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ONE Ks - j� PERMIT I
BUILDING DEPARTMENT AppucantFlll
PERMIT APPLICATION Inside Heavy Linos
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ADDREs. ei �-- �® -.
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NAME
(OR NAME OF BUSINESS)
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/ ACTUAL
0 LOT COVE4YAGE
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LOTCOVERAGE'/.
[AT COVERAOEe
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MT3 NO ADDRESS L •T=Y 7
pERrDeBIBLF 3E O1�T P1tOPO8ED HEIGHsT y4
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NUMBER
A VA L T TOTAL D DO. AREA
CITYTELEPHONE
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REq HED ARDd PR P SED YARDS
FRONT HIDE REAR FRONT BID4E REAR
NAME
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LF, i. LOT VARIANCE OR CONDITIONAL UdE
ADDHEtle
ES NO PERMIT NUMBER
N ING D
CITY
TELEPHONE NUMBER
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STREET R/
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EXISTING S EET R/W ............FT. DRFICIENCY THIS PROPERTY
NAME
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COMP. PLAN BT. R/W ............ FT. ............FT.
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REMARKS�
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CHECKED BY
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CITY
TEnLE/JPHONE NUMBER
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METER SIZE
SERVICE SIZE
CLEARANCE
CHECKED BY
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STATE LICENSE NUMBER
1TY LICENSE NUMBER
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Legal U1111IDllon of Property (eh w Below or Attach Feel Copies)
REMARKS
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TYPE CONNECTION
VERIFIED BY
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PERC. TEST
PERMIT NUMBER
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REMARKS
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N1RE I TYPTF�COJTRUCTION STREET IIIPROVED
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❑ YES 0 NO
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
YES
❑ L NE
NEW
[L.IDENTIAL
PLAN CHECKED
THIS SITEIS LOCATED IN THE CITYN-RESIDENTIAL
❑
EDMONDS. LOCAL SALES TAX
SIGN
/ /V '� �✓'- HOULD BE CODED 31.04.
IJV ADD ❑RETAINING
❑ WALL
ARx9 1
J
DELIOLIBH
FENCE
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/
/� f/ - / i 1'� / fr Zj )X C-
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ElALTER EXCAVATE
❑OR FILL ❑ (......................'t..
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❑ REPAIR PRE-MOVE swim,l�
INSP. ❑ POOL
y
S�//�S /L l I C)/0 S //�-- //•-w
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATUItE OF WORK TO BE DONE
Valuation
Fee
Receipt No.
Plan Check No.....................
;
O
13UILDING
�z `Ir
W
PROPOS&D UBE�
PLUMBING UrJUL
O
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
7
FENCE
SICN
RETAINING WALL
--
N
SWIMMING POOL
DEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In--0
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formation given Is correct; and that I sum the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state law. regu.
ATTENTION
APPLICATION APPROVAL
luting construction; and In doing the work authorised thereby, no person
,
will be employed to Violation of the Labor Code of the Stale of Washington
TINS 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 DE31OLITIONS Which
ONLY TIIE
WORK NOTED
uty( and fees are paid, and receipt is ac
shall he completed In ninety days; MOVED-IN BUILDINGS .hal) be cam-
knowledged in space provided.
pie 8 months.)
8 N RE (OWN GENT) DATE SIGNED
INSPECTION
D1RE Oq'S
TURN r
DEPARTMENT
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A, J
CITY OF
EDMONDS
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4/
NOTE: Applicant Subject to Plan Cbeck Fee
(
— — 7 S
775-2525
This Permlt e,cees Work 1. bo done on private property ONLY.
Any construction on the public domain (curb., sidewalks, driveways,
FILE
nuVqueee, etc.) will require .eparote permle.lon.
t
PROPOSED USE
PLUMBING
-
U
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
!
BUILDING DEPARTMENT Pill
PERM
USE
NUMBER
0
FENCE
Applleant
I
SIGN
Inside heavy Lines
PERMIT APPLICATION
ADDRESS / t >' j _ ( -
—� i. J �/
RETAINING WALL'
N
NAME (OR NAME OF BUSINESS)
L—
PEfiM ISSIBL % TUAL
ACT COVESYAOE ��
IAT COVERAGE .J LO
I
SWIMMING POOL
DEMOLITION'
C
N
—YD AILING ADDREtlB
!c�
PROPOSED HEIGHT
PEHMISeIHLFy HEIOFjT y I '!.
,I
,
EXCAVATION OR FILL
M1j
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p
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CITY
t/
TELEPHONE NUMBER
ACTUA{..LOT ER TOTAL DIeDO. AREA
I 1 ( > I j (.)
'�
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the in,
I
- A
j -
1
REQF.n RAItUd PR 09ED YAIiDH a
formation given le correct; anm d that I athe owner, or the duly author-
s
(red agent of the owner. I agree to comply with city and state Tawe regu-
/�•�`
"
APPLICATION APPROVAL
FRONT d[UE ItF.AR FRONT HIDE REAR
lating construction; and In doing the work authorized thereby, no person
NAME11
y
0
This application is not a permit until
relating to Workmen's Campers x,kmI zzmce.
AUTHORIZES
signed by the Building Official or his Dep -
LEGAL• LOT VAItIANCh. Olt CUN DITIONAL USL
NOTE: Permit Limit One Year (Except DEMOLITIONS whieh
ONLY TH
WORK NOTED
uty; and fees are paid, and receipt is ac -
W(.,
ADDRESS
NO PF.ItMIT NUMBER
knowledged in space provided.
pleted IN.Ix, months.)
-�
PLAN INO EPT. APYIi AL / T •'
SIGNATURE (OWNER OR GENT) DATE 816NED
INSPECTION
DIRECTOR'S 11ONATURE /
C
CITY
TELEPHONE NUMBER
( • /l"'• "•"
'I
_
CITY OF
EDMONDS
DATE
NNi
STREET n/t
EXISTING BURET R/W ............FT, DEFICIENCY THIS PROPERTY
NAME
COMP. PLAN ST. R/W ........... FT. ............FT.
W
This Permit coven work to be done on private property ONLY.
99
/..:/--:,...s._.._--p�-f•'7z�r'.-Sntir"7
R f^,' //-
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AD R 5
' mMquees, etc.) will require separate permission.
, _ J _�: '-?'•-� i/ _
1 1 �.J -,.f(
CRECKED HY
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CITY,
TELEPHONE NUMBER
•-,,'� I i -
,AN
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'A
0'Ni_
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METER SIZE
BEIt IZE
CH H Y
HTATE L1NUMHEIt
I CITY LICENSE NUMHEit
I
REMARK8
Legal Desorlptlon of Property (Show Below
or Attach 1•aUr Caples)
45' /,�� ,:/,, ��y _,
TYPE CONNECTION VERIFIED BY
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0
�1`l S it iJCa I
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t.
PERC. TEST PERMIT NUMBER
WREMARKS
en
W
FIRE ZONE TYPE OF CON TRUCTION STREET IMPROVED
� � �`� [] YES [] NO
I
11
1
SPECIAL T INSPECTOR REQUIRED (OCCUPANCY GROUP
OAS
LINEPLAN
O YES 3 No
NEWt�OFEDMONDS.LOCAL
ILSIDENTiAl,
CHECKE!D Y THIS SITE IS LOCATED IN THE CITY
SALES TAXN-RESIDENTIAL
SIGN
G(i�'7�-jy BE CODED 31.04.
ADD ❑❑ RETAINING
WAIT'
1 1,y.-.� SHOULD
ItP%HARK9 11
DEMOLISH
FENCE
f.( i/r." •:./f: F .•:'/C: / i�) r! /' Ll� I,//i` (✓ I/ J
ALTER ❑ EXCAVATE
OR FILL (..........x..........Ft.)
!
REPAIR ❑ PRE.MOVE SWII,I
❑INSP. POOL
) '�.�1. L r / T7) (/ �) ./ �.' /. `/1 iL� , i:./• /%"J
NUMBER OF STORIES I NUMBER ON
DWELLING
!
UNITS
Valuation
Fee
Recelpt No.
NATURE OF WORK TO BE DONE
Plan Check No ......:..............
j f
BUILDING
/ (%') O7
J! �a
-
t
PROPOSED USE
PLUMBING
-
U
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
!
0
FENCE
SIGN
`
RETAINING WALL'
N
SWIMMING POOL
DEMOLITION'
PRE -MOVE INSPECTION
EXCAVATION OR FILL
j
6C) d 0
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the in,
formation given le correct; anm d that I athe owner, or the duly author-
s
(red agent of the owner. I agree to comply with city and state Tawe regu-
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no person
Will be employed In vm tkm of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Campers x,kmI zzmce.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS whieh
ONLY TH
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
knowledged in space provided.
pleted IN.Ix, months.)
-�
i
SIGNATURE (OWNER OR GENT) DATE 816NED
INSPECTION
DIRECTOR'S 11ONATURE /
- •..} �,[A.:2.r}-....
DEPARTMENT
_
CITY OF
EDMONDS
DATE
NNi
NOTE: Applicant Subject to Plan Check Fee
775-2525
This Permit coven work to be done on private property ONLY.
Any Construction on the public domain (curb., sidewalk., driveways,
INSPECTOR
' mMquees, etc.) will require separate permission.
_
1
orf
1 _ ,
I I All that portion of Lot 4, Admiralty View, according to plat thereof
recorded in Volume 22 of Plats, page 64, records of Snohomish County,
F?'Washington , described as fol}ows:
Beginning at the Northeast corner of said Lot 4; thence South 14049119"
{Vest along the Last line of said Lot 4, 115.66 feet;'thence North 72043'50"
(Vest 158.19 feet to a point on the {Vest line of said Lot 4; thence North
0019127" Last along said Nest line 31.12 feet to the Northwest corner of.
said Lot 4; thence North 68°05'04" East along the Northerly line of said
Lot 4, 161.93 feet to an intersection with a curve from which inter-
section the radius point of said curve bears North 6R°05'04" Fast 45.00
;�`;', feet; thence Southeasterly along the arc of a curve to the left having a
radius of 45.00 feet and consuming a central angle of 53°15'46" an arc
:1 distance of 41.83 feet to the point of beginning.
C4tiiate in the County of Snohomish, State of Washington.
RECORD OF INSPECTIONS
Date Passed
Foundation=�t-1S'
Plumbing (Partial) —
(Rough)
Frame
Furnace & Fuel Lines_
Final —)-,"
9
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