740279.pdfBUILDING DEPARTMENT Appllcantrlu zo�NE n XPi -ETR -79
BUILDING
PERMIT APPLICATION Inside Heavy Llneg lC
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'ELEPHONE NUMBER
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PERMISSIBLE 7,
LOT COVERAGE h
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ACTUAL
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PERMI88IBLE HEIGHT
_ PROPOSED HEiO T
ACTUAL LOT/AREA
TYPE CON-tN�ECTION7
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BUILDING
REQUIRED YARDS
PROPOSED YARDS'
FRONT SIDE
REAR FRONT BIDE• REAR
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LEGA ,1,OT VARIANCE OR CONDITIONAL USF,
0 Yj15 0 NO PERMIT
NUMBER ,2
L N DEP O A DATE.
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6T ET
EFICIENCY THIS PROPERTY
EXISTI STREET R/R/'
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COMP. PLAN 8T. R/YK'�:J�-3"T. ..Q....FT.
REMARKS Driveway slopes not to exceed those
;ndicatnA on Standard Dwg No. 103
METER SIZE eERVIC SIZE CLEARANCE
HEC E BY
CH ED BY
G�iEb/GGA o� —�•• ae, l - 3 ia'
TYPE CON-tN�ECTION7
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BUILDING
PERC. TEST
PERMI UMBE—R
REMARKS
Plan Check Np.'r1-6i`
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SPECIAL INSPECTOR UIRED
OCCUPANCY GROUP
PLUMBING
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YES
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RESIDENTIAL
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LINE
CHECK �`
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THIS
SITE IS LOCATED IN THE CITY
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NON-RESIDENTIAL
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OCAL SALES TAX
FENCE
ADD
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WAIL KING
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SIGN
104
SOHOULD BE CODED ".04,
ALTER
DEMOLISH
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POOL
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(UMBER Ob' STORIES
NUMBER OF
PRE -MOVE INSPECTION
DWELLING
UNITS
EXCAVATION OR FILL
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PLUMBING
aPLOT PLAN (Indicate Building Setbacks, abutting areete)
HEAT k GAS LINE
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0
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
this• application; that me in.
I hereby acknowledge that I have rend !hpp
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formation given Is correct; and that I am the owner, or the duly author -
teed agent of the owner. I agree to comply with city and slate laws regu•
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work suthorlsed thereby, no person
Will be employed in Violallw of the labor Code of the state of Washington
THIM PERMIT
This application is not a permit until
relating to Workmen's Compensation losuraeoe.
AUTHORIZES
Signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Egcept DEMOLITIONS which
ONLY Tiff
Ut and Peds nT0 aid, End receipt i8 Be -
shall be completed In nicely days; iuOVED-IN BUILDINGS shall be win-
Itnowledged in space provided.
pleted In Is months.)
S30N D
INSPECTION
'FIGIURE
Z81ZLER2j::=_DATE
DEPARTMENT
CITYOF
EDIIIONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
PR d-1107
This Permit coven work to be done on private property ONLY.
Any enn,trnrlinn en tlin pubaln (curb,, ,Idewalks, drl ro .ye,