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EXCAVATION OR FILL
FI E
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TOTAL AMOUNT DILE
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PERMIT APPLICATION I Inside Heavy Lines
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NAME (OR NAME OF BUSINESS)-
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REQUIRED YARDS PROPOSED YARDS
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ATTENTION
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SPECIAL INSPECTOR
REQUIRED
OCCUPANCY GROUP
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep.
YES NO
NOTE: Permit Limit One Year (Except DEMOLITIONS whlClt
ONLY THE
uty; and fees are paid, and receipt is ac -
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WORK NOTED
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pleted In six month..)
NEW
3IGNATURE (OWNER OR AGENT) DATE 8 ONED
INSPECTION
DIRECTOR' BlONATU
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THIS SITE IS LOCA ED IN THE CITY
DEPARTMENT
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DATE
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PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DILE
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formation given c and that I am the owner, or the author•
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ATTENTION
APPLICATION APPROVAL
I'll,if construction; and in doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Stale 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 (Except DEMOLITIONS whlClt
ONLY THE
uty; and fees are paid, and receipt is ac -
shall be completed In bluely days: MOVED• 3f BUILDINOB .hall be Com.
WORK NOTED
knowledged in space provided.
pleted In six month..)
3IGNATURE (OWNER OR AGENT) DATE 8 ONED
INSPECTION
DIRECTOR' BlONATU
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DEPARTMENT
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CITY OF
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EDMONDS
DATE
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NOTE: Applicant Subject to Plan Check Fe
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This Perm It Coven work to be done on private property ONLY.
Any Construction on the public domain (curb., sidewalks, drlyeW►y/,
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marquee., els.) will require separate permission.
Mom
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is �^
IFI RESIDENTIAL GAS ❑ YES D NO .t. 1 I :
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NON•REEIDENTIAL
3 hereby acknowledge that I have read this application; that the In-
PLANCHECKED BY
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formationgiven Is correct; and that I am the owner, or the duly author-
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
ADDEl❑
ATTENTION
IntlDg Construction; and In doing the work authorimd thereby, no Darton
ElGx
REMARKS
ratnting to Workmen's Compensation Imurence.
SHOULD BE CODED 31.04.
NOTE: Permit Limit One Year (Except DEMOLITIONS. which
ONLY THE
WORK NOTED
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PERMIT APPLICATION ADDRESS ; ; : j �• J _t r� -_ -rv_- T,�y;
NOTE: Applicant Subject to Plan Check Fee
PR a-uoT
be ,one private property ONLY.
This Permit coven work topublic
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NAME (OR NAME OF BUEINESE) Y' ... .__.- �� _C..•
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STATE LICENSE NUMBER
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- TYPE CONNECTION VERIF3ED,13Y
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PERMIT NUMBER
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FIRE ZONE Y CO 8 IMPROVED
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SPECIAL INSPECTOR REQUIRED OCCUPANCY ORO
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IFI RESIDENTIAL GAS ❑ YES D NO .t. 1 I :
� LINE 1
NEW
NON•REEIDENTIAL
3 hereby acknowledge that I have read this application; that the In-
PLANCHECKED BY
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t`; '(..j
formationgiven Is correct; and that I am the owner, or the duly author-
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
ADDEl❑
ATTENTION
IntlDg Construction; and In doing the work authorimd thereby, no Darton
ElGx
REMARKS
ratnting to Workmen's Compensation Imurence.
SHOULD BE CODED 31.04.
NOTE: Permit Limit One Year (Except DEMOLITIONS. which
ONLY THE
WORK NOTED
DEMOLISH
RETAINING
WALL
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ALTER
DEPARTMENT
OR FILL E�
- CITY OP"
FENC.x
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR a-uoT
be ,one private property ONLY.
This Permit coven work topublic
❑
Any Construction (c id
the pWIR domain (parse. sidewalks, ativews)s,
.......... Fl.)\/1,/�Q/�
-
REPAIR
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INSP.PRE-
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iUMBER OF STORIES
NUMBER OF
DWELLING
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UNITS
IATURE OF WORK TO DE DONE
Valuation Fee Reeclut
Plan Check No .....................
BUILDING
PLUMBING
streets) HEAT & OAS LINE I I ' "j
L'
FENCE
SIGN
'r RETAINING WALL
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SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
APPLICATION APPROVAL
This application is not it permit until
signed by the Building Officiil or'llis Dep-'
uty, and fees are paid, and receipt is ac-
knowledged in space provided.
DIRECTORS SIGNATURE„
DATE' _
INSPECTOR
TOTAL AMOUNT DUE
3 hereby acknowledge that I have read this application; that the In-
formationgiven Is correct; and that I am the owner, or the duly author-
Ired agent of the owner. I agree to comply With city and state laws regu-
ATTENTION
IntlDg Construction; and In doing the work authorimd thereby, no Darton
will be employed In vlolatlon o! the Labor Coda o[ the Etats of WeehI._
THIS PERMIT
ratnting to Workmen's Compensation Imurence.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS. which
ONLY THE
WORK NOTED
,hall be completed In ninety days; MOVED -IN BUILDINGS e_It'be cpm•
plated In ala months.)
SIGNATURE (OWNER OR AGENT) DATE E3ONED
INSPECTION
DEPARTMENT
_
- CITY OP"
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR a-uoT
be ,one private property ONLY.
This Permit coven work topublic
Any Construction (c id
the pWIR domain (parse. sidewalks, ativews)s,
- maraueas, ate.)vdll; repNM•apparate vernasslon.
s.
-
APPLICATION APPROVAL
This application is not it permit until
signed by the Building Officiil or'llis Dep-'
uty, and fees are paid, and receipt is ac-
knowledged in space provided.
DIRECTORS SIGNATURE„
DATE' _
INSPECTOR
ALL THAT PORTION OF LOTS 68 AND 6LJ, EDMONDS SEA VIEW TRACTS, ACCORDING. TO THE PLAT THEREOFI
RECORDED IN VOL. 3 OF PLATS, ON PAGE 762 RECORDS OF SNOMOMISH COUNTY, WASHINGTON, TOGETHER;
WITH,A PORTION OF VACATED OLYMPIC AVENUE ADJACENT THERETO, ALL MORE PARTICULARLY DESCRIBED"
A$ FOLLOWS. BEGINNING AT THE NORTHEAST CORNER OF SAID LOT 68; THEME[ S 39026108"W, ALONG
THE SOUTHEA37ERLY LINE OF SAID LOTS 68 AND 69, A DISTANCE OF 99.92 FEET TO THE NE CORNER OF'"
'LOT 1, SURD ADDITION, ACCORDING TO THE PLAT THEREOF RECORDED IN VOL. 24 OF PLATS, ON PAGE 42,
'RECORDS OF SNOHOMISH COUNTY, WASHINGTON) THENCE N 50'31153"W, ALONG THE NORTHEASTERLY LINE OF
3A10 LOT 11 A DISTANCE Of 124.60'; THENCE N 39°28107"E, A DISTANCE OF 50,001 TO AN INTERSECTIO
WITH THE COMHON LINE BETWEEN SAID LOTS 68 AND 69; THENCE N 50031153"W, ALOMG SAID COMMON LINE,
A 013TANCE Of 131.00' TO $W CORNER OF SAID LOT 88j THENCE N 39°28107"E, ALONG THE NDIITNWESTERLI
LINE OF 3A10 LOT 88, A DISTANCE Of 50.001j THENCE N 50.31153"W, A DISTANCE OF 30.001 TO AN
INTERSECTION WITH THE CENTERLINE OF VACATED OLYMPIC AYENUEj THENCE N 39028107"E, ALONG SAID'..
45 601 S 89.15123"E
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CENTERLINE, A DISTANCE OF, THENCE , AND CONTINUING ALONG SAID CENTERLIHEj
A DISTANCE OF 95.031; THENCE •$ 31'23136"E, AND CONTINUING ALONG SAID CENTERLINE, A DISTANCE
OF 223.83' TO AN INTERSECTION WITH THE NORTHEASTERLY EXTENSION OF THE SOUTHEASTERLY LINE Of
SAID LOTS S5 APID 69; THENCE $ `=9/07d, ALONG SAID NORTHEASTERLY rxTENSION, A DISTANCE OF '
31.75' TO THE POINT OF BEGINNING.
i
1 -1(JI 41
RECORD OF INSPECTIONS
-Date Passed
Foundation
Plumbing (Partial) 7;1 Aw,
(Rough) _ 7
2 s Frame
l Furnace & Fuel Lines -Z -6 -L ---'---e,"1
Final