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( BUILDING DEPARTMENT Applicant Fill �� 750471
PERMIT APPLICATION Inside Heavy Lines ,OB
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[ hereby acknowledge that I have read this application; that the In- TOTAL AMOUNT DUE /'
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given I. correct; and that I am the owner, or the duly author.
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agent of the owner. I agree to comply with city and state laws regu• ATTENTION
lating Construction; and an dotng the work authorized thereby, no person APPLICATION APPROVAL
Will be employed In violation of the Labor Code of the State of Washington THIS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES This application is not n permit until
ONLY THE Signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED Uty: and fees are paid, and receipt is ac
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.hall be cemp)eled In ninety days; MOVED -IN BUILDINGS shall be wm-
pleled In rix manul..> knowledged in space provided.
INSPECTION
SIGNATURE (OWNER O GENT) DATE SIGNED DEPARTMENT
DIREC R'S SIGNATURE
CC .�
_ % CITY OF
ED MON DS DATE
AIOTG: Applicant ,Subject to Plan Check Fee 775-2525
This Permit covers work to be done on private property ONLY. ORIGINAL • File YELLOW -Ian In L--
Any construction on the public, domain (curbs, sidewalks, driveways, I"'� r
marquees, etc.) will require separate permission. PINK - Owner GOLD- A,,,es,, r
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TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
tormntton 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 NEU-
thereby, no
ATTENTION
APPLICATION APPROVAL
Iating toaetructlon; and m doing the work authorized parson
Will be employed In violation of the Labor Coda of the State of Washington
THIS PERMIT
This application is not a permit until
Telatlpg to Workmen's Compensation Insursam.
AUTHORIZES
signed by the Building Official or his Dep-
-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED uty; and fees are paid, and receipt is ac-
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ehall ba completed In Warty days; MOVED-IN BUILDINGS shall be eom-
knowledged !n apace provided.
pleted In elx m..the.)
INSPECTION
NATURE (OWNER OR AGENT)
DATE SIGNED
DEPARTMENT DIRECTOR'S SIGNATURE
1S'G
CITY OF
i
EDMUNDS
DATE
NOTE: Applicant Subject to Plan Check Fee
l
775-2525 -
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This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidowalit driveways;
-
ORIGINAL - File YELLOW - Inspector
• marquees, etc.) will require separate permission.
PINK - Owner GOLD - Assessor
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;E5THER NESS PRESUMPTIVELY SUBJECT TO THE COMMUNITY INTEREST OF
HER HUSBAND IFIMARRIED APRIL 22, 1968, DATE OF ACQUIRING TITLE,
subject only to the exceptions shown herein and to the terms, conditions and exceptions contained in the policy forma
Tbir report and commitment'ball /rat's no force or effect except at a baric for rhe coverage specified berein•
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By !
DESCRIPTION: atbonzed Signatory
ALL THAT PORTION OF THE SOUTHEAST.QUARTER OF THE S THEAST-QUARTER
OF SECTION 23, TOWNSHIP 27 NORTH, -RANGE 3 EAST, W.M., DESCRIBED
AS FOLLOWS:
BEGINNING AT THE SOUTHWEST CORNER OF THIRD AND DAYTON STREETS IN
THE CITY OF EDMONDS; THENCE SOUTH ALONG THE WEST. BOUNDARY. LINE OF:
THIRD STREET, 75 FEET TO THE TRUE POINT OF BEGINNING; THENCE SOUTH
ON SAID 4lEST BOUNDARY OF THIRD STREET, 75 FEET;' THENCE, WEST 12B-,,
FEET;, THENCE NORTH 75 FEET TO A POINT WHICH
,IS 75 FEET SOUTH OF
SOUTH BOUNDARY LINE OF DAYTON STREET; THENCE EAST 128 FEET; TO THE
TRUE POINT OF BEGINNING.
SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON
EXCEPTIONS:
1. DELINQUENT GENERAL TAXES FOR 1974 IN THE AMOUNT OF $388.41 .
i
PLUS, INTEREST. CTAX ACCOUNT -NO. 232703-4-094-0008)•
2. LIEN OF REAL ESTATE EXCISE SALES TAX UPON ANY SALE OF SAID',
PREMISES, IF UNPAID.
(CONTINUED)
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75.047 1
RECORD OF INSPECTIONS
Dats Pared
Foundati•ctn t'G
Plumbing (Partici''
(Rough) - O5. 7
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Frame -
Furnace & ..--ue,
Final
3-ia - 74
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