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DEPARTMENT
.",;'APPLICATION
imm a BUSINESS)
P, It,- YJ / J
Applicant Fill
inside Heavy Lines
— nLez
- A
Alf
d- ef - /v.
_48
/251,15'
07
C) 0
a
4
K-L Xp-
Xkt
5", 2 7CI-1 A
GL_7
lk
srd�
4JR
RESIDENTIAL r
DIONSW
GAS
LINE
ADD
I
NON-RESIDENTIAL
J
r
SIGN
RETAINING
F-1
WALL
DEMOLISH
EXCAVATE
PENCE
ALTER
M
OR FILL
I .......... X .......... Pt.)
REPAIR
13
PRE -MOVE
INSP.
swim
POOL
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
tl
ro-STEDoN KROLL MAP NO.:
PERMIT
NUMBER
foB ADDRESS
k� (, A-
ff -
��a
_11
3IDE YARD SETBACK
13TREET SETBACK
REAR YARD SETBACK
to' rn; 4
�) 5 ' M "
q -5- 1 rh 1�
ITS-E ZONE
—,I
VACANT SITE
R 1
113 YES (3 NO
VARIANCE NUJW=
HEIGHT
I BUILDING _JXW_ A
PLOT PLAN APPROVED
STREET R1W
STREET R/W 0
DEFICIENCY THIS PROPERTY
EXISTING
COMP. PLAN ST. R/W
..PT.
/.,.!9.FT.
REMARKS
Z
[3 YES [3 NO
t(
0
Mn Check No ............ ...... .
PROPOSED USE
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUMBING
to
HEAT & GAS LINE
PENCE
SIGN
73c.
RETAINING WALL
3a
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge Mat I have read this application'. that the In-
formation &Ivan In correct; and that I am the Owner, or the duty author-
Ize.d. agent of the owner. I agree to comply with city and state laws regu.
ATTEIMON
la,ung construction; and In doing the work authorized thereby, no person
will be employed In violation Of the Labor code of the State of Washington
THIS PER3=
relaiiing to Workmetas compensation Insurance.
AUTBOPJZE8
NOTE: Permit Limit One Your (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUHMINGS shall be com.
plated In elm months.) /?
In URE (OWNER OR AGENJO DAT SIGNED
W,
INSPECTION
6 7_
DEPARTME NT
Orry OF
EDMONDS
Na UT: Applicant Subject to Plan Check Fee
PR 6-1107
This Permit covers work to be done on private Property ONLY.
Any condrOctlea on the public domata (curbs, oldewalks, driveways,
marquess, etc.) win require separate Permil5lon.
Valuation
9
13 YES (3 NO
Fee
I S_1.!;�-o 109-11
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
FILE
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