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740255.pdf
f. _.... -- ----- - -- J. _ - — O 1 AILING ADDREBB All PLRDIIBSIBLE HEIGHT PROPOSED HEIGHT ITY TE P80NE NUMBER I S.,Z� - X31 ACTUAL LOT AREA TOTAL BLDG. AREA RETAINING WALL �/ BUILDING DEPARTMENT AppLcant Fnl ZONE �� �d NUMBER 7025V � PERMIT APPLICATION Inside Heavy Lines ADDRESS 9513 ,dl� ST I NAME (OR NAME O BUSINESS) �r 0 PERMISSIBLEt ACTUAL LOT COVERAOE LOT COVESiAGE O 1 AILING ADDREBB All PLRDIIBSIBLE HEIGHT PROPOSED HEIGHT ITY TE P80NE NUMBER I S.,Z� - X31 ACTUAL LOT AREA TOTAL BLDG. AREA RETAINING WALL .. r 1 . I , ' i �' REQUIRED YARDS PROPOSED YARDS FRONT BIDE REAR FRONT SIDE REAR Ay�M1/EJ�J ` tr NOTE: Permit Limit One Year (EXCept DEMOLITIONS which DDRESS IQ3 /� Uf Y•CnO�/F AU4 /V LE LOT VARIANCE OR CONDITIONAL USE Rh1IT NUMBER P IN6 D T. PP AL DA .� TY TrLEP/H�ONE(�NUUMBE/R ^TJ(D3/ /� IN EXT 6 STREET R/W .6.0. DEFICIENCY TH.B PROPERTY COMP. PLAN ST, R/W iP//.Q....F7'. .. ©....FT. O W d w AME re REMARKS Driveway slopes not to exceed those indicated on Standard Dwg- Nn_ 1n3 CK D BY I ✓K V ♦Yt'tI�(/�� DDRES8 NOTE: Agicant Subject to Plan Check Fee iTY Tess Permit Love++++� work to bo done ow private property ONLY. TELEPHONE NUMBER TATE LICENSE Nt MBER CITY LICENSE NUMBER METER 81211 I SERVICE SIZE I CLEARANCE CHECKED B W ,egal Description Of If L T//Rr�al-I Property (Show Below or Attach Four Copies) 7227- ?, HLJ� REMARKS s�n4"197 dGL— C ` Na, enF -. , J)Lii. Sl,&Offf"op //rN A R'l PiLC74l TYPE CONNECTION VERIFIED BY iC W m PERC. TEST PERMIT NUMBERi,waf >L- VdC67 ,o ALa,11A kc5B REMARKS ��/T✓ nF nx�r�✓n�� i� FIREf(�O[ E TYP CONS/IV ITRU%C�T OON STREET IMPROVED /J"� / � . RYES O NO SPECIAL INSPECTOR REQUIRED YES M NO OCCUPAtcy GROUP C4t'/4/ NEW ADD E] ALTER REPAIR RESIDENTIAL GAS LINE ❑ NON-RESIDENTIAL El SIGN DEMOLISH E] RAIZ NING EXCAVATE FENCE OR FILL 4.........z..........Ft.) I SP. 0VE ❑ SWIPOOL PLAN CHECKED BY /' THIS SITE IS LOCATED IN THE CITY �(,J ��y Or EDMONDS. LOCAL SALES TAX / SHO n D 8 CODED 31 .04. REM/A�RXS �(l t�OUNO 7100 6A- �Y 'UMBER OF —RI S NUMBER OF DWELLING UNITS fATURE�OF WORK ' `" C_�A/.%fi Tu BE DONE f�/✓1%�' Q ty Vnluntlnn Plan Check No....-f..�.../... F/cc la�5� RecclPt No. I hereby eekoowledge BUILDING TOTAL AMOUNT DUE PLUMBING and that I ahr the owner, or the duty author- HEAT & GAS LINE laed agent of the owner. FENCE SIGN N RETAINING WALL well be employed to of the Labor Code of the State of Washington SWIMMING POOL Cela.., to Workmea.. Compeneatlon Insurance. DEMOLITION NOTE: Permit Limit One Year (EXCept DEMOLITIONS which PRE -MOVE INSPECTION ,hall be completed In binary day.; MOVED -IN BUILDINGS shall be coin. EXCAVATION OR FILL I hereby eekoowledge that I have read this application; that the In - TOTAL AMOUNT DUE formation even Is correct; and that I ahr the owner, or the duty author- laed agent of the owner. I agree to comply with city and elate laws Neb. lating Construction; and and m doing the work authorised thereby, no person ATTENTION well be employed to of the Labor Code of the State of Washington TION PERMIT Cela.., to Workmea.. Compeneatlon Insurance. AUTHORIZES NOTE: Permit Limit One Year (EXCept DEMOLITIONS which ONLY THE ,hall be completed In binary day.; MOVED -IN BUILDINGS shall be coin. WORK NOTED Pleled In elz ...the.) IIONAT WNER OR AGENT) AT 870NED INSPECTION �,? t DEPARTMENT CITY OF EDMONDS NOTE: Agicant Subject to Plan Check Fee Tess Permit Love++++� work to bo done ow private property ONLY. PH a-uai Any tonetructlan Onithe public domain (curb., eld.w-u driveways, J_qu_3. lr.l uUl "'J.1" eeparnie yrn,ue.lon. APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged In space provided. l w,. ..d.: Mt .'y: ,t., .�. .. .:.�.'r.; "�.'`Y'�.:35`rP�",+'ciirZi�t3 S; ii �S•;; .r .. ... ••zu.r �` i a + TSF ^b t• �. . K •}V yr 7! r ' "AJ i y f