740220.pdf......... .. _ _ __ __ --_- _. _._ __._ __ ...-- -. - --
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FENAME(OR
DEPARTMENT pllantFLU ZOE NUBIER 740220
APPLICATION I,.,,
side Heavy LI' JOB —
ADDRESS
ME OF BUBlNESB) 9930 Edmonds Way
rd Oil Co. of Calif. IAT COVERAGPERMISSIBLE ELOTCOVAAGE
REPERMISSIBLE HEIGHT PROPOSED HEIGHT
ox 220
TELEPHONE NUMBER ACTUALLOT AREA TOTAL BLDG. AREA
le, Washin ton 9 111 REQUIRED YARDS PROPOSED YARDS
FRONT BIDE REAR FRONT
--TI—DE REAR
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WO
A. H. Merchant Co., Inc.
if ADDRESS
! 1633 - 12th Ave.
W CITY TELEPHONE NUMBER
8 Seattle, Washington EA 4-0835
0
I:
LEGAL LOT VARIANCE OR CONDITIONAL USE
[] YES 0 NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET R/W V
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT. 14
REMARKS
Valuation I Fee I RccelPt No.
Plan Check N. .....................
M
Q 4
x�d
BUILDING
� 1 0 /
0 YES I] NO
[V
W PROPOSED USE
yq
PLUMBING
Ized agent of the owner. I agree to eomD1Y with city and state laws "gu.
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APPLICATION APPROVAL
HEAT & OAS LINE
SPECIAL INSPECTOR REQUIRED
❑ YES El NO
IOCCUPANCY
GROUP
V
NEW
,0
RESIDENTIAL
NON-RESIDENTIAL
El
❑
CAS
LINE
SIGN
PLAN CHECKED BY
THIS
OF
SHOULD
SITE IS LOCATED
EDMONDS.
BE CODED
IN THE CITY
LOCAL SALES TAX
31 D4.
ADD
ALTER
❑
DEMOLISH
E
❑
❑
NINO
WALL
REMARKS
.f�-. Ila
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" O Y`" 3
o
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✓GC'C1 /Vt-2 C�
❑ ORFILL( x....._...Ft.)
PRE -MOVE INSPECTION
REPAIR
❑
INSP.
�6
SWI
POOL
This Permit covers work to be done on private property ONLY.
Any e.netrurlloo on the public deann (curb., sidewalk., driveways,
)UM(HER OF STORIES
NUMBER OF
DWELLINO
I
UNITE
Valuation I Fee I RccelPt No.
Plan Check N. .....................
M
Q 4
x�d
BUILDING
� 1 0 /
,.,motion given Is correct; and that I am the owner, or the duly author.
[V
W PROPOSED USE
yq
PLUMBING
Ized agent of the owner. I agree to eomD1Y with city and state laws "gu.
�1 /
d'
APPLICATION APPROVAL
HEAT & OAS LINE
PLOT PLAN (Indicate Building setbacks, abutting streets)
V
FENCE
relating to Workmen's Compensation Insurance.
AUTHORIZES
0
SIGN
ONLY TIM
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In Warty days; MOVED -IN BUILDINGS shall be coin-
RETAINS.. WALL
pieted In el months.)
N
SWIMMING POOL
INSPECTION
DEPARTMENT
D OR's GNATU
DEMOLITION
/ / I
✓GC'C1 /Vt-2 C�
CITY OF
PRE -MOVE INSPECTION
EDMONDS
N E: Applicant Subject to Plan Cbeck Fee
PR a-Iloy
�6
EXCAVATION OR FILL
This Permit covers work to be done on private property ONLY.
Any e.netrurlloo on the public deann (curb., sidewalk., driveways,
TOTAL AMOUNT DUE
M
Q 4
I heroby acknowledge that I have rend thin application; that the fn-
� 1 0 /
,.,motion given Is correct; and that I am the owner, or the duly author.
Ized agent of the owner. I agree to eomD1Y with city and state laws "gu.
ATTENTION
APPLICATION APPROVAL
lobo, construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
TIDS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TIM
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In Warty days; MOVED -IN BUILDINGS shall be coin-
knowledged in space provided.
pieted In el months.)
SIGNATU (OWNER OR AGE T) DATE IIIGNED
INSPECTION
DEPARTMENT
D OR's GNATU
/ / I
✓GC'C1 /Vt-2 C�
CITY OF
DAT
EDMONDS
N E: Applicant Subject to Plan Cbeck Fee
PR a-Iloy
�6
This Permit covers work to be done on private property ONLY.
Any e.netrurlloo on the public deann (curb., sidewalk., driveways,
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