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740097.pdf1 TOTAL AMOUNT DUE is ❑ LINE PER R 7A00g7 BUILDING DEPARTMENT ZONE C NUMBET �1 NON-RESIDENTIAL 0 Applicant Fill 'skiing to Workmen's Compensation Insurance. ADD ElDEMOLIeH PERMIT APPLICATION Inside Heavy Lines jog WALL I ]�I ALTER ADDRESS -Y� _ �i���9 /J� j � FENCz..........Ft.I SIGN NAME (OR NAME OF e� • ❑ OR FILL INSP. O SWI POOL ZEBU) /1P PET COV SLE 70 ' ACTUAL LOT COVERAOF. LOT COVE I I� EDMONDS m MAILING ADDRE O PERMISSIBLE HEIGHT PROPOSED HEIGHT I ) qI O CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA I 3 PRE -MOVE INSPECTION REQUIRED YARDS PROPOSED YARDS EXCAVATION OR FILL T NAME FRONSIDE REAR FRONT ,IDE REAR eUj ADDRESS LEGAL LOT VARIANCE OR CONDITIONAL USE [+ C3 YES JJ NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: m CITY TELEPBONE NUMBER STREET R/1V C i EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME • �- COMP. PLAN ST. R/W ............FT. ............FT. '�-Irr-I'I tN ,' ✓Jy Ile { /�✓� {u'iJf� fir.✓- - REMARKS x mOF ADDREBB7B ,+ r �� •� �.G BY W {U E / .j J .S `' CHECKED C1T ) TELEPHONE NUMBER rf/I i ie «�� E� y�3Gry a A. BB -4 SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER REMARHB Legal Description of Property (Show Below or Attach Your Copies) r I TYPE CONNECTION VERIFSED BY I Z O FERC. TEST PERMIT NUMBER d, U r REMARKS m EJNEW TOTAL AMOUNT DUE t—+ RESIDENTIAL ❑ LINE PLUMBING lating conetructlon; and In doing the work authorized thereby, no Denon NON-RESIDENTIAL 0 SIGNRETAINING 'skiing to Workmen's Compensation Insurance. ADD ElDEMOLIeH ONLY THE WALL I ]�I ALTER EXCAVATE ❑ FENCz..........Ft.I SIGN REPAIR ❑ OR FILL INSP. O SWI POOL UMBER 4UMBER OF STORIES NUMBER OF EDMONDS NOTE: AQQllcant Subject to Plan Check Fee SWIMMING POOL DWELLING DEMOLITION nm reun,, ric,) was reamre .'Perot, permIeelon.1111 PRE -MOVE INSPECTION Ia e,c / *00S,1� I10 YE8,NO SPECIAL INSPECTOR REQUIRED OCCUPANCY CROUP ^ YES ANO I �' K PLAN CHECIIF;D DY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD B CODED REMARKS ,&Xy # 0/9C if 70 ° PW 7ilODS'3 Valuation Fee I Receipt No. ti �y TOTAL AMOUNT DUE Plan Check No. .................... BUILDING i PROPOSED USE Isc6 agent Of the owber. I agree to comply with city and etnle laws regu- PLUMBING lating conetructlon; and In doing the work authorized thereby, no Denon ATTENTION will he employed In vlolatlo¢ or the Labor Code of the State of Washington OPLOT PLAN (Indicate Building setbacks, abutting streets) 'skiing to Workmen's Compensation Insurance. HEAT A GAB LINE O ONLY THE ,hall be completed In ninety, days; MOVED -IN BUILDINGS ,hail be com- O pleted In ,ix menthe.) FENCE 316NATURE (OWNER O GENT) DATE SIGNED INSPECTION SIGN DEPARTMENT tRETAINING WALL N EDMONDS NOTE: AQQllcant Subject to Plan Check Fee SWIMMING POOL This Permit coven work to be done an private property ONLY. DEMOLITION nm reun,, ric,) was reamre .'Perot, permIeelon.1111 PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that I have read this application: that the in- TOTAL AMOUNT DUE formation given le correct; and that I sen the owner, or the duty nuthor- Isc6 agent Of the owber. I agree to comply with city and etnle laws regu- lating conetructlon; and In doing the work authorized thereby, no Denon ATTENTION will he employed In vlolatlo¢ or the Labor Code of the State of Washington TINS PERMIT 'skiing to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Your (Except DEMOLITIONS which ONLY THE ,hall be completed In ninety, days; MOVED -IN BUILDINGS ,hail be com- WORK NOTED pleted In ,ix menthe.) 316NATURE (OWNER O GENT) DATE SIGNED INSPECTION DEPARTMENT 3 ^ CITY OF EDMONDS NOTE: AQQllcant Subject to Plan Check Fee PR d-7107 This Permit coven work to be done an private property ONLY. Any construction on the publlo domain (e=bs, eldewnike, drlvewgs, nm reun,, ric,) was reamre .'Perot, permIeelon.1111 APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged In space provided. FILE