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BUILDING DEPARTMENT AppHomtM
PERMIT APPLICATION IBBIde wavy
OTNAME (O NAME O Ul�tiMen)
Su,7aVL v„ s"
NG ADDRESS
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CITY TELEPHONE NMIBER
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NAME .t
9, 1'3.
ADDRESS
_
CITY TELEPHONE NUMBER
NAME
SQ M, .z a /I oz .
DE YARD SETBACK STREET BETHAOK REAR YARD SETBACK
%jam JA SW S l e o
JBE�O$E � I LOT AREA VACANT
QA TEs p No
EIGHT BUILDING AREA VARIANCE NUMBER
IET
R/w
AQ..BT.
DEFICIENCY THIS PROPERTY
ST.
R/w
AO..HT.
...0.... FT.
indicated on Standard Drawing #103.
L(
•i fit- Q- ���A s--� TYPE CONNECTION
C ce
PERO. TEST
, e A
i
GAS
❑B�O
00 NW RESIDENTIAL El LINE PLANCHECKEDY
NON-ESIDENTIAL WGIT
ADD
❑ DEMOLISH a WALL RETAINING REMARKH
NCE
ALTER ❑ OR (.FILL (.IDt....z........ Ft.)
e REPAIR El INSP.PRE-MOVE SWIM
a POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
z
C Plan Check No........_..___...
PROPOSED USE/�/
Jeff I /i1 /C_ l2- f BUILDING
A PLOT P (Indicate Building setbacks, abutting streets) PLUMBING
E
HEAT d: GAB LINE
FENCE
ti
BION
;n I RETAINING WALL
SWIMMING POOL
a - - DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read thin application; that the In-
formation ;Ivan is correct; and that I am the owner, or the duly author -
lead agent of the owner. I agree to comply with city and state laws regu. ATTENTION
lating construction; and In doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State of Washington THIS PERMIT
relating to Workmam's Compensation Insurance, AUTHORIZES
THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY NOTED
WORK xoTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be oom-
plated In six months.)
BIGNAT RE (OWNE NT) DATE SIGNED INSPECTION
_ DEPARTMENT
`t* CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee PR 6-1107
This permit coven work to be done on private property ONLY.
Any eomstrmctloa an the public domala (cubs, sidewalkb driveways,
m wquw% etc.) will require separate permlsalm.
Valuation Fee Receipt No,
1 - v
Lee.
APPLICATION APPROVAL
This application is not a permit until
signed by the BuAding Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
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{ PARCEL `.__._.______._._.___
All that portion of Lot 4, Block 2, Lake Ballinger Land Company's Plat
Subdivision No, I, according to the plat thereof recorded in Volume 9 of Plats
+ � 1
f /1 on pages ST and 58, records of Snohomish County, Wash lixgton, aescrIbed as follows:
Commencing at the northwest corner of said Lot 4; thence southerly, along the
arc of a curve to the right having a radius of 350.00 feet and following the westerly
r�• - line of said Lot 4, a distance of 146.20 foot to the point of tangency of said curwi;
thence S 13°22130"E and continuing along the westerly line of said Lot 4, a distance +
of 516.44 feet to the True Point of Beginning of the tract of land herein described;
{ thence continuing S 13°22130"E, along the westerly line of said Lot 4, a distance of
,."` 39,30 feet to the point of curve of a curve to the loft having a radius of 1110.00
feet; thence southerly, along the arc of said curve to the left and consuming a
central angle of 54°51141", an arc distance of 105.33 feet to an intersection with
the westerly margin of that certain easement granted to Pacific Northwest Traction
r Company by instrument recorded under Auditor's File No. 230959, records of Snohomish
County, Washington, said margin being the arc of a curve having a radius of 2881.43
/! feet, from which intersection the radius point of said curve bears S 83°33,02"E;
thence northerly, along said westerly margin and the arc of said curve, be i ng a curve `
to the right and consuming a central angle of 2°45'26", an arc distance of 138,66
feet; thence S 76°37'30"W, a distance of 96,U4 feet to the True Point of beginning. !All
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