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USE PERMIT
BURDING DEPARTMENT Applicant Fill ZONE NUMBER
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PERMIT APPLICATION JOB
NAME (OR NAME OF BUSINESS) ADDRESS 17627-69th Ave. W.
TJ AO. TJ UON Q TMP VARIANCE OR COND. USE NO. JADB NO. lHEIGHT
MAILING ADDRESS
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3., P. 0. Box 644
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Lynnwood 775-1916
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gal Description of Property (Show Below or
Lot h Viewridge #6
FRONT JL SIDE REAR
SIGN AREA ENVIRONMENTAL REVIEW
ALLOWED PROPOSED El COMPLETE 0 EXEMPT
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REMARKS drIveway slop 3 nou w exceed tti-ose Z
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indicated on Standard Dwg. No. 103 0.
UBDIV
LEGAL LOT NO ILOT AREA 15 rPL ISION NO.
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STREET R/W
EXISTING STREET R/W '5":5 FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W 150 FT. r_) FT.
IDriveway slope not to exceed those
m indicated nn Standard Drawing WhKED_ BY
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STREET AND/OR UTILITY WORK
R E Q'D. 1-1 YES UNO
I R/W PERMIT REQUIRED
1:1 YES UNO
UNDERGROUND
WIRING REQ'D. WYES El NO
TYPE CONNECTION i�: YES
SANITARY SEWER 0 N 0
IVERI[ VE BY
SEPTIC SYSTEM ERMIT NUMBER
APPVD BY CITY ENG. YES
NO
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REMARKS
METER SIZE ISERVICE SIZE [CLEARANCE ICHECKED BY
REMARKS
NEW x RESIDENTIAL GAS
Flc� 1 11:1 LINE FIRE ZONE TYPE OF CONSTRUCTION ICO
ADD NON-RESIDENTIAL
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EXCAVATE
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SIGN
RETAINING
WALL
FENCE
(_ X—F
REQUIRED
SPECIAL INSPECT077
El YES El N 0
PLAN CHECKED BY
REPAIR PRE -MOVE
INSP.
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POOL
REMARKS
NUM13ER OF STORIES
_T�UMBER
N OF
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W. LL. NIS
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NITS
NATURE OF WORK TO BE DONE
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ABUTTING STREETS
see attached - - -
PLAN CHECK
NO�
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
OCCUPAN
GROUP
OCCUPANT
LOAD
OF EDMONDS. LOCAL SALES TAX
VALUATION
FEE
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