740323.pdfBUILDING DEPARTMENT
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PERMIT
NUMBER 740323
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( Applicant Fill
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PERMIT APPLICATION
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ADDRESS
NAME (OR NAME of HUSINE86)
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ACTUAL
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PERMISSIBLE HEIGHT
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REQUIRED YARDS
PROPOSED YARDS
NAME
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REAR FRONT SIDE REAR
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LEGAL LOT VARIANCE OR CONDITIONAL USE
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(3 YES NO PERMIT NUMBER
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CITY
NUMBER'I
PLANNING DEPT. APPROVAL DATE:
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STREET R/WV
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DEFICIENCY THIS PROPERTY
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REMARKS
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Legal Description of Property (Show Below at Attach Four Copies)
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REMARKS
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SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
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GAS
❑ YES YNO
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PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY—
NON-RES
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RETAINING
REMARK
BE CODED 31.04.--
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REPAIR PRE -MOVE SWIM
(NBP. POOL
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NUMBEROF STORIES NUMBER OF
DWELLING 06WE,
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NATURE OF WORK TO HE .0 WE
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Valuation
Fee
Receipt N o.
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Plan Check N. .....................
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BUILDING
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PROPOSED USE
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PLUMBING
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PLOT PLAN (Indlenla Building eetbnckB, abutting streets)
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FENCE
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SIGN
RETAINING WALL
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SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
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EXCAVATION OR FILL
I hereby acknowledge that I have read this application; that the In.
TOTAL AMOUNT DUE
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formation given le correct; and that I eca the owner, or the duly author-
fzed agent of the owner. I agree to comply with city and Stale laws regu•
APPLICATION APPROVAL
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lating construction; and In doing the worst authorized thereby, no person
ATTENTION
,
will be employed In violation of the Labor Code of the Slate of Weabington
1'LUS PERMIT
This application Is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep
-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
Ut and fees are paid, and receiptis ac -
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.hall be Completed In ninety days; MOVED -IN BUILDINGS shall be in.
Imowiedged in space provided.
pietcd In alx months.)
S1 ATtJ ( WNEA AGENT) llATE SIGNED
INSPECTION
D CT loN RE
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DEPARTMENT
CITY OF
NOTE: Applicant Subject to Plan Cheek Fee
EDMOND$
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This P, it cures work to be dune on prMele property ONLY.
775-2525
4/0
Any construction an the public domain (curb., sidewalks, driveways,
marquees, etc.) will require separate permission.
FILE
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Legal Description or Property (Snow Below or Attacp .'our Copies)
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BUILDING DEPARTMENT
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4 PROPOSED USE
Applicant][1111
ALTER
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PERMIT APPLICATION Inside Heavy Lines
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PLUMBING
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ORCFILL
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El REPAIR
NAME (OR NAME OF BUSINESS)
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PElthll INSIBL ACTUAL
LOT COVERAGE? LOT COVESYAOE
❑
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MAILING ADDRESS
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PEIWi1SSIHLE HEIGHT PROPOSED HEIGHT 0
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POOL
WEISER OF STORIES
NUMBER OF
SHOULD sE CODED 31.044.---t
CITY TEjLEPHONE NUMB'E7R
ACTUAL LOT AREA TOTAL BLDG. AREA T
DWELLING
REQUIRED YARDS PROPOSED YARDS
PENCE
UNITS
NAME
FRONT SIDE REAR FaONT SIDE REAR
(ATURE OF WORK TO DE DONE
hUl
ADDRESS
LEGAL LOT VARIANCE•` OR COND1T10NAL USE
C3 YES [3 NO PERMIT NUMDER
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RETAINING WALL
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CITY TELEPHONE NUMBER-;�
PLANNING DEPT. APPROVAL DATE:
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STREET R/W d
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
SWIMMING POOL
NAME
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COMP. PLAN ST. R/W ............FT. ............FT.
DEMOLITION
REMARKS
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PRE -MOVE INSPECTION
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EXCAVATION OR FILL
/ CHECKED BY
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CITY TELEPHONE NUMBER
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METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY
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Legal Description or Property (Snow Below or Attacp .'our Copies)
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4 PROPOSED USE
WALL RETAINING
ALTER
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DEMOLISH
AVATE
ElFENC.
FIR�Ef�Z/Q�NE` TYPE OjF/�ONSTRUCIRON STREET IMPROVED
PLUMBING
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ORCFILL
.......... Ft.)
El REPAIR
❑
SWIM
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
NSPhIOVE
POOL
WEISER OF STORIES
NUMBER OF
SHOULD sE CODED 31.044.---t
DWELLING
PENCE
UNITS
(ATURE OF WORK TO DE DONE
SIGN
I'Y--t40)
15; (
r—V IST•
I'JIA
Plan Check No. ....................
TYPE CONNECTION
I VERIFIED BY
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PERM. TESTI
PERh11T NUMBER
4 PROPOSED USE
I
REMARKS
FIR�Ef�Z/Q�NE` TYPE OjF/�ONSTRUCIRON STREET IMPROVED
PLUMBING
�.�" J� (� YE9 NO
SPECIAL NSPECTOR REQUIRED OCCUPANCY GROUP
� YES []'NO /
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
HEAT d; GAS LINE
OF EDMONDS. LOCAL SALES TAX
SHOULD sE CODED 31.044.---t
REMARKS
PENCE
Valuatlon I Fee
-
Plan Check No. ....................
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BUILDING
4 PROPOSED USE
PLUMBING
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MPLOT
PLAN(Iadicate�ali(Itlg@et�C�[er�>\utling .tree te)
HEAT d; GAS LINE
PENCE
SIGN
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N
SWIMMING POOL
DEMOLITION
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PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
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I hereby acknowledge that I have read this application: that the In.
formation given Is correct; and that I am the owner, or the duly author-
ized sgcnt of the owner. 1 agree to comply with city and elate Inwe Peau.
ATTENTION
APPLICATION APPROVAL
Miles coaetructloa; and In doing the work authorized thereby, no person
Will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZER
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (F -Capt DFIZOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac.
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
knowledged in apace provided.
pletcd.,ln all months.)
SIGNATURE 1 WNER Olt AGENT) DATE SIGNED r
'
INSPECTION
DEPARTMENT
DIII CT SIGNATURE J /
,
CITY OF
NOTE: Applicant Subject to Plan Check Fee
EDDIOND8
775-2525
DATE
Thls Permit covers Work to W done an private property ONLY.
Any construction on
the public domain (curb., sidewalks, drlveways. INSPECTOR
marquees, etc.) Will require separate permission.