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231 SKYLINE DR
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TAX ACCOUNT/PARCEL
BUILDING PERMIT (NEW STRUCTURE): 7�/OX57
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver F] Study Required 0 Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
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PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
LATEMP\DS'rs\Fonns\Street File Checklist.doc
AIL
USE PERMIT
ZONE NUMBER 740137
BUILDING DEPARTMENIMr
Applicant Fill
PERMIT APPLICATION
Inside Heavy Lines
ADDRESS
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LAYT COVERAO 0t&;"CGvERAGE
M LING AD6108-S
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CITY
TELZPHO14Z NUUaILA
T Ag TAI. BLDG. AREA
REQ IRED YARDS
NAME
FRO"'T SIDE , REAR FRONT REAR
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MIT NUMBER
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CC CITY
TELEPHONE NUMBER
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STREET A"., �,MciExcy THIS PROPERTY z
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COMP. PLAN ST. R/$4/
REMARKS
Driveway slopes not to exceed those
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CITY
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METEr SIZE
SERVICE 'UZI' CLEAN. �ly
STATE LICENSE NUMBER
ITY LICENSE NUMBER
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Legal Description of Property (Show Below or Attach Foil. Copies)
16 Z,
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REMARKS
F 1� �Z TYPE ",T�r --ov.-
YES- C, NO
PECTOR-REQUIRED GROUP
571 R SIDENTIAL G�A"
L
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NEW N
JOCCUPANCT
3 YES 21*0 — I
A
PLAN C.ECKED
THIS SITE IS LOCATED IN THE CITY
SALES
NON-REBIDENTIAL,
El ION
0 TAX
F-1 RETAINING
DEMOLISH WALL
HF,,EDMOND_16JZELD0CAL
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RXMAPKS
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ALTER EXCAVATE E Z
El OR FILL
REPAIR [:] PRE -MOVE swim
INSP. POOL
NUMIJER OF STORIES NUMBER Oil
DWELLING
UNITS
_17A—TURE OF WORK TO BE DONE
Valuation
Vs. R"e,irt No.
43
Plan Cbc�k No ......... ... .......
t
'BUILDING
PROPOSED USE
PLUMBING
SO
HEAT & GAS LINE
PLOT PU"N_(!Wd_iMrB__ullding setbacks. abutting streets)
PENCE
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
771
I hereby acknowledge that I have read tkUm application: that the In.
formation given to correct: and that I ami the Center, or tb duly shiLholl,
g. . tot or tile owCer. I surre, to Comply With City and st:tq laws mgu-
AWENTION
APPLICATION APPROVAL
latlosaconstructlon: and in dolnt the work authorized thereby, no person
will be employed In violation of the Labor Code of Lie state of Washington
THIN PEP-141T
This application is not a permit until
relating to Workman's Compensation Ittrunisholl.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (EsCapt DEMOUTIONS which
WONLY TB`E
O'RX NOTED
Uty; and fees are paid. and receipt is ac.
shall be completed In ninety days; MOVED4N EVELDIZIGS shall be **m.
knowledged In space provided.
pleted 1. six months.) ,
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HION A URI' I
T IONED
INSPECTION
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LA
" M�o
DET ARTM_'.
CITY 01,
EDHO-NDS
WATE
ZNCITE: Applicant Subject to Plan Check Fee
Pit 6.1107
This Pe"'It covers work to be done m Private ProPortir ONLY.
Ahy Construction on the pubtle domain (curbil, sidewalks. driveways,
it.) �Ill "q.1'. ll.p—t. wint"lon.
FILE
BUILDING I)EPARTMEN
PERMIT APPLICATION
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USE U =BEIR 740137
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side Heavy 7LI-8 ADDRESS 4
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LOT
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No
i""i'T. (/ DEFICIENCY THIS PROPERTY
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CoMp. PLAN ST. R,
EMARKS DrivewaY slopes not to exceed those
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3-0, . / - - - �6 4 1 1 '1--' C)/
;1 Four Copies) Q-
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0
YES 0 No
SPECIA� REQUIRED I oCCUPANCY GROUP
-AS [3 YES ___THIS�SITE IS �LO �TED
RESIDENTIAL LINE PLAN CHEUIMIF�uy OF EDMONDS. LOCAL SALES TAX
NON-RESIDENTIAJ SIGN REMARKS
zLETAINING
A: DEMOLISH WALL
ALTER EXCAVATE PENCE
OR FILL ( x ......... rt.)
OVE r-1 SWIM
REPAIR L_J POOL
�UMHER or D;iELLING
--I UNITS R
Fla. Check NO ....................
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BUILDING
PLUMBINO
HEAT A GAS LINE
P
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FENcr:
an
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SIGN
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t IRETAINING WALL
N
SWIMMING POOL
DEMOLITION
P...M. E
P...M.,
V
I
IN
.P.CTION
EXCAVATION OR FILL
b I HU: I HLb
TOTAL AMOUNT DUE
I hereby ackoowledle that I have read "I"s application; that th
tehl"'
form:tIon 'IvOn I correct; &r4 that I am the owner, or the duty an Or'
with city and $tat* laws "Wu*
ATTENTION
,ed gent Of the Owner' 1 agree to Comply
lating eanstrUctlOO: and to doing the work authortud thereby, aO P'"On
Cod. of the state of W"hingtor,
THIS PERMT T
will be employed In violation or the Labor
AUTHORIZES
relating to Workmen's Compensation IMINLOOL,
ONLY THE
NOTE: Permit Limit one Your (-cept DEMOLITIONS which
be com-
WORK NOTED
be completed In ninety days ; M0,%7ED.1N SUnMINGS $hall
,hall
7150MITO—NED.
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: APPlicint Subject 10 plan Cbech Fee
PR 6.1107
v
—P..." .— .,it to, be done = PrI-90 "'Oputy ONLY.
drlv--Wv,
A" ne.,tMetion on the p-hIl- desnahs (curb@.
permuglec.
ruLrquee.. etc.) will separate
I / 7/;e2-
APPLICATION APPROVAL
This application is not a permit until
signed by the Building official or his Dep-
uty; and fees are paid, and receipt to aC-
knowledged in space provided.
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