770257.pdf1
BUILDING DEPARTMEN
PERMIT APPLICATION
NAME (OR NAME OF SINESS)
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USE
Applicant Fill ZONE
Inside Heavy Lines
JOB
ADDRESS
ELEPHON
or
PERMIT
1 • �1 NUMBER
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IMBER Tr FRONT^ / O SIDE cis -'REAR
SIGN AREA ENVIRONMENT
S ALLOWED PROPOSED
❑ COMPLETE
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GAS
IA/I NEW ® RESIDENTIAL LINE
ElNON-RESIDENTIAL ❑ SIGN
❑ ADD ❑ DEMOLISH WALL
RETAINING
RETAINING
❑ ALTER ❑ EXCAVATE ❑ FENCE
ORFILL X_pT)
wim REPAIR �INSPMOVE aPOOL
UMBER OF STORIES NUMBER OF
DWELLING
7 w UNITS
ATURE OF WORK TO
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4L REVIEW
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LEGAL LOT LOT AREA /��•�/r SUUBDII%f II/S}I1_ONr/N/OO.^
Q51yrs ❑NO adoo
STREET R/W
EXISTING STREET R/W 60 FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W �7 FT. Q FT.
REMARKS Driveway slope not to exceed those
indicated on Standard DRawing #103.
CHECKED BY
kRFMAFkKS
AND/OR UTILITY WORK R/W PERMIT REQUIRED
DYES IMNO ❑YES �NO
ROUND
REQ'D. ®YES ONO
NNECTION YES IVERI IED BY
RY SEWER ❑ NO
SYSTEM ❑ YES PERMIT NUMBER
BY CITY ENG.
B NO
REMARKS
ERVIE SIZEE 1CCLEARANCE CCH ED Y
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'.REZONE TYPEOF(CONSTHUc.r IuNi a. ytv� 1�3
'ECIAL INSPECTOR AREA OCCUPANCY JOCCUP
EOUIRED y GROUP S LOAD
i YES NO a/
6 AW CHE KEq� BY THIS SITE IS LO ATED IN THE CITY
•1/1'1, // i OF EDMONDS, LOCAL SALES TAX
VALUATION FEE
PLAN CHECK V
NO, ,
BUILDING
PLUMBING �5
HEAT & GAS LINE ,�;r. CIO
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
I hereby acknowledge that 1 have read this application; that the in- TOTAL AMOUNT DUE
formation 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 regu- ATTENTION
sating 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
relating to Workmen's Compensation Insurance. AUTHORIZES
NOTE: Permit Limit One Ye(ir(Except DEMOLITIONS and FILL ONLY THE
PERMITS without conditional use permit, which shall be completed in 90 WORK NOTED
days; MOVED -IN BUILDINGS shall be completed in six months.) INSPECTION
SIGNATURE (OWNER OR A ENT) DATE SIGNED DEPARTMENT
3 -a / � �� CITY OF
K/ �V EDMONDS
IF
NOTE: Applicant Subject to Plat Check Fee 775 2525
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
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APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
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ORIGIN L - f till, YELLOW - Inshcctor
GOLD. A-scrsor PINK -Owner
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Lot 2 . ' 1 P/n 7` . ,
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t r That. porti on of. Tract 72 in the i •t of EdSeav i ew Tracts monds
recordf plats on page 76 recor•ls of.Snuhomish
ed in Volume 3 o
County, LJashington, and of vacated Olympic Avenue as shu�m on said
plt,;�;the'.WFiole. being more parti :ularly .described as follows:
..
Beginning at a. point on `the Westly line of s ifd tract 72 lying
?N1p07'.30"E 16.63 feet from the Southwest: c��__r,ry of said tract;' on
the Easterly margin of Olympic View Drive'le- the +beginning of a', �
III. curve.lto the right with a radius of 536.20 'feet ; thence Northerly;71
Tit1' 1�;,'along.'Sajd curve through.a central angle of O011)'W'. an arc .dis-. ,
� 'tance of�3.37 feet to the true Point. of Reginnng; thence Northerly,
si alon said curve through a central:•angle of 10 •115106" and•arc.,
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1w,ois•tanc6%1,10.00 feet;. thence S6SJ°18'2i"E 143.50 fee thence r.�'it ;
�,58453.'•59" W 60.84 feet*,thence N89015'73"W• 138.0t1 feet -to the
..Point of Beginning.
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RECORD OF INSPECTIONS
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