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20305 81 ST AVE W
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STREET FILE
CITY of EDMOhDS PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications ct
Proposed Property Address of Application: 20305 - 81st Ave. W. (Hansen)
DEPARTMENT
COMMENTS
DATE
.2r -
W A T E R
S T R E E T
S E E R
N 0 T E S �2L
BUILDING
DEPARTMENT COMMENTS
M
7)
-7;L,
.16ING _-NPARTMENT
PERMIT APPLICATION
Applicant 1111i
Inside Heavy Lines
USE PERMIT
ZONE NUMBER
JOB
ADDRESS
NAP-dEAOR NAME OF BUSINESS)
A
MAILING ADDRESS
B-ff ACTUAL %
P tM1148T %
LOT COVERAGE LOT COVERAGE
PERMISS OBED HEIGHT
ISLE HEIGHT PROP
A
CITY
TELEPn(.)NE NUMBER
ACTUAL LOT ARE TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
NAME
ADDRESS
.
LEGAL LOT VARIANCE OR CONDITIONAL USE
C] YES E] NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
CITY
TELEPHONE NUMB ER
STREET R/W
EXISTING STREET R/W ...... FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W _.......FT .... FT.
cc
NAME
REMARKS
ADD SS
P 4
CHECKED BY
CITY'
TELEPHONE NUMBER
METER SIZE
SERVICE SIZE
CLEARANCE
CHECKED BY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS- 4
Legal Description of Property (Show Below or Attach Four Copies)
TYPE CONNECTION
VERIFIED BY.
.40 '7—
PERC. TEST
PERMIT NUMBER
Cd
"Iz
REMARKS
FIRE ZONE
TYPE OF CONSTRUCTION
STREET IMPROVED
I C] YES [3 NO
SPECIAL INSPECTOR REQUIRED
C] YES 0 NO
OCCUPANCY GROUP
z
GAS
I'llul NEW U;� RESIDENTIAL LINE
;n
ADD E] NON-RESIDENTIAL El SIGN
RETAINING,
F DEMOLISH WALL
ElALT . ER EXCAVATE FENCE
F OR FILL ( .......... x .......... Ft.)
REPAIR [:] PRE -MOVE swim
INSP. POOL
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOUL BE CODED 31,04,
REMARKS
NUMBER,OF STORIES MBER OF
WELLING
U ITS
Plan Check No.
Foe
Receipt N,,
BUILDING
9
PROPOSED USE
PLUMBING
HEAT & GAS LINE
PLOT PLAN (Indicate Building setbacks, abutting streets)
RECTIVFn N
NOV 2 9 1
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION 01 FILL