750464.pdfPROPOSED USE
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PLAN CHECK
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BUILDING DEPARTMENT Applicant Fill
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PERMIT APPLICATION Inside Heavy Lines
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NAME (OR NAME OF BUSINESS)
22005 - 9th Avenue South
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Metro Mortgage Company
LEGAL LOT LOT AREA SUBDIVISION NO,
pj MAILING ADDRESS
❑ YES ❑ NO
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3 22005 - 9th Avenue South
VARIANCE OR
COND. USE NO.
ADB NO.
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Edmonds, Washington
PROPOSED YARDS
HEIGHT
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AMOUNT DUE
25.00
FRONT SIDE REAR
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ALLOWABLE
PROPOSED
APPLICATION APPROVAL
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SIGN AREA
SIGN AREA
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AUTHORIZES
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OTHER
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REQUIREMENTS
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TELEPHONE NUMBER
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PLANNING DEPT. APPROVAL DATE
CITY OF
EDMONDS
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NAME
DATE
NOTF: Applicant Subject to Plan Check Fee
STREET R/W
This Permit covers work to be done On private property ONLY.
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
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PROPOSED USE
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1 hereby acknowledge at 1 half,TOTAL
read this apDllcatlan; that the In'
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AMOUNT DUE
25.00
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formatlon given lCorrect; and that I am the owner, or the duly author-
Ized agent 11 the owner. I agree 10 comply with city and state lawn Mon.
,.ting construction; and to doing the work authorized thereby, no Dsrson
ATTENTION
APPLICATION APPROVAL
,111 be employed to violation or the Tabor Code Or the State of Waahinston
THIS PERMIT
relating to Workmen's ComDeneatlon Inanreace.
This application is not a permit until
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
uty; and fees are paid, and receipt is aC-
shall be completed In Bluely days; MOVED -IN BOQ,DINGS shall be wm•
pleted In six months.)
wORK NOTED
knowledged in space provided.
SIGNATURE (OWNER OR AGENT) SIGNED
INSPECTION
DEPARTMENT
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DIRE R'S SI T E
JDATE
Metro Mortgage Co. 9-24-75
CITY OF
EDMONDS
l!FF--D
DATE
NOTF: Applicant Subject to Plan Check Fee
775-2525
This Permit covers work to be done On private property ONLY.
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Any construction on the public domain (curbs, sidewalks, driveways,
ORIGINAL. File YELLOW - lwpecler
marquees, etc.) will require separate permission.
PINK . 0,ncr GOLD - A-.ev,,
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USE
BUILDING DEPARTMENT Applicant Fill ZONE
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINES51
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ATURE OF WORK TO BE DONE
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AMOUNT DUE
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PLANNING DEPT. APPROVAL DATE
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STREET R/W
NOTED
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
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NOTE: Applicant .Subject to Plan C9leck Fee
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TYPE CONNECTION VERIFIEO BV
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PERMIT NUMBER
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APPVD BY CITY ENG. ❑ NO
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REMARKS
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VALUATION FEE
PLAN CHECK
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BUILDING
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I hereby acknowledge that I have rend this applKntlon; that tAL
AMOUNT DUE
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formation given Is correct; and that I am the owner, or the duly eIrea
agent of the owner. I agree to eomplY with Illy m6 state lawsATTENTION
APPLICATION APPROVAL
toting construction; and In doing the work authorlxed thereby, no x•111beemployed In vlolatkm of the Labor Code ofthe State of WasTHIS
PERMIT
This fl Mention is nota ermit until
relating toWorkmen's Compensation Insurance.
AUTHORIZESpppONLY
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONSWORK
THE
Uty; and fees are paid, and receipt is flc-
shell be completed In alnety days; MOVED -IN BUILDINGS she.11 b
NOTED
knowledged In apace provided.
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INSPECTIONSIGNATURE
toW NER OR AGENT)
DATE SIGNDEPARTMENT
OIR, TOR'St3l, AT R�
CITY OF/{�
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• EDMONDS
DATE ,
NOTE: Applicant .Subject to Plan C9leck Fee
775-2525
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ThisPermit covers work to be done on private property ONLY.
the domain (curbs, sidewalks, driveways,
ORIGINAL - File YELLOW - nsllecIV
Any construction on public
marquees, eta.) will require separate permission.
PINK - Owner COLD - ASSCSsCf
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ECCRD CF INSPECTIONS
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