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740276.pdf
BUILDING DEPARTMENT I Applicant Fin ONE NUMB= 740216 PERMIT APPLICATION '"�'d° H°sYs L1°083013 ADDRESS 7-/0 , N�I.1 C. Ir1R NAMF. GC AIIRiNC0.0.1 A ❑ YES ❑ NO Plan Check N. ..................... -3 Ll 3 -7 REQUIRED YARDS PROPOSED YARD" GAS NAME BUILDING FRONT SIDE REAR FRONT "IDE REAR it NEW y PROPOSED USE WADDRESS PLAN CHECKED BY LEGAL LOT VARIANCE OR CONDITIONAL USE 0 YES I� NO PERMIT NUMBER .M.y J PLANNING DEPT. APPROVAL DATE: NON-RESIDENTIAL N CITY TELEPHONE NUMIJFK OF EDMONDS. LOCAL SALES TAX PLOT PLAN (Indicate Building setback., abutting street.) HEAT A GAS LINE STREET R/I4 EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY REMARKS NAME COMP. PLAN ST. R/W ............FT. ............FT. FENCE ElDEMOLISH REMARiIB WALL a ADDRESS ALTER RETAINING WALL CHECKED BY F CITY TELEPHONE NUMBER I OR FILL (.......... z .......... Ft.) O -_ METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY ❑ YES ❑ NO Fly 16 f' 6 IKL Plan Check N. ..................... RESIDENTIAL GAS YES NO BUILDING 00 D_ it NEW y PROPOSED USE LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY PLUMBING NON-RESIDENTIAL stGN OF EDMONDS. LOCAL SALES TAX PLOT PLAN (Indicate Building setback., abutting street.) HEAT A GAS LINE ADD RETAINING REMARKS SHOULD BE CODED 3L04. FENCE ElDEMOLISH El WALL SIGN ALTER RETAINING WALL EXCAVATE FENCE N OR FILL (.......... z .......... Ft.) DEMOLITION REPAIR ❑ MOVE INSP. ElP OO EXCAVATION OR FILL WAISER OF STORIES NUMBER OF © d� D ' DWELLING 1 hereby acknowledge that I have read this application; that the In. formation given Ie c....et; and that I am the owner, or the duly author- Ited agent the owner. I agree to comply with elty and elate laws reg.• UNITS APPLICATION APPROVAL Is Ung canetro[ uctlon; and in doing the work authorised thereby, no person Fly 16 f' 6 IKL Plan Check N. ..................... [Oy BUILDING 00 D_ :5'' 0 .1 y PROPOSED USE V f a7, U PLUMBING PLOT PLAN (Indicate Building setback., abutting street.) HEAT A GAS LINE FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL © d� D ' TOTAL AMOUNT DUE 1 hereby acknowledge that I have read this application; that the In. formation given Ie c....et; and that I am the owner, or the duly author- Ited agent the owner. I agree to comply with elty and elate laws reg.• ATTENTION APPLICATION APPROVAL Is Ung canetro[ uctlon; and in doing the work authorised thereby, no person will be employed In violation of Ne Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until totaling to Workmen'. Cmepen..u.n Insurance. AUTHORIZE" signed by the Building Official or his Dep - NOTE: Permit limit One Year (Except DEMOLITION" which ONLY TILE ut and fees are aid, and receipt is ac- yi P P shall be comet In Nasty days; MOVED -IN BUILDINGS shall be tom• R'ORII NOTED knowledged In apace provided. pleled In el% months.) - SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DIRE '8 lONATURE DEPARTMENT % CITY OF t NOTE: Applicant Subject to Plan Check Fee EDMONDS DATE _ This Permitmit coven work be done private properly ONLY. 775-2525 Any cunnlrurllan on the public tlnmaln (curb,, sidewalks. drlYeway., a.., „III rr,lnire rcpurnlr prrmlenlon. FILE