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720295.pdft i. Ap1 1 �f. riilf �'4.1 y 11•it i..' c ..t. v r #rbYir tti�ll A �'i,jt =I+Y1i. �v.ui�anww r�i.w+ua+.tf.r....•u•s ti a t� { POSTED ON KROLL MAP NO,: I PERMIT BUILDING DEPART M ENT Applicant Fill NUMBER PERMIT rAPPLICATION Inside Heavy Lines JOB ADDRESS :(OR NAMS OF BUSINESS) l / / ? 0 V` e b / r111:SIDE YARD f�BETHACK BTRE ETHAOK SS ! t I 5 J •�� UBID ZONE LOT AREA ..... T PBOND Q QBbii:�R Kn S — / n �`) • � S S y v HEIGHT BUILDING I DI G AREA 3B I D c c7 ✓L Q-T DENSE NUMBER CITY LICENSE NUMBER !.. q;DesrrlDtlon of Property (Show Below or Attach Four Copies) 7 D� L ak4 �A I ,Z Fu -� »r K j Css ereof , -rog�yLle r ���- •�� (, WL boo ISO D-F- LO 1 B:2 Less S , �tL'q s}• F 1 n; + ; �1L1 } RESIDENTIAL ❑ GAS LINE ❑ NEW ❑ NON-RESIDENTIAL ❑ SIGN ADD ❑RETAINING DEMOLISH ❑ WALL ❑ ALTER EXCAVATE FENCE ❑ OR FILL ❑ (.._......z.......... FL) ❑ REPAIR ❑ PRE -MOVE ❑ POOL NUMBER OF HTORiEB I NUMBER E UNITS i 720295 ir t YARD @ETD/ � AIoomi YES Q NO EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST, R/W ............FT. ............FT• REMARXB lariveway slopes not to exceed those FXMO ra.nq unruacn:u rsx THIS SITE IS LOCATED IN IHL CITY OF EDMONDS. I.00.00. SALES REMARKS TAX SHOULD BE CODED 31. , Si// e0WZF- X 64C r/oX/ &B e$:, /9741 .SaAT[56r TD ON' J"17'4:w Plan Check No, ........ ...... ... z I BUILDING PROPOSED USE PLUMBING Ci PLOT PLAN (Indicate Building setbacks, abutting streets) BEAT k GAS LINE D n FENCE SIGN VTRETAINING WALL SWIMMING POOL Qu I ^ Q �{ DEMOLITION /feW tara9e 1 G PRE -MOVE INSPECTION T 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- lzed agent of the owner. I agree to Comply with city and state laws regu- ATTENTION Iating 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 PERMIT relating to Workmen's Compensation Insurance, AUTHORIZES ONLY THE NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED &hall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) 81GNA RE (OWNER OR AO NII) DATE SIGNED INSPECTION DEPARTMENT / CITY OF EDMONDS NOTE: Applicant Subject to Flan Check Fee PR M1107 •\ This Permit covers work to be done on private property ONLY. Any construction an the public domain (curbs, eldewaau, driveways, marquees, etc.) will require separate perWsaloo, !L APPLICATION APPROVAL This application is not a permit until signed by the Building Official or hie Depe uty; and fees are paid, and receipt is ac., knowledged in space provided. 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