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POSTED ON KROLL MAP NO,:
,f PERMIT 0 -
G
'BUILDING DEPARTMENT Applicant Fill i
NUMBER I
:PERMIT APPLICATION Ingldo Heavy L1nes joll dBU
NAME (OR NAME OF BUSINESS)
BIDE YARD SETBACK STREET BETBA REAR YARD SETBACK
r a DREse . /
Q�/r] USE ZONE LOT AREA VACANT SITE
—�/ ( 4MD /G YYY
ut I O CITY LEPHG.QE N. �t L.A•' I I ❑YES ❑ NO
s1i,4 !�jAn�l�� 4 J ' „ /��i ,. ,�'' v HEIGHT I BUILDING AREA I VARIANCE NUMBER 1
NAME K/�v i
},3r��, 3 F PLOT PLAN APPROVED
ty i Gl ADDRESS N
STREET B/W
F,r i EXI8TING STREET R/W _.._...... FT, DEFICIENCY THIS PROPERTY
CITY TELEPHONEMB NUER
COMP. PLAN ST, R/W ............FT. ............FT.
REMARKS
NAME 1 �� !h-'�-�31� Y �" ^'e •
oD. DuTTaP4 I1�1C.
\ 04 ADDRESS
�+ r �i tom• rV. gO I� �p 1 77 3J 6 ' CHECKED BY
r t CITY TELEPHONE NUMBER
/(p3y METER SIZE SERVICE 81ZID CLEARANCE CHECKED BY
{ STATE LICENSE NUMBER CITY LICENSE NUMBER
r J 1tEMwxxe
i ^
Legal Description of Property (Show Below or Attach Four Copies)
T Z/ TYPE CONNECTION /`✓ VERIFIED BY
PERC. TEST I PERMIT NUMBER
•A... W G Y /^/ / V C/t��/ D�Li�/�_//1%I REMARKS
V%EVc/ JoJoe 0 //No/
TYPE OF CONSTRUCTION STREET IMPROVED
I O .
i - Z 7—^l zovme c— 9 —EAST Lam,
Ik I I T' L I❑ YES NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
' (iv C+ ❑ /RE/BIDENTIAL G ff��❑" GAS ❑ YE8 NO
LINE PLAN CHEC O BY
❑ NEW
R ❑ NON-RESIDENTIAL ❑ SIGN : THIS SITE IS LOCATED th THE
❑ ADD ❑ RETAINING
TONING RLiMARKS F EDMOI•l,:S, LOCAL SALES
❑ DEMOLISH
i
❑ ALTER EXCAVATE ❑ FENCE TAX SHOULD BE CODED 31,04, OR FILL (........ ..z„........ Ft.) /� �Jw A �/
❑ REPAIA ❑ IN P, ❑ swim POOL /DOD y0Sa / 4)6, AL & Wd -Xit
LUMBER OF STORIES I NUMBER OF P�L��JZw3c • 7 7 4p ,V
DWELLING
UNITS
PROPOSED USE
q PLOT PLAN (Indicate Building setbacks, abutting streets)
v Ems' 1 T
I hereby acknowledge that I have read this application; that the In.
formatlon 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 person
will be employed In violation of the Labor Code of the State of Washington
islating to Workmen's Compensation Insurance.
NOTE: Permit Limit Ono Your (Except DEMOLITIONS which
shall be completed In uioety days; MOVED -IN BUILDINGS sl:ail be com•
pleted In six months.)
J=e.b, //,/n
NOTE: Applicant Subject to Plan Check Fee
This Permit coven work to be done on private property ONLY,
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, eta.) will require separate permission.
Valuation Fee
Plan Check No, .................
BUILDING
PLUMBING
BEAT d: GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE•MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE I 7r/0
, &t V010 4
ATTENTION APPLICATION APPROVAL
TIDE PERMIT This application is not a permit lentil
AUTHORIZES signed by the Building Official or his Dep-
ONLY THE
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged in space provided.
INSPECTION DIRECT a 6N H
DEPARTMENT
CITY OF
EDMONDS DATE —
/
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