680335.pdfY�
BUILDING DEPARTMENT Applicant Fill
irnside Heavy Lines
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
_MA1LING AMIJAM130
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CITY
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Legal Description Of Pri
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(Show Below or Attach Four Co,
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STED ON KROLL MAP NO.:
PERMIT
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NUMBER680335
J B ADDRESS
7n.) . a
NEW
NON-REAIDENTULL
ffi SIGN
DEMOLISH
El
RETAINING
WALL
ALTER EXCAVATE
OR FILT
PENCE
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........ . ..........
REPAIR
PRE -MOVE
INSP.
SWIM
POOL
I NU ER 0 'STORIES NUMBER OF
'U
DWELLING
UNITS
; A>
_NA OF,7�W TO BE DONE 0
( z7 -cf- ,W� VW
TARD SETBACK
STREET SETBACK
REAR TAR DSETBACK
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LOT AREA
VACANT OTTE
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-ffU—ILDING AREA
VARLALNCE NUMBER
PLA OVED
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G STREET R/W ... 0.. 7r. DEFICIENCY THIS PROPERTY
R/w ) ... PT.
LARKS
CHECKED 13Y
TER SIZE SERVICE SIZE
CLEARANCE
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to
PE CONNECTION
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RC. Tf ST
rZAAMM 14 UMBER
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TYPE OF C U 0
STREET IMPROVED
YES NO
ECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
YES
Carport valusltion figured an this POrNits,
Permit issued subject to details of carpor
Plan Check
PROPOSED USE BUILDING
W
P P to Building setback$. &bU7Ul t PLUN30NG
Z9, SL a
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
"11 SWIMMING POOL
141 OLTON
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given is correct; and that I am the owner, or the duly author -
,zed agent of the owner. I agree to comply with city and state laws ragu- ATTENTION
lating construction; and In doing the work authorized thereby, no person
will be employed in violation of the Iabor Code of the State Of Washington THIS PERMIT
relating to Work -on 5 Compensation Insurance- AUTHORIZES
ONLY THE
NOTE: Permit Limit One Your (Except DEMOLITIONS which WORK NOTED
shall be completed in ninety days; MOVED -IN BUHMINGS shall be oom-
plated in six months.) DATE SIGNED INSPECTION
DEPARTMENT
7-1�z ?J7
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee PH 6-1107
_jTdo —rennit coven work to be done on Priv"O property ONLY -
Any construction an the public domain (curbs, 51d0walim, drIVOWAYN,
_, uces, etc.) wtU require separate permission.
Fee
O.S.
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.
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