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740341.pdfUSE PERMIT til.! ONE ^ •J NUMBER BUILDING DEPARTMENT I AppU..tM _ ' UNITS PERMIT APPLICATION 1ne1de Heavy Lines JOB NAME (OR NAME OF BUSINESS) PERMISSIBLE ^ ACTUAL 1( �J' Y T7-'Y7('"'r if Po LOT COVERAGES �/ LOT COVESYAOE i ' ' 1 I M1 n SM_AILIYNO,iADD jWB / ��/�� PERMISSIBLE HEIGHPT'`'✓,e— OPOBED 11 HTT _7 t`�"� T Fee o. ZO�'i-O `fl l.0 ACi'VAL LOT AREA TOTAL 6LPET. AREA CITY PHONE NUMBER •P7, Q- REQUIRED YARDS PROPOSED YARDS I NAME FRON Sipe' REAR FRONT SIDE REAR BUILDING y I; �I�TRIGk M ITc Ni:L(r LEGAL LOT VARIANCE OR CONFIT ADDREe8 8 [] NO PER IT NUMBE PLUMBING U 2.40-cz5-/ E 4 2. -v.f� -/ 1 1 PL DE T. PRO Cl CITY TEjL�EPHONE M7BER It /NSU ?1icLLV1JS f✓ �` ` "�a 7� EXIBTI STREET R/W ............FT. FI CIENCY TIHB PROPERTY i MO.,Yt/IN � NAME COMP. PLAN ST. R/W ............F1'. W � K Or Q coli, c-rloLU REMARKS Driveway slopes not to exceed those Z C BION m ADDRESS indicated On Stanrlwrrl awn _ Nn RETAINING WALL CHECKFcD BY i CITY NUMBER I z e ITELEPHONE Tp;4'uIW(,rl( METER SIZE SERVICE SIZE CLEARANCE C11EC ED BY SWIMMING POOL U SATIATE LICENSE NUM/BBE�R7' CITY LICENSE NUMBER [t+ REMARKS Legal Deeerlptlon oL ProDarty (Shaw Below or Attach Four Copies) Si3f::fA /�A �Paem rr DEMOLITION l.1IW�E .ill E. 280.0 ft Of the S. 2I7.0 ft Of the SE TYPE CONNECTION VERIFIED BY 0 1/4, NE 1/4 of Section 19 Township 27, 54� 59WErZ— Range d Fact except a 30°for road and the FERC. TEST PERM NUMBER tG EXCAVATION OR FILL east 200.0 ft of tract 182 Wiliowdale `- WQardangD � #1 REMARKS 1 m UNt1i:1lGP-oi'N'D wiKil�� l:t�D. SEiiMFNd�/WD FIRE 7$,pDDDFFES TYPE OF CONSTRUCTION STREET IMPROVED .W7 YES [j NO TOTAL AMOUNT DUE SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ❑ GA. YES ❑ NO g -� Z ElRESIDENTIALLINE PLAN CHECKED BY E] NEW THIS SITE IS LOCATED IN THE CITY . formation Elven Ie correct; and that I am the owner, or the duly author- NON-RESIDENTIAL ❑ SIGN -PP0T jA-" OF EDM IE DS. LOCAL SALES TAX 01 EDD BE CODED 31I Ized agent of the owner. I agree to comply with city and state Isws ragu- ADD RETAINING REMARKS I ❑ DEMO❑ WALL (iQ7�{\ APPLICATION APPROVAL lating Conetructlon; and In dolt. the work authorized thereby, no person i20� jD 11-G iNPRtwEMw FENCE boor) IG•�L�f'C.U` . wl4 be employed In violation of the Labor Code of the State of Wsahmgton ❑ ALTER EXCAVATE ❑ ❑ OR FILL (-.........x .......... Ft.) This application is not a permit until relating to Workmen's Compensation Itsuranes. ❑ REPAIR ❑ PRE -NSP. ❑ swim POOL Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS whlch ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - NUMBER OF STORIESNUMBER OF DWELLING ' UNITS NATURE OF WORK TTO.{B.�E� D/ONE`J Valuation Fee o. N ✓'+'(/t% J e�K� 7 V T� T �Tlt-�./� 17/ Pion Check N..J,_ .7 u r�celpt /6 S'. oG.J / � e Z O r,0_-AA`�;, BUILDING a PROPOSED USE PLUMBING +'r PLOT PLAN (Indlcate Building setbacks, abutting Streets) HEAT k GAS LINE q � FENCE BION RETAINING WALL N SWIMMING POOL - DEMOLITION l.1IW�E .ill PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I hava read this application; that the In - formation Elven Ie correct; and that I am the owner, or the duly author- Ized agent of the owner. I agree to comply with city and state Isws ragu- ATTENTION APPLICATION APPROVAL lating Conetructlon; and In dolt. the work authorized thereby, no person wl4 be employed In violation of the Labor Code of the State of Wsahmgton THIS PERMIT This application is not a permit until relating to Workmen's Compensation Itsuranes. AUTHORIZES Signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS whlch ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - shall be Completed In Nasty days; MOVED -IN BUILDINGS shall be corn- knowledged in space provided. plate,, in nix months.) 16 (OWN OR AGENT) DATE SI NED INSPECTION DEPARTMENT DIRECTOR'S N R ' 7 CITY OF EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee PH 6.1107 This Permit coven work to be done on p'i'ste progeny ONLY. Any construction on the public domain (Curbs, sidewalks, driveway.. FILE murauece. e1..) x111 reymrn separate perminlon. ?ij f��eTu�el� }`1`/7'%7G�d6;�,e,Gl9�/� �ovnL✓�o�t YA �v 1jT !B �. L�ONL'�iC7S" C• i,F�xy 'fr- �i �-E5`.� /'i!`�`�✓ /'• .SLd/'YIG, /f�e C�L/i✓OCAS _ Q�y� PLI�Gc= G�oNc:aC4n7r' �: i �t�J/�C� O,P/'�'!��•J, /,flr�'�3'rE�?J /`Z ' � �„rii.r �y-�aOT/✓6J' - /f.lO/iLu� S ;? C l Tiz� .r/ /eem oz-xc U l7tn�i � c;,77d Al" �c� ✓i,��+J �c i/,ti e, 7.1k-714.2 �.� G�d.�CI�T"� /N foairr✓�f l�=oC1 f�/L?iJ ' AoL 07