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1225 SKYLINE DR
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ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: v
BUILDING PERMIT (NEW STRUCTURE): �Gr
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMITS) #:�
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DA
LATEMMST'sTorms\Street File Checklist.doc
USE PERMIT n,—.1 I
BUILDING DEPARTMENT I Applimnt FILL ZONE NUMDER 740J5,,
PERMIT APPLICATI Inside Ileavy Lines
NAME (OR ME OF BUSINESS)
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NAMAILIN
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ADDRESS
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11'YTELEPHON
NUMBEN
NAME
ADDRESS
ADDRESS ' 12 es -S /� 41V YIE
PER11fae1bLE / A AL /
Lor COVF.,RAOFa 4 LOT COVE1tAOE
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7EI1M1a8IBLE HEIGHT Pit = ED HEIOH L /
ACTUAL. LOT AREA 3n TOTAL EA ��
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RE IRED YARD R OaED YARDS
FRONT HIDE REAR FRONT H }: REAR
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L3 O'r NVARIANCE OR CONDITIONA USE
VARIANCE
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LAN G DEP AP t 1•
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to those o
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TELEPHONE NUMBER
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METER SILE ( SERVICE SIZE I CLEARANCE C
STATE LICENSE NUMBER
CITY LICENSE NUMBER
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Legal llcacrlP[lon of Property (Show below or Attach Four Copies)
TYPE CONNECTION: V1E'RIFIED BY1
-
SE�v I
PERC. TEST I PERMU NUMBER C ( 1 1
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REMAHhS
MIRE ZONE ( TYYPP•EE OF CONSTRICTION 18TR T IMPROVED � 1
_ ES 0 NO {
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aPEC1AL INSPECTOR REOUIRED I QCCUPAN Y GROUP I ,
0 YES 'W-,�`✓O/ -/
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❑ LGAS
:SIDENTIAL LINE
INE
Ety
C NON-RESIDENTIAL
PLAN CHECK }, THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SICK
BE CODED
ADD RETAINING
ElDEMOLISH WALL
Axxs —SHOULD 31.04.
ALTER a EXCAVATE ❑ FENCE
On FILL
�/ e' / ';') o
All Q/I�SY .(/t/GY /[)/V f"c;• 41, (,� /97� '
(_.........x..... Ft )
PRE -MOVE SMOOLM
REPAIR O
1NSP. P
/
SG'/3 1 CCI i ✓� 6/�/S//2' /�iPErG/�crr/f
1 ',
NUMBER OF STORIES NUMBER OF
DWCLLING !
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UNITS /
I
CIATUI(E OA 1VORK-TO BE DONE
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_(/�J % / it/ G % J� (� •_�[�/(/ V
valuation Fee Receipt No.
Finn Check No .........
t•
DUILDINC i/� � T —= t
— _ 766/3 =----
I ^120FOSEU UHE
PLUMBING
HEAT & CAS LINE
G I PLOT PLAN (Indlcate Bul'ding setbacks, shutting streets)
FENCE }
SIGN
RETAINING WALL
N
SWIMMING POOL. ,
DEMOLITION
PRE -MOVE INSPECTION '
EXCAVATION OR FILL
TOTAL A?(ODNT DUE I ( � �� / a
/ i j/
: hereby Acknowledge ow•tect; that I have rend this
the that the in.
formation given la correct; and that I am the owner, or the duly au L.or-
,r, 01
,
agent t the ll; an I agree to comply with city and state y Ino re
fetiRedng
Inting eOnatntctlop; and m doles the rock authorlred thereby, no parson
ATTENTION APPLICATION APPROVAL
will be employed In violation of the Labor Code of the State of Washlsgtem
relating to Workmen's Compensntloa Insurnnu.
THIS PER311TThis application is not a permit until'
NOTE: Permit Limit One Year nua:oLlTto.S
AUTHORIZES
ONLY TILE signed by the Building Official or his Dep- - y,,,,,,..-•-----�'�
(Except which
be completed In ninety days; )LOVED -IN BUILDINGS shall be com-
uty;
WoRH NOTED uty; and fees are paid, and receipt is nc-
mshali
pleted et= monLh3.)
ld
eged in space provided.
INSPECTIONDEPARTMENT E 8 ONAT
Z'FU t OR AGENT) ..
L.�fiCG'i.:'%'J
D TE SIGNED
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CITY OF
ATE
ED�fONDS
775.2525
NOTE: Applicant Subject io Plan Check Fee
This Phil cover. work to be done on prlvnte OroOerlY ONLY.
Any eon.tructl_ on the public dnmaln (eurbe, eide"I". driveway..
n,a rm.re.. rte.) 1111 rranlrr .rynnttr prrml.+lOn,
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RECEIVED
MAY 3 0
00,14
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCT -ION REPAIRS 0
.............................. CONTRACTOR .... PERMIT No..�a��
OWNER .......... C.-Lal ......... al .........................
ADDRESS ....... ....... Pat ..................... LEGAL DESCRIPTION: LOT No . ......... ......................... BLOCK No . ............................................
f
NAME OF ADDITION ........ rm (-. /.... a .V�. ), /, �; ..............................................................
..
0
RECEl'-
A U G 2 9 19-./ 4
Approved:
DATE................................................ By ......................................................................
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SETBACKS:
FRONT
SIDE
REAR
OTHER -
HftG�T���GX
E?!-)4`;3
H/GHLAND pe. — _—
N 0, 07'4z"W
/8Z.71 "
STREET FILE
SEP 11983
u
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
EASEMENT NO. -- ------------------- --------------------
NEW CONSTRUCTION REPAIRS ❑ LID NO. --------- ...... ASMT. NO. ------
OWN
ER - - -------------------------------------------------------------- ---------------------------- CONTRACTOR - --- ------------------------------------------------------------------- PERMIT NO.5 ZT
JOB ADDRESS ------- ------ V - ------ LEGAL DESCRIPTION: LOT NO. ----- -------------------------------- BLOCK NO. ------------------------------------
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