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FIRE I TYPE E OCONSTRUCTION STREE IMPROVED
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BUILDING DEPARTMENT
Applicant Fla
ZUONE SE
_y NUMBER 740120
YESED NO
ePECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP
YES T/
NRESIDENTIAL LINE EW
❑
PERMIT APPLICATION
I Inside Heavy Linea
_S
IO
CHECKED Y
THIS SITE IS LOCATED IN THE CITY
�C/-,/J� J OF EDMONDS. LOCAL SALES TAX
BE COD
RETAINING
WALL
/eM"fNQULD
MARK$J i
NAME (OR NAME OF BUS1NE88)
ADDRESS
- 7 O Elm Street
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BELT HOMES
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PI'•RMISe1BLE " ACTDAL JJ
LOT COVERAGE LOT COVEIIAOE
REPAIR PRE•MOVEswi
MAILING ADDRESS
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PERD1188IHLEHEIGIiT, PROP//qy/q�E�D—HE[O1JHiT/Gn�,W,•—
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NUAlIIER OF STORIES NUMBER OF
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9808 -215th Ave. S.W.
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2 UNITS 1
CITY ELEPHONE NUMBER
ACTUAL LOT SEA TOTAL BL/D/p'/7�ARE{�p/I/T�J
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Edmonds, Washington 776-2829
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NAME
YARDS PROpOBEDYARDS
F�RrO�NT BIDE REAR FRONT BIDE REAR
PROPOSED USE
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aPLOT
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ADDRESS
u PARI ITCE O CRONDITIONA L�--
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FENCE
NO
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SIGN
P O P P L
RETAINING WALL
O1TY
ELEPHONE NUMBER
eNIMMING POOL
BTAEh-T V 1
DEMOLITION +
EXISTI STREET RIVC'K�14./.V��!...%y�. DEFICIENCY THIS PROPERTY
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PRE -MOVE INSPECTION
NAME
EXCAVATION OR FILL 1
TOTAL AMOUNT DUE
Same
COMP. PLAN BT. R/tOSi(J.yC,irt', ...�i...FI'
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teed agent of the owner. I agree to Comply with city and slate law. regu-
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lating construction; and in doing the work authorized thereby, no person
ADDREHB
REMARKS
Driveway slopes not to exceed those
THIS
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PERMIT This application is not a permit until '
AUTHORIZES
ind rated Standard-1i19g
ONLY TIIE signed by the Building Official or his Dep ----
(Except DEMOLITIONS which
.hall be COODleled In mpety days; MOVED -IN BUILDINGS
f
on NO
C KED BY
Wledge Ins ce provided. I
C3TY
TE PHONE NUMBER
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DEPARTMENT
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��ntLrl�I iN0 UJlel?JC�'�R^in (�,),,��ggg
Plan Check Fee
PR 0.1107 —
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STATE LICENSE NUMBERCITY
LICENSE NUMBER
METF.�, eI'LE BERVjCE SIZE I CLEARANCE CHEW
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REMARKS
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Legal Description of Pre petty {Show Below ar Attach Four Copley)
Lot #5, Elm View Addition
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TYPE CONNECTION VERIFIED BY
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Division B
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PERC. TEST PERafIT UID R
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REMARKS
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FIRE I TYPE E OCONSTRUCTION STREE IMPROVED
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YESED NO
ePECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP
YES T/
NRESIDENTIAL LINE EW
❑
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d
PLAN
NON-RESIDENTIAL SIGN
ADD
CHECKED Y
THIS SITE IS LOCATED IN THE CITY
�C/-,/J� J OF EDMONDS. LOCAL SALES TAX
BE COD
RETAINING
WALL
/eM"fNQULD
MARK$J i
❑DEMOLISH
ALTER EXCAVATE FENCE
OR FILL (..._.....x..........Ft.)
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REPAIR PRE•MOVEswi
❑ INBP. POOL
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NUAlIIER OF STORIES NUMBER OF
DNELLING
2 UNITS 1
NATURE OF WORK TO BE DONE
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New Residence
Valuation Fee Receint No.
Plan Check N. .....................
BUILDING b
PROPOSED USE
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PLUMBING a iJ 66
aPLOT
PLAN (Indicate Building setbacks,abutting .freer.)
HEAT h GAS LINE
FENCE
SIGN
RETAINING WALL
eNIMMING POOL
DEMOLITION +
PRE -MOVE INSPECTION
EXCAVATION OR FILL 1
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
formation given Is
correct; and that I ant the owner, or the duly author -
teed agent of the owner. I agree to Comply with city and slate law. regu-
lating construction; and in doing the work authorized thereby, no person
ATTENTION APPLICATION APPROVAL
will be employed I Vloleltloa of the Labor Code of the Stats of Washington
THIS
relating to Workmen's Cenepen.atlon Iasuraace.
PERMIT This application is not a permit until '
AUTHORIZES
NOTE: Permit Limit One Year
ONLY TIIE signed by the Building Official or his Dep ----
(Except DEMOLITIONS which
.hall be COODleled In mpety days; MOVED -IN BUILDINGS
WORK NOTED uty; and fees are paid, and receipt is ac-
shall be cone-
Dieted In els ...the.)
Wledge Ins ce provided. I
SIGNATURE (OWNER OR AGENT)
INSPECTION
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I TO 'S URE
DEPARTMENT
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CITY OF V
EDMONDS ATE
NOTE: Applicant Subject to
Plan Check Fee
PR 0.1107 —
This Permit Covers work to be done on De, Dropsrty ONLY.
Any construction .1d
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