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POSTED ON KROLL B[AP NO.t
�• BUILDING DEPARTMENT AppLcantP911
PERMIT APPLICATION Inatde xea.�yy rdn°. ,°H ADDRESS
� N E OH�HUB a /� �O 9 `•'�L
� '��"` � _:+� BIDE YARD affiTHAOK STREI
F ` t
�"`'1'�;• REea
�� �' � / ') r yr UBffi ZONffi LOT /
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�yl� ;`.�• O C Y ON UMB2:ft � 5 r• / 7,
6 ^ � � HEIGHT HUILI
ht
NA E
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�k�i� q,}}:{� F r^/ I//�� 1 PLOT PLAN APPROVED
� � I���u� ^} �: si � �: � � % L~'� V// l NTRRF.T R/W
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PERMIT
NUMBER
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7 I O�i55
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ANT BITE
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ECB ❑ NO
IANCffi NUMBER
t`N 116�� EXIBTIN6 STREET R/W JC.}' { I v - D�FIOIENOY�TIHIS PROPERTY
6 COMP. PLAN BT. R/W .v._r.._,_�.FT. ..S,.,eED"P.
REMARKBDriveway slopes not to exceed those
indicated on Standard Drawing 4�103.
� �
T PHONE NUMBER
I• � �-/ 9�
O CENSE NUMBER
low or Attach Four CODIea)
�T ��
�[�"'
1
n �/_
17�7/ � RESIDENTIAL ❑ LINE
I�/ NON-RESIDENTIAL � BION
ADD ❑ DEMOLISH ❑ wAL�N6
ALTER ❑ OACFILL E � 8'ffiN ..z._.._...Ft.)
REPAIR O INBPMOVE O BWIL .
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— Pbn Check No._....._.._.._...
HUILDIN6
PLVMHIN6
HEAT d: 6A8 LINE � � I
FENCE
BION
RETAINING WALL
IB WINNING POOL
DEMOLITION
PRffi•MOVE INSPECTION
ffiICCAVATION OR FILL
I heroby ackoowladts that I have read this aDDlicatton; that the ln-
tormatlon slven is correct; and that I am the owner, or the dulq mthor-
lsed anent of the owner. I np•ee to comDlY with city mA stab laws roLu-
latlni construction; and In dolna the work authortsad thereby, no Denon
will be emDloYed In violation o[ the Iabor Code o[ the State of Waehingtoa
rolaUns to Workmen's ComDeasatlon Insurmoe.
NOTE: Permit Limit One Year tE:eeDt DEMOIITIONB wnlen
shall be comDlatad In ninety days; MOVED -IN SIIII.DINOB shall bo oom•
Dieted In etz mantluJ _
NOTE: Applicant Subject to Plan Check'Fee
This Permit coven work to be dens on Drlvate DroDertY ONLY.
AaY eenslnetloa on the DabUo domain (earbs, aldewa!)u, dtivewafs,
maryuaey elo.) will ropmre teDarale Dermleeloo.
TOTAL AMODNT DIIE
i His SITE IS LOCATED IN
CITY OF EDMONDS. LOCAL
T X SWOl1LD BE CODED 3
Valuation Fee
G, 326. oo
a� —
_. O D b
ATTENTION APPLICATION APPROVAL
THIS PERMIT Thla application is not a permit until
AVTuosliEs efgned by the Bttllding Official or his Dep-
ONLY THE
moons xoTaD uty; and Yeea are paid, and receipt iB ac-
knowladged in apace provided.
INSPECTION
DEPARTMENT
OITY OF
EDMOND$
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