740321.pdf❑ DEMOLISH
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NUMBER OF STORIES NUMBER OF
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DWELLING
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BUILDING
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USE / PERMIT
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tRETAINING
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Valuation
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PERMIT
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DEMOLITION
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NAME (OR NAME OF UHINEBB)
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TOTAL AMOUNT DUE
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tormatton given le correct; and that I son the owner, or the duly author-
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,sting conetruettoa; and In doing the work aithorized thereby, no person
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CITY
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ATUAL LOT AREA
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TIUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
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REQU ED YAItDtl P OPOBIsDARDS
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ONLY TUE
WORK NOTED
uty; and fees are paid, and receipt is Be
NA FRONT SIDE REAR FRONT SIDE REAR
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pleted In six months.)
INSPECTION
DEPARTMENT
RECT a 6NA URE
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CIT TELEPHONE NUMBER
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CITY OF
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EX O STREET R/W�1-..r�.. _v�:.l)'1'. DEFICIENCY PROPERTY
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NOTE: Applicant Sailedto Plan Check Fee
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72"
/T�HIS
COMP. PLAN ST. R/WD�'I'.
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Tills 1'ernrll r vr. work to be delta on privets properly ONLY.
Any conslrucllon on the public domain tenths, sidewalk., driveways,
REMARKS Driveway slopes not to exceed those
marquees, ale.) will require separate pernd.slon.
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AUDItESS
indicated on Standard Dwg. No. 103.
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CITY
TELEPHONE NUMBER
METER SIZE SERVICE SIZE CLEARANCE
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STATE LICENSE NVa1BER
CITY LICENSE NUMBER
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Legal 1311111PIllm of Properly (Show Below or Attach Four Copies) /
TYPE CONNECTION VERIFIEDD BY
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FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVEDF1
NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
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GAS
❑ YES 90 _L7_
® NEW
RESIDENTIAL
❑ LINE
PLAN CHECKED Y THIS SITE IS LOCATED IN THE CITY
❑ NON-RESIDENTIAL BIG.
❑
% {�$" OF EDMONDS. LOCAL SALES TAX
❑
i��J/Zrt//_/�_LI'Iti•✓ SHOULD BE CODED 31.04.
ADD
❑ RETAINING
MARK
❑ DEMOLISH
❑ ALTER ❑ EXCAVATE
OR FILL
WALL
❑ FENCE
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,e/ lira C
C. PROPOSED USE
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❑ REPAIRIIR ❑ INSP.PRE-
SWIM
❑ POOL
7�Z-0 -y
SeJk-3 JZ ,/!/ 0,41
NUMBER OF STORIES NUMBER OF
PLOT PLAN (Indicate Building .etbacke, abutting street.)
DWELLING
673 UNITS
FENCE
SIGN
NATURE OF W.•,p�R\K D
tRETAINING
WALL
Valuation
Fee Receipt No.
(TOH1E
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Pian Check Nn
DEMOLITION
0t
BUILDING
C. PROPOSED USE
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PLUMBINGYa
ri
PLOT PLAN (Indicate Building .etbacke, abutting street.)
HEAT k GAS LINE
FENCE
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
n
L661T /I y O�I
hereby acknowledge thatI have rend tole epplleatlon; that the in•
(J / u L'
tormatton given le correct; and that I son the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and erste Inmos raga-
ATTENTION
APPLICATION APPROVAL
,sting conetruettoa; and In doing the work aithorized thereby, no person
will noemployed In violation of the Labor Code of the State o1 Washington
TIUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or bis Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS whlch
ONLY TUE
WORK NOTED
uty; and fees are paid, and receipt is Be
.h.11 be completed In ninety days; MOVED -IN BUILDINGS shall be nom-
knowledged in space provided.
pleted In six months.)
YIONATURE (O\' EI1 OR AGENT) DATE 026N➢U
1
INSPECTION
DEPARTMENT
RECT a 6NA URE
_ f
f!. -C `�-� moi/ 7
CITY OF
EDMONDS
NOTE: Applicant Sailedto Plan Check Fee
`�
72"
775-2525'/t
!
Tills 1'ernrll r vr. work to be delta on privets properly ONLY.
Any conslrucllon on the public domain tenths, sidewalk., driveways,
FILE
marquees, ale.) will require separate pernd.slon.
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8UILDING"DEPARTMENT °NE j)�r/� "Q'�
Applicant Fill Z/Vo j F
PERMIT APPLICATION Inside Ileavy Lines
NAME (OR NAME OF BUSINESS)
MAI�DRESB
.,� Gly.....
o )F V
CITY TELEPHONE NUMBER
fiMt ADDRESS
JOB DRESS C/ i`
AD
PERMISSIBLE s• 'FACTUAL r%/�s S
LOT COVERAGE' iQ LOT COVYIRAOE
PERMISSIBLE HEIGHT PROPOSED HEIGHT
��7IM " AAtRREEAA.) z 3
ACTUAL LOTAREA•
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REQUI ED
,ARDS PR lli D9E�1:D AADS
FRONT SIDE REAR FRONT8IDE REAR
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LEGA L.LOT VAltfi�C`E OR .-N-11.-�LtZ- t
YES ❑ NO PERMIT NUMBER ,
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TELEP/s7__7
HONE NUMBER �
// STREET: /lY 7r� L. O
(-7 EXISTING STREET R/W..✓../-).W. DEFICIENCY THIS PROPERTY b
IF
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td ADDRESS
Oct; UPANCY GROUP
RESIDENTIAL
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❑YES El -NO
F CITY
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QNEW
TELEPHONE NUMBER
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PLAN CHECKED BY
I
THIS,SITE IS LOCATED IN THE CITY
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O STATE LICENSE NUMBER
❑ SIGN
CITY LICENSE NUMBER
Legal Description of Property (Show Below Or Attach Four C'plca)
❑ ADD ❑ ❑ RETAINING
WAIT'
";';%- -:: , ; �.,_/'
R MAR S'
SOUL.
DEMOLISH
EXCAVATE FENCE
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ALTER ❑
OR FILL ❑ (.........z .......... Ft.)
❑ REPAIR E]PRE-MOVESWIM
INSP. ❑ POOL
:' :J _;f'
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NUMBER OF STOHIE9 NUMBER OF
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o
COMP. PLAN ST.r•).FT• 14
REMARKS �r :(IUP.:. (L `J .. +.7 .C -::r tt .)i l;•� ,2 SSS'
KED BY I
METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
ROMARII5
'
�.1� I r. IV '•' I h.YES ❑ NO
I
SPECIAL INSPECTOR REQUIRED
Oct; UPANCY GROUP
RESIDENTIAL
6A8
❑
❑YES El -NO
I
QNEW
LINE
PLAN CHECKED BY
I
THIS,SITE IS LOCATED IN THE CITY
❑ NON-RESIDENTIAL
❑ SIGN
/ /.; '
1
, 01, EDMONDS. LOCAL SALES TAX
BE CODED 31.04.
❑ ADD ❑ ❑ RETAINING
WAIT'
";';%- -:: , ; �.,_/'
R MAR S'
SOUL.
DEMOLISH
EXCAVATE FENCE
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�" �/.�1.5.( �`.. /'.' i .�� i �. / (i J.'1
ALTER ❑
OR FILL ❑ (.........z .......... Ft.)
❑ REPAIR E]PRE-MOVESWIM
INSP. ❑ POOL
:' :J _;f'
�f/J' //�i�/'/"•: J//!r 1
NUMBER OF STOHIE9 NUMBER OF
DWELLING
I
'- UNITS
NATURE OF WORK TO BE DONE I r
Valuation
Fee Receipt No.
rQ,t..� / � ;,.^tt .yrf-•...I' S !�
1•Inn Check No .....................
BUILDING
fO
Y PROPOSED USE
PLUMBING
OPLOT PLAN (Indicate BjId1\rlie, dbonurtg street.)
1
HEAT A GAS LINE
n
n
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
�
�� ;; �•tC• - �,
\
DEMOLITION
• Y \('
PRE -MOVE INSPECTION
((
.1
EXCAVATION OR FILL
TOTAL AMOUNT DUE
r_1/(�
I� L' /
co G
I hereby acknowledge that I have read this application; that me In-
i .- .�--^'
formation given Is correct; and that I am the owner, or the duly author-
ized agent of In owner. I agree to comply with city and stale laws res'-
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Stale of Washington
THIS PERMIT
This application Is not a permit until
relating to Workmen's Compensation Inamence.
AUTHORIZES
Signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DE31OLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVEDAN BUILDINGS .hall be cam-
knoWledged in space provided.
pleted In six months.)
SIGNATURE (OWNER OR AGENT)I DATE SIGNED
INSPECTION
DIRECTOR'S STONATURE // .'•
DEPARTMENT
.. ..
�.. !('%';, f•J,t•..t,
/ .• ..,
CITY ON
ED51ONDS
DATE
NOTE: Applicant Subject to Plan Cbeck Fee
775-2525
This Permit Covera work to bo done on private property ONLY.,,!
Any construction on the public domain (curbs, sidewalk., d1hrw'ays.
INSPECTOR
marquees, etc.) will require separate permission.