740053.pdf.. _
PERM 0 I88IBLE HEIGHT PROPOSED HEIGHT 250 - 5th Avenue North
CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA
777...
Z
Edmonds, Washington 775-2525 REQUIRED YARDS
Fe.No.
_ Receipt
l
PROPOSED YARDS
NAME FRONT BIDE REAR FRONT SIDE REAR
1
Harry Nelson 6 Assoc.
BUILDING DEPARTMENT
F ADDWS8 LEGAL LOT VARIANCE OR CONDITIONAL USE
I Applicant FLU
ZONE rPunfHIETx
`,5
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PERMIT APPLICATIOPI
Inside Heavy Lines
,GBDRESS 7-4
NO Fee
, EXI ING STREET R/W .. .......FT. DEFICIENCY THIS PROPERTY"
NAME
C
AD
PLOT PLAN (Indicate Building a g setback,abutting streets)
NAME (OR NAME OF BUSINESS) 220 Railroad Avenue
ta CITY 0£ EDMONDS
PERblISSIBLE T. ACTUAL J
LOT COVERADE LOT COVERAGE
HEAT & GAS LINE
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� MAILING ADDI(EBS
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TELEPHONE UMBER
CH�EIfCK�(ED BY
NATURE OF WORK TO BE DONE
PERM 0 I88IBLE HEIGHT PROPOSED HEIGHT 250 - 5th Avenue North
CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA
777...
Z
Edmonds, Washington 775-2525 REQUIRED YARDS
Fe.No.
_ Receipt
PROPOSED YARDS
NAME FRONT BIDE REAR FRONT SIDE REAR
1
Harry Nelson 6 Assoc.
F ADDWS8 LEGAL LOT VARIANCE OR CONDITIONAL USE
E PROPOSED USE
0 YES NO PERMIT NUMBER
6504 -225th Place SW. NIN
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T. ROVA
CITY TELEPHONE NUMBER
P
Mtlk. Terr. Wn. 1774-6151 ET R/1V
NO Fee
, EXI ING STREET R/W .. .......FT. DEFICIENCY THIS PROPERTY"
NAME
C
PLOT PLAN (Indicate Building a g setback,abutting streets)
COMP. PLAN ST. R/WFT.
41 11 S Gh Lt IP_ k) Nf 5,� REMARICB
C ADDRESS Q
h I Qi D 0� 1 hl %jr= Vt
/ 9
HEAT & GAS LINE
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TELEPHONE UMBER
CH�EIfCK�(ED BY
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CHEC D BY
STATE LICENSE NUMBER'
METER SIZE SERVICE SIZE CLEARANCE
CITY LICENSE j(i7UMHER
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N///may RL/EMARKB
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RETAINING WALL
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Legal Deecrintlon at Property (ShoN Below or Attach Four Copley)
P,-''oT P6Aa 'J
TYPE CONNECTION
VERIFIED BY
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P!•.RC TEST PERMIT NUbIHER
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STREET IMPROVED
F COONSST(RRUUCTIOONN
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IJY +l%7C'P7lr}4'.e� YES �[NO
SPECIAL INSPE TOR REQUIRED OCCUPANCY GROUP
GAS C]
NEN RESIDENTIAL ❑ LINE YES rMaO
PLAN CFIECILED�D�`Y'' THIS SITE le LOCATED IN THE CITY
® NON-RESIDENTIAL ❑
SIGN OF EDMONDS. LOCAL SALES TAX
cHOLILD
EXCAVATION OR F1LL
BE fOD n 31 Od
EJADD RETAINING RBMARK9 -
DEMOLISH WALL
® ALTER EXCAVATE FENCE �I / \
OR Bldg. #1
❑ FILL ❑ 1
,
TOTAL AMOUNT DUE
(..........x..........Ft.,
X REPS\iR PRF.•TfOVEj
POO
format].. given Iscorrect; and that I am the owner, or the duly author -No
INSP.
❑ O POOL
NUMBER OF STORIES NUMBER OF
I '
Y1 DWELLING
�r UNITS
latl.g eanetruetl.n; and 1. doing the work authorlced thereby, ao per.0.
NATURE OF WORK TO BE DONE
Remodel
Valuation
Fe.No.
_ Receipt
Plan Check N. .....................
1
O
E PROPOSED USE
BUILDING
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NO Fee
Assembly for Senior C1t1Zen5
PLUMBING
PLOT PLAN (Indicate Building a g setback,abutting streets)
HEAT & GAS LINE
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FENCE
SIGN
RETAINING WALL
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V (I I
SWIMMING POOL
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DEMOLITION
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PRE -MOVE INSPECTION
EXCAVATION OR F1LL
Fee
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this apPlicntlon; that the In-
format].. given Iscorrect; and that I am the owner, or the duly author -No
l.ed agent of the owner. I agree to comply with city and elate law. regu-
latl.g eanetruetl.n; and 1. doing the work authorlced thereby, ao per.0.
ATTENTION
APPLICATION APPROVAL
will be employed In vlolatl.n of the Labor Code of the State of Washl.gton
relating to Workmen's Compensation Insurance.
THUS PERMIT
AUTHORIZES
This application is not a permit until
NOTE: Permit Limit One Year
ONLY TILE
signed by the Building Official or his Dep.
--
(Except DEMOLITIONS which
shall be completed In nl..ty days; MOVED -IN BUILDINGS shall be tom.
WORK NOTED
uty; and fees are paid, and receipt is ac -
Plated Inpix months.)
knOWledged in space provided.
etONA E.(ON Rr0 AOE T DATE STONED
INSPECTION
DEPARTMENT
DIRECT 8 8lON (tE
CITY OF
�•
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
DATE
This P'_""""work (o be dnne on private property ONLY.
PR a-1107
Any construe(... an I,,a pnhee A main (curb,, eldrwNke, dd—.y
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RECORD OF INSPECTIONS
Date Passed
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