740171.pdfPENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
1
PRE -MOVE INSPECTION
USE PERM
ZONE 740171
EXCAVATION OR FILL
BUILDING DEPARTMENT
TOTAL AMOUNT DUE
rec
formatlon given le cort; and that I am the owner, or the duly author-
Applleant rill
NUMBER
Iced agent of the owner. I agree to comply with city and stale laws re"
lag conatrumlun; and In doing the work authorized thereby, no
PERMIT APPLICATION
Ludde Heavy Lines
,OB
tenon
willemployed In violation of the Labor Code of the state of Washington
II
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relating to Workme¢'• Compensation Inauranoe.
TIDE PERMIT
This a p
application Is not ermit until
ADDRE815/
AUTHORIZES
ONLY THE
Signed by the Building Official or his Dep -
DEMOLITIONS which
.hall MOVED -IN
shell bI completed In N¢ety Jaya; MOVED -IN DDILDINOB Shall be com-
WORK NOTED
uty; turd fees are paid, and receipt is ac -
NAME t NAMH F HUBINF
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dddd Main Street
PERMI88IHLE
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II (ONNER R AGENT DAT BIGNED
INSPECTION
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LOT COYERAOE% LOT COVERAGE
DEPARTMENT
IRE OR's BION TUBE
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31111LING ADDRHSB
CITY OF
A
NOTE: Applicant >r bjeet to Plan Check Fee 9
ED MONDS
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PERMISSIBLE HEIGHT PROPOSED HEIGHT
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Any mn.troctlon an the public domain (tarbe, aidewdke, drlvewaye,
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AClVAL�LOT AREA TOTAL BLDG. AREA
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REQUIRED YARDS PROPOSED YARDS
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FRONT BIDE REAR FRONT HIDE REAR
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ADDRESS
LEGAL LOT VARIANCE OR CONDITIONAL U8E
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YES 0 NO PERMIT NUMBER
OPLANNING
CITY
BON NUMBER
DEPT. APPROVAL
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EP
STREET R/W p.DATE:
NAME
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
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COMP. PLAN ST. R/W ............FT. ............FT.
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ADDRESS04
REMARKS
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CITY TELHPBONID NUMIIHR
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STATE LICENSEN M���
CITY LICENeI NUMBER
METER BILE
SERVICE SIZE
CLEARANCE
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REMARKS
Legal Deacripticibof Progerty flaw Below 0e Attach FOU[ CODIee)
All that portion of Tract 3, Block 2
TYPE CONNECTION
VERIFIED BY
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r7Od tracts 1 8 2 block 5 AlderwOOd
PERC. TEST
PERAlIT NUMBER
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REMARKS
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vacated Aloha Road
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FIRE ZONEI TYPE OF CONSTRUCTION STREET IMPROVED
0 YES 1] NO
SPECIAL INSPECTOR REQUIRED
GROUP
❑
RESIDENTIAL
❑ LINE
YE8 [I NO
IOCCUPANCY
NEw
❑PLAN
NON-RESIDENTIAL
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CHECKED IIY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
.
ADD RETAINING
DEMOLISH WALL
RHMARKS CHO ILD lIOD Dai Rd
ALTER EXCAVATE❑ FENCE
❑ OR FILL
Renewal of Permit #720375
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.........-........M.)
REPAIR❑ PIR SWIM
PMOVE
El POOL
NUMBER OF STORIES I NUMBER OF
�
DWELLING
2 UNITS 4
NATURE OF WORK TO BE DONE
Four unit condominium
Valuation
Fee Recelpt No.
Plan Check No .....................
.
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BUILDING
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pPLUMBING
PROP08ED UBE
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an
PLOT PLAN (Intllc¢te Building eetbneke, abutting at roete)
HEAT & OAB LINE
PENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
1
PRE -MOVE INSPECTION
EXCAVATION OR FILL
1 hereby acknowledge that I have read title application; that the In.
TOTAL AMOUNT DUE
rec
formatlon given le cort; and that I am the owner, or the duly author-
OV
Iced agent of the owner. I agree to comply with city and stale laws re"
lag conatrumlun; and In doing the work authorized thereby, no
ATTENTION
APPLICATION APPROVAL
tenon
willemployed In violation of the Labor Code of the state of Washington
II
,,
relating to Workme¢'• Compensation Inauranoe.
TIDE PERMIT
This a p
application Is not ermit until
Permit Limit One Year
AUTHORIZES
ONLY THE
Signed by the Building Official or his Dep -
DEMOLITIONS which
.hall MOVED -IN
shell bI completed In N¢ety Jaya; MOVED -IN DDILDINOB Shall be com-
WORK NOTED
uty; turd fees are paid, and receipt is ac -
Dieted In moathe,)
knowled sed In apace provided.
1
II (ONNER R AGENT DAT BIGNED
INSPECTION
DEPARTMENT
IRE OR's BION TUBE
e
rC
CITY OF
A
NOTE: Applicant >r bjeet to Plan Check Fee 9
ED MONDS
T
This Permit coven work to be done on private property ONLY.
PR 6.1107
Any mn.troctlon an the public domain (tarbe, aidewdke, drlvewaye,
n ,vauera, etc.) will reeulra eeparute permlaelVn'
PILI'
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RECORD OF INSPECTIONS d,
Date Passed
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Plumbing (Partial) x 1
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`740171
RECORD OF INSPECTIONS d,
Date Passed
i
Foundation j I
Plumbing (Partial) x 1
(Rough) ;
Frame — ----
Furnace & Fuel Lines—
Final
ines Final
I.
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