutting Greets)
HEAT A CAB LINE
O R• ^
FENCE
fill
SIGN
RETAINING WALL
N
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; ane that I rum the owner, or the duty author-
,red agent of the owner. I agree to comply with city and state taws regu-
ATTENTION
APPLICATION APPROVAL
little g construction; and In doing the work aulhorlred thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application Is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep.
NOTE: Permit Limit One Year (Ercept DEMOLITION8 which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac
shell be completed In ninety days: MOVED-IN BUILDINGS shall be cam-
knowledged In space provided.
Pleted In eta menthe.)
Olt AGENT) R�AJTE SIGNED
INSPECTION
IN SIGN TUnE
ySIGNATURE j(OWNER
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C /-LC
DEPARTMENT
' ►i YC L.[ [�iti'lJ�
CITY OF
,
EDMONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
�—
775-2525
This Penult sowers tr.N, 1- be done on prlvale property ONLY.
onstruct,-"on Il,e nuUilc domain (cur be, sidewalks, driveways.
Any construct,-"-it
FILE 1
mnrqucee, etc.) will require separate permission.
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according to plat thereof recorded irl volume.5 of .Plats, page 42,
records of- Snohomish County, Washington,. described as.foll6wsa �i t
the north one-half, EXCEPT the North 77.6 feet, of •the following
described tract of land: Beginning' at the southwest a corner,of
said Tract 22; thenceeasterly along the.south line 2S.40:feet, .
s;thenee nori:herly 332.14 feet'; thence westerly"312.35' feet,+to
the west line; thence southerly alonpthe.:west line 332.0feet
o point,.of beginning; and SUBJECT tc� an easemen't,overi;the east
0 feet. for road purposes.,.'
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-7g0g05_
RECORD OF INSPECTICN.S
Date Passed
Foundation z 7 L7
Plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Lines
Final