710099.pdfC
POSTED ON KROLL MAP NO.:
PERMIT 7 10099
BUILDING DEPARTMENT
PERMIT APPLICATION
Applicant Fill
Inside Heavy Lines
NUMBER
JOB ADDRESS
NA�rM4E�
D
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SIDE YARD SETBACK I
EET SETBACK I
REAR YARD SETBACK
MAILING ADDRESS
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Li ,� V r 1 U(�
fll
yd2y�
USE ZONE
LOT AREA
I
VACANT SITE
❑ 0 YES _�/g�`N
R
7G
CITY
ilfGh d�5 r�✓�f 7
TELEPHONE NUMBER!
Q iC
HE
BUILDING AREA
I I
VARIANCE NUMBER,
NAME
tfrr
PLOT PLAN APPROVED
pUj
ADDRESS
STREET R/W /�
EXISTING STREET R/W ..FT. DEFICIENCY THIS PROPERTY
.O.
COMP. PLAN 8T. R/W rp.Q... FT. /�.....FT.
A
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CITY
TELEPHONE NUMBER
REMARKS
NAME
W
67
ADDRESS
CHECKED BY
F
7.
CITY
I TELEPHONE NUMBER
METER SIZE SERVICE SIZE CLEARANCE
CHECKS Y
I I
I
STATE LICENSE NUMBER
CITY LICENSE NUMBER
I
yy�77
REMARKS
Legal Description
o_Jt-- f Property (Show Below or Attach Four Coples)
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TYPE CONNECTION
VERIFIED BY
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PERC. TEST
_
I PERMIT NUMBER
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m
W
G
REMARKS
O
FIRE : TYPE OF CONSTRUCTION �. STREET IMPROVED
❑NEW
RESIDENTIAL
❑
GAS
LINE
❑ YES
CHECKEDY Y
❑ ADD
r❑1
ly,
I(�
NON-RESIDENTIAL
SIGN
RETAINING
/
REMARKS
ElDEMOLISH
❑
WALL
❑ ALTER
❑
EXCAVATE
OR FILL
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ILl
(E..�CrIt7 ( h2���
X.Ja�S)Ft.)
D
ji-mc�J' 2E
❑ REPAIR
❑
INSP.
❑
wim
POOL
TIDSE:D 1
LUMBER OF STORIES
NUMBER OF
V
DWELLING
UNITS
O
Plan Check No .....................
BUILDING
C2i
PROPOSED USE
PLUMBING
Q
24
ti
PLOT PLAN (Indicate Building setbacks, abutting streets)
tRETAINING
N
HEAT & GAS LINE
FENCE
SIGN
WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
formation given In correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and stale laws regu.
ATTENTION
latter construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
TIHS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be oom-
pleled In six months.)
11GNATURE (OW ER OR T) DATE SIGNED
INSPECTION
/
DEPARTMENT
(r/�J
J 7/
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR a-llov
This Permit covers work to be done an private property ONLY.
Any construction on the public domain (curb@, sidewalks, drlveways,
marquees, etc.) will require separate permission.
❑ YES ❑ NO
GROUP
r�Z
PE EYOA7
L 11.1 0 F �S'c1GrL'i
-7o HNY
So 5&. FT.
No.
^0 @ 0
0 , 00
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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