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740151.pdfPlan Check No...... BUILDING I hereby acknowledge that I have read this application; that the In- PLUMBING formation given Is correct; and that I am the owner, or the duly author- nFill ized agent of the owner. I agree to comply with city and elate laws regu- FENCE lalling zaxtructica; and In doing the work authorized thereby, no person BUILDING DEPARTMENT Applicant FW ZONE USE�� PERMIT %tY V {{'I�11 NUMBER 5 I N SWIMMING POOL NOTE: Permit Limit One Year (Except DEMOLITIONS which PERMIT APPLICATION I Inside Heavy Lines TOB PRE -MOVE INSPECTION pleted I onlhs.) ; I107UItE OWNEfff���,,,OR EN ) DAT BION ADDRESS '/ / DEPARTMENT O[ , NAME (OR NAME OF BUSINESS) /I� 81HLE / A(GTUAL EDMONDS NOTE: Applicant Subject to Plan Check Fee PR d-3107 This Fermlt covers work to be done on private property ONLY. L L % LOT C, IAT COVERAGE LOT COVERAGE morquree, etc.) will require separate permission. ,) ppp��1 MAILING ADDRESS / PERM ISBIHLE IXEIOIIT PROPOSED HEIGHT O i 1 ' Q CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA Z ,(� C TFFFjiii t REQUIRED YARDS PROPOSED YARDS NAME FRONT SIDE REAR FRONT HIDE REAR i ADDRESS ( 1 LEGAL LOT ROR CONDITIONAL USE (~ C].� YES � NO PEERMITMIT NUMBE V CITY TEL PHONE NUMBER PLANNING DEPT. APPROVAL DA F+. } STREET R/w p . EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME COMP. PLAN 8T. A/W ............FT. ............FT. 01 - AD iEBB BY WC a N CITYC TELEPHONE NUMBER 1 r / I CHECKED O /j /� f D� METER BILE SERVICE SIZE CLEARANCE CHECKED BY O STATE LICENSE NUMBER ITY LICENSE NUMBER I REMARKS Legal Description of Property ( aaw/Je�n Or Atle,C/6Dlea) �[t.•/i/�JJ`./��� � TYPE CONNECTION VERIFIED BY i� I/�/� / / •• ���� PZ//�!�&, PERC. TEST I PERMIT NUMBER REMARKS W a�0� .Di FIRE (TYPE O NBTRU XON STREET IMPROVED — 0 YES A NO. 8� CIAL INSPECTOR REQUIRED GROUPGAS i No ❑PLAN IIP IOCCUPANCY 1T ❑RESIDENTIAL NEW LINE CHECK THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. ADD RETAINING DEMOLISH WA REMARKS ALTER EXCAVATEFENCx , II.IO�r Fy(/VI��%%� /�'/� C ` 7 7e ❑ OFILL ❑ .•..•..•••Ft•) REPAIR O Pswim IRP. POOL NUMBER OF STORIESNUMBER OF DWELLING UNtTB NATURE OF WORK TO BE DONE _ — _ Z�— I Valuation I Fee I Receipt No. Plan Check No...... 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. BUILDING I hereby acknowledge that I have read this application; that the In- PLUMBING formation given Is correct; and that I am the owner, or the duly author- HEAT A GAB LINE ized agent of the owner. I agree to comply with city and elate laws regu- FENCE lalling zaxtructica; and In doing the work authorized thereby, no person SIGN will be employed In violation at the Labor Code of the Stale of Washlogton RETAINING WALL N SWIMMING POOL NOTE: Permit Limit One Year (Except DEMOLITIONS which DEMOLITION shall be completed In dusty days; MOVED -IN BUILDINGS shall be com- PRE -MOVE INSPECTION pleted I onlhs.) EXCAVATION OR FILL 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. TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formation 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 elate laws regu- ATTENTION lalling zaxtructica; and In doing the work authorized thereby, no person will be employed In violation at the Labor Code of the Stale of Washlogton THIS PERMIT relating to Workmen's Compeneatlon Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY OTE WORK NOTED shall be completed In dusty days; MOVED -IN BUILDINGS shall be com- pleted I onlhs.) I107UItE OWNEfff���,,,OR EN ) DAT BION INSPECTION '/ / DEPARTMENT O[ , CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee PR d-3107 This Fermlt covers work to be done on private property ONLY. Any construction on the pubac domain (curbs, sidewalks, driveways, morquree, etc.) will require separate permission. 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.