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740207.pdftl ADDRESS ^./a7- food' 577 5�• to CITY TE PHONH �a�i�.n_1V, 5 4.� ��y #,r EXISTING STREET R/W ............FT. DEFICI NCY T 8 PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS 4L Valuation Fec Receipt No . C �� I __11 —/V BUILDING DEPARTMENT MU USE PERMIT ONE NUMBER � S' —/L 740207 ' _ PERMIT APPLICATION IJAApplicant LinesA DRESS ` %!� r� NAME 08 BUSINE88) y/ / U— G NAME (OR ACTUAL RESIDENTIAL NON-RESIDENTIAL ❑ ❑ 6A8 LINE aETwxrrlNa T Do RSI EntPERMISSIBLE ® IAT COVERAGE LOT COY£SYAOE ❑ DEMOLISH ORFLEXCAVATE ❑ MAIILLI -jO /ADDRESS Q O7TOTAL ARKa PEKalisSIBLE BElGHT PROPOSED HEIGHT a REPAIR .❑ PRE -SWIM INSP. T B Do. ARE;aO3TY /� e � 0B�AftDd �UC-6fG�•I / ✓� (�����C �/IrfP�ti// (UMBER OF STORIES F (a�) EG�REQUIRG•D' ra.". r NAME" FRONT BIDE REAR FRONT BIDE REAR SWIMMING POOL UNITS p LEGAL LOT OK CONDITIONAL USE I V ADDRESS N 0 YES 0 NO PERMIT PERI.UT NUMBER PRE -MOVE INSPECTION PLANNING DEPT. APPROVAL DATE: EXCAVATION OR FILL X CITY I TELEPHONE NUMBER STREET R/W tl ADDRESS ^./a7- food' 577 5�• to CITY TE PHONH �a�i�.n_1V, 5 4.� ��y #,r EXISTING STREET R/W ............FT. DEFICI NCY T 8 PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS 4L NATUEOFRWORK TO BE DONE - Valuation Fec Receipt No . C �� I __11 —/V I Q/SEa E] No Pion Check No ..................... BUILDING '7`'dorGG SPECIAL INSPECTRROUIRED OCCUPANCY GROUP _ — PLUMBING G I NEW RESIDENTIAL NON-RESIDENTIAL ❑ ❑ 6A8 LINE aETwxrrlNa O YES Z PLA NECKED B THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAN B/EE COD/ED�31,0/4./n ® ADD ALTER ❑ DEMOLISH ORFLEXCAVATE ❑ WALL FENC...........Ft.) ARKa 7//HO,U/LD 5 REPAIR .❑ PRE -SWIM INSP. ❑ POOL �UC-6fG�•I / ✓� (�����C �/IrfP�ti// (UMBER OF STORIES NUMBER OF r RETAINING WALL DWELLING I SWIMMING POOL UNITS NATUEOFRWORK TO BE DONE - Valuation Fec Receipt No . C • zk-) ,/CCK Pion Check No ..................... BUILDING '7`'dorGG —OO [p 4 PROPOSED USE _ — PLUMBING G aPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAS LINE e7 o I FENCE SIGN r RETAINING WALL SWIMMING POOL DEMOLITION ' PRE -MOVE INSPECTION EXCAVATION OR FILL 101- /f- /V TOTAL AMOUNT DUE C —e5 - 1 777 6 I hereby acknowledge that I have rend this Application; that the in- G7 formation given Is correct; and that I am the owner, or the duly author- i Ind agent of the owner. I agree to comply with city and state Tawe regu- ATTENTION APPLICATION APPROVAL Isting construction; and In doing the work authorised thereby, no person will be employed In violation of the Labor Code of the State of Washington TINS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTIiORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Egcept DEMOLITIONS which ONLY THE WORK NOTED llty) and fees are paid, and receipt is Be .hall be completed In plasty day-; MOVEB-IN BUILDINGS .1s11 be com-wledged in apace provided. plate sig moathe.) 1-11 B10 A URE (OWNER T) DATE SIGNED INSPECTION I CT 'e aIGNA URE 7 Z — DEPARTMENT r CITY OF EDMONDS ATE NOTE: Applicant Subject to Plan Check Fee PR e•Ilog / This Permit coven work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalk-, driveways, FILE marquee., ala) -IU regmn sepsnte per d. -Ion.