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N ING D PT. AP_
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CITY
TELEPHONE NUMBER
Plan Check No .....................
6'
STREET
BUILDING
/ 16 7
BUILDING
DEPARTMENToNE
AppUcnnt Flll
PERMIT
( n NUM13ER
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NAME
PERMIT
APPLICATION
I Inside Heavy Lines
ion
ADDRESS / / )
REMARKS
NAME (OR NAME OF BUSINESS)
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PERMISSIBL
LOT COVERAOE�
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BY
PERMISSIBLE HEIGHT / F
CI'T'Y
TELEPHONE NUMDER
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RESIDENTIAL
E
C 1Y
❑
PLAN CHEC ED Y
TELEI PHONE N MBV RC
Q` A�`'{Rt'���
QSiUA Ln'O..T
SIGN
UIItE YARDS OIAA7
I SERVICE SIZE
NAME
I CHECKED BY
NON-REBIDENTIAL
FRONT BIDE REAR
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�i��� SHOULD BE CODED 31.04.
ADD
EGAL LOT VARIANCE OR
750381
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ADDRESS
NO PERMIT NUM
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Fee Rccclpt No.
N ING D PT. AP_
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CITY
TELEPHONE NUMBER
Plan Check No .....................
6'
STREET
BUILDING
/ 16 7
=ION
EXISTING REET R/W ............FT.
DEFICIENCY THIS PROPERTY
NAME
COan'. PLAN BT. R/W ............FT.
............FT.
NN//
NO
f�
P J %
REMARKS
U
aPLOT
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SPECIAL INBPECTORRRREQUIRED OCCUPANCY GROUP
PLLPLAN (Indicate Building setbacks, abutting streets)
BEAT A GAS LINE
BY
ccCHECKED
CI'T'Y
TELEPHONE NUMDER
®
RESIDENTIAL
E
OAB
LINE
❑
PLAN CHEC ED Y
NEW
SIGN
METER et'LE
I SERVICE SIZE
I CLEARANCE
I CHECKED BY
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Fee Rccclpt No.
PERC. TEST PERMIT NUMBER C
REMARKS
a
Plan Check No .....................
JV
FINE TYPE STYEST IMPROVED
BUILDING
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=ION
PROPOSED USE
'ty
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NO
U
aPLOT
SPECIAL INBPECTORRRREQUIRED OCCUPANCY GROUP
PLLPLAN (Indicate Building setbacks, abutting streets)
BEAT A GAS LINE
YES V<
®
RESIDENTIAL
❑
OAB
LINE
❑
PLAN CHEC ED Y
NEW
SIGN
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
RETAINING WALL
❑
NON-REBIDENTIAL
SIGN
.
rl.W
�i��� SHOULD BE CODED 31.04.
ADD
ElDEMOLISH
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SWIMMING POOL
RETAINING
WALL
AA s
FENCE
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OR FILL
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NUMBER OF STORIES
NUM ER OF
TOTAL AMOUNT DUE
G O
DWELLING
formation given Is correct; and that I = the owner, or the duly author-
UNITS
Ized agent of the owner. I agree to comply with city and state Inmos regu-
ATTENTION
APPLICATION APPROVAL
Valuation
Fee Rccclpt No.
Plan Check No .....................
BUILDING
/ 16 7
lO
Y
PROPOSED USE
'ty
PLUMBING
U
aPLOT
PLLPLAN (Indicate Building setbacks, abutting streets)
BEAT A GAS LINE
-,10%c11 -4-__P,
D
j411
FENCE
SIGN
RETAINING WALL
N
1
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
G O
I hereby acknowledge that 1 have rend this aDDllcatlon; that the In-
formation given Is correct; and that I = the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state Inmos regu-
ATTENTION
APPLICATION APPROVAL
luting 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.
AUTIIORIZE11
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONk which
ONLY TIL
WORK NOTED
uty; and fees are paid, and receipt Is ac -
shall he completed In ninety day.; MOVED -IN BUILDINGS shall be cam-
Imowledged In space provided.
pieted In six mouth..)
diON RE VNEli OR AGENT)'
DATE SIGNED
INSPECTION
I '8 !ON UR01
'
a - s - 76,
DEPARTMENT
CITY OF
t
EDMONDS
DATE
NOTE: AQptitant Subject to Plan Check Fee
775-282$
This Permit coven work to be done on private, property ONLY.
Any .—Irnctlu I no the public domain (enrbe, sidewalk., driveway..
FILE
c1c.) '.'ill r,•Rulre sepor.1, l• ofld 0
J
LEGAL DESCRIPTICAN 01 lit +. f P.-DK1,i I _ i t S6,3 I
V 8/
P.1".CEL
Southeas_erly 60 feel of Lot 14,rBIOCIc '"B", Ec?nords Sea View Tracts, I
according to the Mat thereof re ordetlrilc !'o lune 3 of Plats, page 76,
records of the :tu1i£o: of the County o� .r..a;:o;aish, Sate of i�ashingtono '
as reas�red along t'.ie SOt:t)114esterly line L said lot; i
-.'1 P -
EXCEPT refron the f011a;J : s, described pa.cel:
9i3rtheast corner of said Tract 14; thence
Begir ing at the orifinal =
thence
t;orth 39`15' 23" West ala:z? tho North line the
South 43°33' East 54.57 feet, more or less, to treof 69.15 feet; i
he Easterly line of J
Trace 14; thence NOTth 3912310711 East along the Eastlery line 50 feet -
to t*.,., Northeast corner and the point of beginning. I
I
ortion 1 inn t•rithin Edmonds Beverly Park County P.oado'
ALSO EX(�PT any p Y I: 1
Survey g:0. 640, .
PARCEL B•
T11 -at portion �f Lot 8, ^c.loc?: f., F.dnonds Sea rier� Tracts, accordirt to
the plat thereof recorded in E°olune 3 of Plats, page 7G, records of the '
ri.lidi£or of the County of Snohcnish, State of Washinpton, West of OlYnP$c'
`:st vacated portio: of Sound View Place adjoining said
View Drive and t
Lot 3 31oc;. C, Ednonds Sea View Tracts.
a I
i
PARCEL C:rtiI,
An eascmnnt for ingressandegress Over raT�tDOSou�heasterly 60n of said tfeet li
Bloc% 111311, Hdnonlls Sea le.: mets, F' C: I
ti:e;eof l.scri--i as folk:.s: ` 4
rr e. of said Tract 14; thence running
i.
T CQ'7:iLipTI? a4 t.^.� 'tiJiC`:? 20 ? 00 Said £:2Ct 192.56
i •.)111.'.'>. O 15 3. JI.
t.
_it i�:•S'v1 Ji of �1=flO 'L_S'tit;•'61. ....... nn?�. C.SJ,., £e.p.l:'SJ�i7.:n?M'a�Lcij sojazFDi
i�J,o frI'CC«,Westerly Lino an.d.. ..
B
0
,ect;tt..c- -e soJ:,1. FGL«£7 the %S1?fR2nn of ?@f?�2?in}?
,
cot at
nn(-IcS ,i?pnncNorth oat,
ii
't to the tru0point
2neSry fe.
of
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bo ni p.,1;: !7
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RECORD OF INSPECTIONS '
Date, Passed
Foundation _
Plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Lines
Final
1