8710 OLYMPIC VIEW DR (2).pdfr
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APPLICA'� �N &WORK P6RiN1
Application No. ���....�a..3 '
' CITY OF EDMONDS Building Department Permit Limit, One Year
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APPLICATION is herebymade for a permit to construct the following work, in accordance with the accompanying plans
+` it W;` and specifications:
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WORK — New/Addn. Ci? ( «"•...........•......................."I...••.•....•.......•••. Ground Area.•••....... No. stories........
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Plans submitted ............ ............ ......G ..... rUr !c G� J C Type. lit .r.. Height..... t
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— _ LVso Zone..✓.Fire Zo R.,.
- LOCATION — Addr ......................I�..................
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Recorded Lot".., ..... .... Blo ........... Add'n:........«...._..................... Sewerage ... ..... �.... �
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Lot Area �......:........../..1. ��....... Width............................ Min, Bldg. setbacks Front and Re j.
�e �C.....d............................ ....... .... Address.y/%��� _...»,
Owner•• Pho ��'.. .iI r�
Address....
.......... Phone
Plansbg.... .........._ .. .......... ................ .. , � i •, `
c .� !t � ............................ Address... [. .'r ... ► 0 .5 4! ....:.:. Phone../A,... •••l ed
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Bldg. by. •_iffift
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Plbg. by.:.....«.........».........«....«........................................ Address................................................................ Phone ..............rr
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............................................................... Address............................................... ............... Phone ....[........».«
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Heating by };
Elect. by..:«.... .:.. «..... Address ............. .............. I.• .... fit. Phone ....•........... 11}
Remarks.......... •.•...... • ••••.• • • ..... ....... "I .................... ......•............... ••.•••,...• .... «« »............. ... ........................«. ( 1
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The above is a correct statement and agree to comply with all appllcablo Codes and State Laws regulating the work.
Signed: Owner/Agent ....o..:.....F..................................:.. Address................................................:..... Date :. Q .. �i» 3 °
E PERMIT for the above work is hereby approved subject to the above conditions, and to compliance with the approved plans
ons and Building Department notations thereon. '
and specifications g PPL
VALUATION
PERMT FEES LLL
$v2 g,�LU Bldg• • . $........7�....U........
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Plbg/y....$..:....��.......................ILI
APPROVED: Hea% "� 5......... ...... ......... 1�
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Date.......Gc./....................................... Elect. .. $ .........................
BUILDING DEPARTMENT Others .:.$........................................ II
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�1'III.• Herliert By .. Bldg. .._ ...... TOTAL FEE $........ .�....�C ..
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NOTES: No work requiring Building Department or City Engineer's inspection shall be covered before inspection and approval.
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Twenty-four (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as ,
curbs, paving, driveways, sewer, water and street connections.
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