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740342.pdf
�• 1 1 PERC. TEST PERMIT NUMBER ' V W 74034 BUILDING DEPARTMENT Applicant Fill ZZONNE �S" � .4_1 NUMBIER REMARKS PERMIT APPLICATION Inside Heavy Linea JOB I . V I ( FENCE V 3DO` �— ADDRESS FIRE ZONE I TYPE OF CONeTAU ON BTREE IMPROV; ( _ v! BION NAME (OR NAME OF B Eq) _7 E. ❑ NO S o p rS fyYt RETAINING WALL e ACTLOT SCOVERAGI ^� LOT O EIAGE / b / ou4�G MAILI DDR 18 q7,3 Gherrx f r� PERMISSIBLE HEIGHT tea' (r •`i PROPOSED HEIGHT O ❑ YES [j�NO/ I ,r ` T- 1 ❑ NEW 5 ` L SWIMMING POOL CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA � —�%t"04c-(S ©0/ YARDS REQUIRED YARDS PROPOSED YAADB 4 t OF EDMONDS. LOCAL SALES TAX ADD NAME FRONT HIDE REAR FRONT BIDE REAR H LD B COD31.)04. REMARKS gSy s' /0 -s 3% 3� pfd zs WALL � d GUQ/L �g L OR eE f FENC. �D / p ./ JEQ /�// C.- O! U OI7lJ,J PiE7 6/,8 Q, T [+ ADDRESS IYl IG❑� IIIYEB�� NO PERANCE Pk-LOT IT NUMBEANDITIONAL .......... Ft.) .07Z 1 � V IN P. i� Pt. 6 DEP AP R A � E: SU� �L ti✓ %� Dom" .S/TG f/lrS� Cep/ NUMBER OF STORIESNUMDER C CITY TELEPHONE NUMBER EXCAVATION OR FILL i I 41 !c I BEE/W O AMOUNT DUE UNITS EXISTIT STREET R/W ............FT. DEFICIENCY THIS PROPERTY t Hereby acknowledge that I have read this application; appllcatlon; that the In. NAME OC&/ 7 COMP. PLAN ST. ft/W ............FT. ............FT. formation Elven Is correct: And that I am the owner, or the duly author - fes. ( N � REMARKS ATTENTION x lating conslructlob; And In doing the work authorized thereby, no person C will be employed In vtolallon of the Labor Code of the State of Wa.hington C ADDRESS This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZER CHECKED BY W NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt Is ac - b shall be completed In ninety days; MOVED -1N BUILDINGS shall be cam- CITY TELEPHONE NUMBER /l V 144 f`&— I i•-� J V O METER SIZE SERVICE SIZE CLEARANCE R TOWS 810 TUR C MCCiKyED`BY � al CITY of STATE LICENSE NUMBER CITY LICENSE NUMBER I I EDMONDS DATE i OTE: Applicant Subjecl to Plan Check Fee REMARKS 775-2525 Tids 1'ermll Coven work to bo done on private properly ONLY. e i Any rmutruct inn na file public domain (curbn, nldrwalks, driveways. Legal Description of Property (Show Below or Attach Four Copies) FILE .rrm yrs, rt r.) �, Iii rrnnire eriurrulr Irrrnunnlnn. D7�ti G TYPE CONNECTION VERIFIED BY �• 1 1 PERC. TEST PERMIT NUMBER ' V W 0. PROPOSED USE PLUMBING :a REMARKS a I . V I ( FENCE V 3DO` �— FIRE ZONE I TYPE OF CONeTAU ON BTREE IMPROV; ( _ v! BION _7 E. ❑ NO RETAINING WALL SPECIAL INSPECTOR Ii�QUIRED OCCUPANCY GROUP ` RESIDENTIAL ❑ 6A8 LINE ❑ YES [j�NO/ I ,r ` T- 1 ❑ NEW � ` L SWIMMING POOL PLAN CHECK THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ SIGN t OF EDMONDS. LOCAL SALES TAX ADD RETAINING H LD B COD31.)04. REMARKS DEMOLISH WALL � d ALTER �g f FENC. �D / p ./ JEQ /�// C.- O! U OI7lJ,J PiE7 6/,8 Q, T IYl IG❑� ORFILLEXCAVATE ❑ .......... Ft.) .07Z REPAIR IN P. ❑ PWIM OOL SU� �L ti✓ %� Dom" .S/TG f/lrS� Cep/ NUMBER OF STORIESNUMDER ,w^ ) Jbv OF EXCAVATION OR FILL I 41 DWELLING AMOUNT DUE UNITS �• Plan Check No ..................... 1 �,3Jr.^. [.0..� (¢/2 � ( 5/ AS' BUILDING (/ 0. PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting street.) HEAT A OAS LINE I . V I ( FENCE 3DO` �— ( _ v! BION r CIO •33 6 RETAINING WALL ` �t1/ ` L SWIMMING POOL _ DEMOLITION ` E,f�st• � d f PRE -MOVE INSPECTION 30'yr� ,w^ ) Jbv EXCAVATION OR FILL I 41 AMOUNT DUE t Hereby acknowledge that I have read this application; appllcatlon; that the In. 7 formation Elven Is correct: And that I am the owner, or the duly author - ,red agent of the owner. I agree to comply with city and elate laws regu- ATTENTION APPLICATION APPROVAL lating conslructlob; And In doing the work authorized thereby, no person will be employed In vtolallon of the Labor Code of the State of Wa.hington THIN 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 (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt Is ac - b shall be completed In ninety days; MOVED -1N BUILDINGS shall be cam- ]Inowledged In space provided. plcted In six months.) SIG to (OtVNE OR A DATE SIGNED INSPECTION R TOWS 810 TUR DEPARTMENT � CITY of EDMONDS DATE i OTE: Applicant Subjecl to Plan Check Fee 775-2525 Tids 1'ermll Coven work to bo done on private properly ONLY. Any rmutruct inn na file public domain (curbn, nldrwalks, driveways. FILE .rrm yrs, rt r.) �, Iii rrnnire eriurrulr Irrrnunnlnn.