710015.pdfa :' UUILUINU utrAnimeni I ApplicantP7ll
PERMIT APPLICATION
NaM14
-MAILING ADDRESSU /�
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Inslde Heavy Lines
0
/ TELEPHONE NUMBER
3 . % i 7
RESIDENTIAL
El
GAS
LINE
NEW
19
NON-RESIDENTIAL
❑
SIGN
ElADD
RETAINING
❑
O
EJ ALTER
❑
DEMOLISH
EXCAVATE
❑
PENCE
Ft.)
ORFILL
...x_......
REPAIR
�""''�
I I
PRE -MOVE
INSP.
SWIM
POOL
DWELLING
UNITS
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.
ized agent of the owner. I agree to comply with city and state laws regu-
lating construction; and in doing the work authorized thereby, no Berson
will be employed In violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
,1AII be completed In ninety days; MOVED -IN BUILDINGS shall be com-
Dleled In six months.) 141% _
Plan Check
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
710015NUMBER
-OSTED ON KROLL 11" NO.;
PERMIT
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..
J
OB ADDRESS
r
TIDE YARD SETBACK
ST
SETBACK
REAR YARD SETBACK
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f o'er :
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Vn.( v-j
a s
UBID ZOjZE'
LOT AREA
VACANT BITE
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YES *NO
IEIORT
AREA (VARIANCE
JqUMBER
(BUILDING
7
PLOT PLAN APPROVED
5 - -
t'
... I
STREET R/W
EXISTING STREET R/W ...-.......FT. DEFICIENCY THIS PROPERTY
i
COMP. PLAN ST. R/W ............FT.
............FT.
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REMARKS
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CHECKED BY
-
METER SIZE SERVICE SIZE
CLEARANCE
CHECKED BY
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,
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REMARKS
,
I VERIFIED BY
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-
TYPE CONNECTION
PERC. TEST
PERMIT NUMBER
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I
REMARKS
m
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STREET IMPROVED
FIRE ZONE TYPE OF CONSTRUCTION
0 YES ❑ NO
SPECIAL INSPECTOR REQUIRED
GROUP
YES NO
(OCCUPANCY
PLAN CHECKED BY
REMARKS
`7 a
S 6
0 0 o
Fee - Receipt No.
i
1
Valuation
Plan Check No .....................
....
BUILDING
i '
PLUMBING
HEAT h GAS LINE
FENCE
Is. .
SIGN
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.
RETAINING WALL
i
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
1
EXCAVATION OR FILL
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I
TOTAL AMOUNT DUE
ATTENTION
T1118 PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
OITY OF
EDMONDS
PR g-1107
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-
lmowledged in space provided.
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