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740185.pdf
1 1 USEPERMIT NUMBER 7'40185 BUILDING DEPARTMENT Applicant Fin ZONE /�S—� PERMIT APPLICATION Isglde Heavy Linea o / //) V _ ADDRESS (/(•/ NAME (Olt NAME OF BUBINEBS) ACTUAL JJ P'RMISSIBLE ^/ n LOT COVERAGES LOT COVEIIAOE 1 at r MA1Ll ADD 88 P➢It$fISS1DLE HEIGHT PROPOSED HEIGHT TELEPHONE NUMD➢R ACTUAL LOT AREA TOTAL SLUG. AREA I REQUIRED YARDS PROPGBLiD YARDH FRONT HIDE REAR FRONT BIUE REAR NAME i LEGAL LOT VARIANCE OR CONDITIONAL USE aUj ADDRESS Ci YES ❑ NO PERMIT NUMBER [+ PLANNING DEPT. APPROVAL DATE: O CITY ELEPHONE NUMBER STREET O EXIeTIN6 STREET R/W ............FT. DEFICIENCY THIS PROPERTY DDDtj111 ' NAME COMP. PLAN BT. R/W ............F'C. ...........FT. SO/l R➢MARICe A DAESe W CHECKED BY /7- t' L 81T TELEPHONE NUMBER `,♦ �' -`U((_, J METER 83LE SERVICE SIZE CLEARANCE CHECKED BY , STATE LICENSE NUMBER CITY LICENSE ...... REMARKS .gal Description or Properly (Show Below or Attach Four Coplm) /t TYPE CONNECTION I VERIFIED BY j/ �' �• PER0. TEST PERMIT NUMBER y ( //f'r/ ��Cr �j' / Zl 21 �A� S In [ �' /.I/!w. REMARKS °a aFIRE TYPE O CONB/TRU/ION STREET IMPROVED CI YES NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL y NE ❑GAS PLANBCHECKED DYO NEW THIS SITE IS LOCATED IN THE CITY TAX NON-RESIDENTIAL elcx OF EDMONDS. LOCAL SALES SHOULD BE CODED 3104 ADDl ❑ WALL NG REMARKS WAIT' ❑ DEMOLISH //)(/U !'T ALTER ❑ EXCAVATE FENCE OR FILL (..........Z..........Ft.) r,A,. swmPOOL �("/6 / /!e/f J,V'�"e"• REPAIR ❑ IPRE-NSPMOVE ❑ NUMBER OF STORIES 11 NUMBER OF DWELLING UNITS NAT�UrRE�9nF ORK/'Be"`�D•/ONErf (J'7J� Valuation Fee Receipt No. ©�� //Syff fO ✓`�'//�s'Pion Check No... RCwc L-'X/rr /30. /0,x271 f/ate► BUILDING (�ddd 0, PROPOSED USE PLUMBING - O PLOT PLAN (Indicate Building aetbaeka. abutting street.) HEAT A GAB LINE FENCE ; SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE Ihereby acknowledge that I have rend this application; that the in. tKlJJ formation given le correct; and that I am the owner, or the duly aulbW. Ixed agent of the owner. I agree to comply with city and State laws regu- ATTENTION APPLICATION APPROVAL Inting construction; and In doing the work authorfged thereby, no person will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application Is not a permit until relating to Workmen's Compensation 1-urmce. AUTHORIZES signed by the Building Official or his Dep - ONLY THE NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac - $hall be completed In ninety days; MOVE04N BUILDINGS shell be Som- knowledged In space provided. plated In six months.) BIG TURE (OWNER AO T) DATE SIGNED INSPECTION DIREC R' 16f�.T tE p�,( DEPARTMENT / ' l CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee PR a-uoa4111— This Permit eovrn work to be done an private property ONLY. Any construction an the pabOa domain (corbs, sidewalks, dri-Y., FILE marquees, etc.) will reaniro separate pernusdm.