740188.pdfr._.
_ PERMIT
BUILDING DEPARTMENT A,,u,=t71.
ZONE NUMBER 740188
PER IT APPLICATION Imilde Heavye6 JOB
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STATE LICENSE NUMBER
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CITY LICENSE
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Fee
IAT COVERAOL LOT COVERAGE
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PERMISSIBLE HEIGHT PROPOSED HEIGHT
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ACTUAL LOT AREA TOTAL BLDG. AREA
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a PLOT PLAN (Indleate Building setback., abutting streets)
HEAT A GAB LINE
REQUIRED YARDS PROPOSED YARDS
0 YES [] NO
FRONT SIDE REAR FRONT SIDE REAR
FENCE
SPECIAL INSPECTOR REQ IREDOCCUPANCY
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LEGAL LOT VARIANCE. OR CON TI—Al, U.
0 YES C] NO PERMIT NUMBER
N
PLANNING DEPT. APPROV
❑ YESNO
STREET R/W
O
NEW
EXISTING STREET R/W ............ FT. DE ICIE TH18 PROPERTY
X
E]GAB
COMP. PIAN ST. R/W ............FT. ............FT.
PLAN CHECKED IIY
THIS SITE IS LOCATED
REMARKS
I hereby that 1 have rend this that the
TOTAL AMOUNT DUE
°x
11
61
OF EDMONDS.
LOCAL SALES TAX
CHECKED BY
and
fating construction; and In doing the work authorized thereby, no person
METER SIZEI
BEXV;CE SIZECLEARANCE
CHECKED BY
This application is not a permit until
eH0 ILD B CODED
31-04,
IJCI
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ADD
❑
DEMOLSBH
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RETAINING
WAIT'
REMARKS
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REMARKS %
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INSPECTION
DEPARTMENT
DIRECTO�G
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TYPE CONNECT30N
I VERIFIED BY
CITY Oir
❑
PERC. TEST
PERMIT NUMBER
--
Pian Check N.__
Valmtlon
Fee
Receipt No.
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FIR5EA ei TYPE OF
pONgT"CTIO
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STREET IMPROVED
PLUMBING
a PLOT PLAN (Indleate Building setback., abutting streets)
HEAT A GAB LINE
0 YES [] NO
O
FENCE
SPECIAL INSPECTOR REQ IREDOCCUPANCY
GJIGUP
TRETAINING
WALL
N
❑ YESNO
SWIMMING POOL
NEW
DEMOLITION
RESIDENTIAL
E]GAB
LINE
PLAN CHECKED IIY
THIS SITE IS LOCATED
IN THE CITY
I hereby that 1 have rend this that the
TOTAL AMOUNT DUE
NON-RESIDENTIAL
❑
r p'C/
OF EDMONDS.
LOCAL SALES TAX
APPLICATION APPROVAL v
and
fating construction; and In doing the work authorized thereby, no person
will be employed In of the Labor Code of the Stale of Wmhlagton
SIGN
This application is not a permit until
eH0 ILD B CODED
31-04,
IJCI
C—'
ADD
❑
DEMOLSBH
O
RETAINING
WAIT'
REMARKS
pleted In six months.)
ALTER
INSPECTION
DEPARTMENT
DIRECTO�G
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(E NCz..........'.)
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CITY Oir
❑
ORCFILLTE
NOTE: AQplicant Subject to Plarl Check Fee
PR d•1I07
REPAIR
[:]wim
N P.
Any coa.lructlon om the imbue domain (embs, sidewalk., driveway.,
POOL
mmauees, etc.) will require separate prumiulen.
FILE
.UMBER OF STORIES
NUMBER OF
DWELLING
I
UNITE
--
Pian Check N.__
Valmtlon
Fee
Receipt No.
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BUILDING
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PROPOSED UBE
apqyi
PLUMBING
a PLOT PLAN (Indleate Building setback., abutting streets)
HEAT A GAB LINE
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O
FENCE
SIGN
TRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby that 1 have rend this that the
TOTAL AMOUNT DUE
�0
acknowledge application; In.
p
formation given le correct; and that I am the owner, or the duly author.
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Ized agent of the owner. I agree to comply with city and aisle laws "'m
ATTENTION
APPLICATION APPROVAL v
and
fating construction; and In doing the work authorized thereby, no person
will be employed In of the Labor Code of the Stale of Wmhlagton
THIS PERMIT
This application is not a permit until
relating to Workman'. Compensation Imurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORT; NOTED
uty; and edea are and receipt is ac-
.hall be completed In Nae day • I9YL0-i1�HUILDINGS shall be tom-
knowledged in apace provided.
cep
pleted In six months.)
BIGNATUR • WNEii AO DATE SIGNED
INSPECTION
DEPARTMENT
DIRECTO�G
—� —
_
CITY Oir
EDMONDS
DATE
NOTE: AQplicant Subject to Plarl Check Fee
PR d•1I07
This Permit c n we to be done on private property ONLY.
Any coa.lructlon om the imbue domain (embs, sidewalk., driveway.,
mmauees, etc.) will require separate prumiulen.
FILE