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740283.pdf
Plan Check No ..................... BUILDING PLUMBING HEAT A GAS LINE FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL AhIOUNT DUE I herebyTOTAL acknowledge that I have read this appllcallon; that the In- formaDon given Is correct; and that I am the owner, or the duly author- "BEPERMIT 740283 B i � lating construction; and In doing the work Authorlied thereby, no person BUILDING DEPARTMENT Applicant Fw ZONE SQL.~ % 31 a 6 THIS PERMIT relating to Workmen's Compensation Insurance. AUTHOm ZES PERMIT APPLICATION Inside Heavy LIIIdg ion ADDREBB ONLY THE WORK NOTED shall bo completed In ninety days; MOVED -IN BUILDINGS shall be cum pleted In six mon the.) NAME (OR,NAME OF BUSINESS) iv i 11( a `�` k (1 LOT PERMISSIBLE % ACTUAL LOT COVERAGE LOT COVEfYAGE i1GNATURE (OWNER OR AGEN ) ; 1 � INSPECTION M O f MAILINGADDREBB PE RDIIS9IDLE HEIGHTPROPOSED HEIGHT cl Aid r o -t TOTAL BLDG. AREA O i CITY�A TELEPHONE NUMBERACTUAL LOT AREA EDNIONDS IV NOTE: Applicant Subject to Plan Cbeck Fee A�.d �Y W O (§ 4 M a it o), REQUIRED YARDS PROPOSED YARDS 775.2525 This 1'ennll coven work to bn done on private property ONLY. sidewalks. Any cunslrucUon on the public domain (curb,, sidewalks, drive."., NAME FRONT BIDE REAR FRONT HIDE REAR murquce,, tie.) will require separate VARIANCE OR CONDITIONAL USE 4E1 l ADDREBB LEGAL LOT O YES NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: C CITY TELEPHONE NUMBER STREET R. IV p EXISTING STREET R/W ............FT. DEFICIENCY TRIS PROPERTY NAME COMP. PLAN ST. R/W ............FT. ............FT. W , WT• REMARKS [net Ue ADDRESS !* 1� (Lf-- ��Ie CHECKED BY 7 M tC CITY TELEPHONE NUMBER O METER SIZE SERVICE SIZE CLEARANCE C KED BY O STATE LICENSE NUMBER CITY LICENSE NUMHEN I I pI I V� REMARKtl > Legal Dosoriptlon oI Preperty (Show Below or Attach Four Copies) ' G TYPE CONNECTION VERIFIED BY W ye`� PERC. TEST PERMIT NUMBER C W REMARKS 0 as ZONE TYPE OF CONSTRUCTI/JN IMPROVED MFIRE ;REE ES NO SPECIAL INBPECTf)R A UIRED OCCUPANCY GROUP GAS ❑ YES I RESIDENTIAL LINE � PLAN C ICED DY TIi15 SITE IS LOCATED IN THE CITY NEW F ' NON-RESIDENTIAL ❑ SIGN OF EDMONDS. LOCAL SALES TAX DADD RETAINING RE RKs SHOULD BE CODED 31.04. El DEMOLISH WAIT' /' © ALTER EXCAVATE FENCE (54_IIJP�%G7711/ OR FILL (.......... X .......... Ft.) © REPAIR PRE -MOVE SWIM ❑ INSP. ❑ POOL!//—p•/�(✓� NUMBER OF STORIES NUMBER F n DWELL NG I UNITS Plan Check No ..................... BUILDING PLUMBING HEAT A GAS LINE FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL 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- 3uwwledged apace provided. Fdr-alc FILE AhIOUNT DUE I herebyTOTAL acknowledge that I have read this appllcallon; that the In- formaDon given Is correct; and that I am the owner, or the duly author- Ixed agent of the owner. I agree to comply with city and elute law, regu- ATTENTION lating construction; and In doing the work Authorlied thereby, no person will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT relating to Workmen's Compensation Insurance. AUTHOm ZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED shall bo completed In ninety days; MOVED -IN BUILDINGS shall be cum pleted In six mon the.) i1GNATURE (OWNER OR AGEN ) DATE SIGNED INSPECTION ) f DEPARTMENT , CITY OF EDNIONDS IV NOTE: Applicant Subject to Plan Cbeck Fee 775.2525 This 1'ennll coven work to bn done on private property ONLY. sidewalks. Any cunslrucUon on the public domain (curb,, sidewalks, drive."., murquce,, tie.) will require separate 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- 3uwwledged apace provided. Fdr-alc FILE