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CITY of EDMONDS PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Applic ation: 20307 - 81st Ave. (Hansen)
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BIJILbING
HPARTMENT COMMENTS
57
USE PERMIT
BUILDING DEPARTMENT Applicant FIH ZONE NUMBER
1"7PFRUIT IMICATIO inside Heavy Linesl JOB
ADDRESS
NAME ( R NAME OF BUSINESS)
PERMISSIBLE % ACTUAL %
LOT COVERAGE LOT COVERAGE
go MAIUNTIBBRESS
PERMISSIBLE HEIGHT PROPOSED HEIGHT
0
A
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TELEPHONY NUMB ER
ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
NAME
FRONT SIDE REAR FRONT. SIDE REA R
LEGAL LOT VARIANCE OR CONDITIONAL U§E
AD5_RESS
YES NO PERMIT NUMBER
-- --AI DATE:
CITY
TELEPHONE NUMBER
PLANNING D- A
STREET R/W
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST R/W .. .-FT. ............ FT.
I
0
14
NAME
REMARKS
ADDRESS
CHECKED BY
CITY,
TELEPITONE NUMBER
METER SIZE
SERVICE SIZE
CLEARANCE
CHECKED BY
STATE LICENSE NUMBER.
2 3
CITY LICENSE NUMBER.
REMARKS
Legal Description of Property (Show Below or Attach Four Copies)
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RESI DENTIAL
El
GAS
LINE
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NON SIDiNTIAL
11
0
SIGN
ADD
nrmoLim
El
RETAINING
WALL
ALTER
EXCAVATE
FENCE
I
F] .
OR FILL
( ...... �__.x Ft.)
REPAIR
PRE -MOVE
INSP.
swim
POOL
DWELLING
UNITS
'd- __ I
TYPE CONNECTION VERIFIED BY
PERC. TE13T PERMIT NUMBER
REMARKS
FIRE ZONE TYPE OF CONSTRUCTION STREET. IMPROVED
YES rfo
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
C] YES C] NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31,04,
REMARKS
Plan Check No ............... .....
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DXMOLITJON
PRE -MOVE INSPECTION
Fee I Receipt No A
I F
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