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740286.pdfU F {Vy _15- 10 • C ADDRESS w y/01 /yo fir. l C CITY I T: F V STATE LICENSE NUM �Z3"02- 5267 1 Lcaal Description of Property (Show Below or —632- ) Plan Check No ..................... RESIDENTIAL F_� GAS LINE E] NEW 10 NON-RESIDENTIAL ❑ SIGN ADD . DEMOLISH ❑ RETAINING I I i E ❑ PLAN (Indicate Building setbacks, abutting streets) ❑ OR FILL BUILDING DEPARTMENT Applicant FW DBE ZONE PERMIT 740286 NUMBER ❑ INSPn10VE El POOL iUhIHER OF STORIES PERMIT APPLICATION I Inside Heavy Lines tRETAINING JOB ADDRESS DWELLING N L�/�I/"+—'� UNITS SWIMMING POOL NAME IOR NAME OF BUSlNE881 i—J/i/9 K/N/L•(,/�'r_l! ( 1 PE COVERAGE A LOT CO AOT LOT CO VERAGE aa 1 �� o EXCAVATION OR FILL xMr MAILING ADDRESS ,£ O_ _ ,mar vwwnwm tvnxrwx.w PEIth11Se78LE HEIOklT PROPOSED HElOHT ACTUAL LOT AREA TOTAL BLD.. AREA 7 U F {Vy _15- 10 • C ADDRESS w y/01 /yo fir. l C CITY I T: F V STATE LICENSE NUM �Z3"02- 5267 1 Lcaal Description of Property (Show Below or —632- ) FRONT BIDE REAR FRONT BIDE REAR LEGAL LOT VARIANCE OR CONDITIONAL UBE 0 YES ❑ NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS ❑ YES [3 NO Cj YES ❑ NO OF EDMONDS. LOCAL SALES TAX Valuation 1 Fee Plan Check No ..................... RESIDENTIAL F_� GAS LINE E] NEW 10 NON-RESIDENTIAL ❑ SIGN ADD DEMOLISH ❑ RETAINING PLUMBING ALTER E ❑ PLAN (Indicate Building setbacks, abutting streets) ❑ OR FILL `ENC. .......... Ft.) ElREPAIR ❑ INSPn10VE El POOL iUhIHER OF STORIES NUMBER OF SIGN tRETAINING WALL DWELLING N UNITS SWIMMING POOL FRONT BIDE REAR FRONT BIDE REAR LEGAL LOT VARIANCE OR CONDITIONAL UBE 0 YES ❑ NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS ❑ YES [3 NO Cj YES ❑ NO OF EDMONDS. LOCAL SALES TAX Valuation 1 Fee Plan Check No ..................... Z __— ,O„ BUILDING PROPOSED USE a PLUMBING V ZPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE N FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION aa 1 �� PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE dS ,\c)� I hereby acknowledge that I have read this application; that the In. G1( G J t formation given Is correct; and that I am the owner, or the duly author- , Iced agent of the owner. I agree to comply with city and state laws regu. ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorlred thereby, no person will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until relating to workmen'. Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED uty; and fees are paid, and receipt Is ac- ehall be completed In ninety d :)MOVED -IN BUILDINGS shall he Som. Itnowledged in space provided, pleted In six months.) j SIGN U O1 O A E ) DATE SIGNED INSPECTION DIRECTO 8l0 T RE DEPARTMENT l CITY OF EDNIONDS nwTE NOTE: AQQljcant Subject to Plan Check Fee 775-2525 This Permit rn\'en work to be done on private property ONLY. \ny c,rn�l nirllnn nn ihr mibilc Anntnln (cnrirn, elAewnikn, drls'nware, FILE gt:u �.rlil reu Wtc separate 4rrm:selpn.