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BUILDING DEPARTMENT Appllcaut Fill
� NUMPERBER
ZONE NvhiBER
PERMIT APPLICATION I Ingldo Heavy Linea
ADDRESS
NAME (OR NAME OF BUSINEBH)
PERMISSIBLE E r/
Roger cis Dyer
LOTUAL
LOT COVERAGE.LOT CUVEIIAOE y
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MA1NO ADDRESS
PERMISSIBLE IIEIOHT PnOPOSbD HEIOHT y
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1154 - 2nd Ave. So.
CITY
PH N Bh;ft
ACTUAL LOT AREA TOTAL BLDG. AREA
!
Edmonds
776-1042
REQUIRED YARDS PROPOSED YARDS F
'
NAME
FRONT SIDE REAR FRONT SIDE REAR
, S i�
LEGAL LOT VARIANCL OR CONDITIONAL USE
�ADDRESS
YES ❑ NO PF.AhilT NUMBER
L O DEP P t AL ATE:
U
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CITY
TELEPHONE NUMBER
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'ET
8T P V
T TIN STREET R/W ............FT. DEFICIENCY THIS PROPERTY
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NAME
COMP. PLAN ST. A/W ............p -r. ............FT.
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REMARKS
of
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CHECKED HY
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CITYTE
PHONE NUMBER
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SIZE SERVICE SIZE CLEARANCE
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CHECKED HY
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STATE/LICENSE NU.....
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CITY LICENSE NUMBER
METER
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22 7 61 ' 7
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REMARKS
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Legal Description of Property (Shaw Brtlow oe Attach Feur Coplea)
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PE CONNECTION I
VERIFIED
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f�A2 If %J �t...l 1 n e�
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PERC. TEST
PERMIT �7 1MHER
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REMARKS
FIRE ZON I TYPE OF CO OTRUCT114 STREET IMPROVED
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❑ NO
8P CIAL INSPECTOR�REQUIRED
OCCUPANCY GROUPRESIDENTIAL
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❑ YES 0
NEW
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
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❑ NON-RESIDENTIAL
❑
OF EDMONIlEDS. LOCAL SALES TAX
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•�Q�7
BION
/(y!�
31,04,
421 ADD RETAINING
WALL
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R ARK
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p�\�/C
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DEMOLISH
(� a, e� ` ` ` ` ` , . l
Na r /`e`.]� W`IVO�W D CIV
ALTER ❑ EXCAVATE FENCE
Y--" OR FILL (.......... x .......... Ft.)
'-7''
< A 0�- L -ti
REPAIR ❑ NBPMOVE swiO POOL
1ry'/ ,J�i3 p.
�H//V1`"G1l,'%��f�jF�Y G'/ �✓ aJ / r�� j�� (I 7 %O
NUMBER OF NUMBER OF
iTOR1ES I
DWELLING
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LL �
q
UNITS
d ��.G.7L7 / / e• 01J1J J 1/ /�/
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NATURE OF WORK TO BE DONE
Valuation
Fee
Receipt No.�
1513c l e1SE CAR Pott -I
Plan Check No.... ................
BUILDING
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PROPOSED USE
IF—E . RIXVIA
PLUMBING
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HEAT A CAS LINE
PLOT PLAN (Indicate Building setbacks, abutting street.)
o
FENCE
Ct-a/�t�Cx�jll
tJG
BION
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
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•
EXCAVATION OR FILL
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TOTAL AMOUNT DUE
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I hereby acknowledge that I have read this application; that the In-
formation given Is correct; end that I s.m the owner, or the duly author-
Ized agent of the owner. I agree to Comply with city end .tate laws mgu-
ATTENTION
APPLICATION APPROVAL
,sting Construction; and to doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Stale of Washington
THIS PERMIT
This application Is not a permit until
relating to Workmen's Compensation Iosurance.
AUTHORIZES
signed by the Building Official Or his Dep.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY T/IE
WORK NOTED
uty; and fees aro paid, and receipt Is ac -
shall be completed In nicely days; MOVED -IN BUILDINGS shall be Com-
knowledged in pace provided.
plated In six months.)
810 (OWNER OK"` GENT)
DATE SIGNED
INOPECTION
DEPARTMENT
D �S el ATURE
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'N
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L CITY OF
EDM S
DATE
J
TE: Applicant Subject to Plan Check Fee
PR 0-1101
—G — 7
This Permit coven work to be done on prl,1. property ONLY.
Any construction on the public domain (Cuba,sldewaika, drlvewgq
FILE
maroue<s, sic.) will reghne separate permission.
I
PERMIT
\� BUILDING DEPARTMENT ZONE. NUMBER 7400
Appilcant Fill
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PERMIT APPLICATION I Imido HeavyLlncg _YOl
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ADDRESS .0 �j ' �`
REMARK2tl
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NAME (OR NAME OF BUSINESS) d Com+ [�
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E /Fa i 816 / i L_0>- - i o - L OC. rl S�
:.''(: 1' ',,.`� ;J�: Y. PEItTIItltl 6LE ^ ACTUAL
Q.LOT COVERAGES LOT COV&.11
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Al NO DRESS
TYPE CONNECTION
` PERMISSIBLE HEIGHT PROPOSED HEIGHT ` f
la
CITYTELO ONNUMBER ACTUAL LOT AREA TOTAL BLDG. AREA
PERC. TEST
PERMIT NUMBER
REQUIRED YARDS PROPOSED YAItUtl
NAME FRONT SID}: REAR FRONT BIDE REAR
'
G _IAq
LEGAL LOT VARIANCE OR CONDITIONAL USE
ADDRESS
}, YES/ [] NO PERMIT NUMBER
i
LAN INO DEP P VAL_ /J ATF;
0
CITY EL ONE NUMBER . "l. Lt.lic
REMARKB
as
ST ET A�
EXISTIN STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NAME
COMP. PLAN ST. R/W ............FT. ............FT. p7
ri '_o'CG� w• A�JRne 1�5
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N ADDRE80 p
FIRE(jZrE'
TYPE O_F �;V77UCTIQN
STREET IMPROVED
CITY TELEPHONE NUMBER
METER BILE SERVICE SIZE N E
STATE LICENSE NUM R CITY LICENSE NUMBER
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Legal Description of Property (Show Below or Attach Poll, Copies)
REMARK2tl
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E /Fa i 816 / i L_0>- - i o - L OC. rl S�
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112
TK l 4 K XW14 7/
TYPE CONNECTION
VERIFIED• BY
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la
., 1
PERC. TEST
PERMIT NUMBER
a99
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0
REMARKB
as
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1
FIRE(jZrE'
TYPE O_F �;V77UCTIQN
STREET IMPROVED
SPECIAL INSPECTOR REQUIRED
OCCUPANpY 6ROVP
❑ YES
�,
RESIDENTIAL CAB
NEW LINE
NON-RESIDENTIAL
PLAN CHECKED D
` /Z� {A
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
(� slax
Im ADD
�• 'y
HOULD BE CODED 31.04.
R MARKS ,
RE
RETAINING
DEMOLISH WALL
ALTER EXCAVATE FENCE
mo ,0��1.
t` ��-`-
` ` ['-l'� �
�)`1�TJ `JQUi A ` w E c, "
OR FILL (..........a..........Ft,)
❑ ❑
PRE -MOVE swim
REPAIR
INSP. POOL
NUMBER OF STORIES NUMBER OF
DWELLING
%/
UNITE
c✓ V CG / �!
IVR/ Sr// LL:
i
NATURE OF WORK TO BE DONE
\
�Y3(C. 'C.bE
Valuation Fee Receipt No.,
Plan Check N
BUILDING
� 6 t%(%
PROPOSED USE
PLUMBING
q PLOT PLAN (Indlcato Building sell bulli streets B )
HEAT &GAB LINE
FENCE
i
1J G ckt v l_1Cx\=
(,
SIGN
RETAINING WALL
IN
- I
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that 1 have read lila that
TOTAL AMOUNT DUE
/ n c)
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application; the In.
formation given le correct; and that I am the owner, or the duly author.
F l
lied agent of the owner. I agree to eomyly wlt6 Illy and elate levee raga-
,atlog conetructlo¢; and In doing the work authorised thereby, no person
ATTENTION
APPLICATION APPROVAL
wlil ae employed In violation of the Labor Code of the State of Washington
raletbg to Warkmen'e Compensation Insurance.
THIS PERMIT
This application is not a permit until
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year
t DEMOLITIONS wale,
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
ac -
all be completed In nicety Jaya; MOVED -IN BUILDINGS .call be Ca,
-IN -
knowledged in space provided.
plated elx menthe.)
Di /-
pllh
BION TU E (OWNER O p6ENT) (� DATE SIGNED
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INSPECTION
DEPARTMENT
_
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DIRECT 'S SIGNATURE
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✓iT - �---'it
CITY OF
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N TE: AQplicant Subject to Plan Check Fee
EDDIONDS
DATE
I _ 7
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This Permit coven wort b 6e done ONLY.
padko,
PR 8-1107
(C bs,sprivate
d
drlvewa7e,
Any Construction an the public domequim
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epsum, Porral ide,
ntar¢ueea, etc.) veld redmro separate Dermlulon.
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INSPECTOR
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