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DEPARTMENT ZOSNE NUMBETR 7U3�13 I
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BUILDING Applicant Fill
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PERMIT APPLICATION Inside Heavy Lines OB / 8�h
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NAME (OR NAME OB BUSESS)
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PERMISSIBLE �•t
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AILING ADDRESS
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CITY
T PHONE NUMBER ACTUAL LOT AREA bit TOTAL A`RE�A
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NAME FRONT SIDE REAR FRONT SIDE REAR
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dr VARIANCE OILM1 CON ITIONAL UfgE
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ADDRESS LEGA
NO PERMIT NUMAER ! S
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U PL DEPT. Pl O DATE:
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CITY TELEPHONE NUMBER
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R/IMS THIS PROPERTY
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EXI�9TINR REST .. +FICIENCY
NAME
RETAINING WALL
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SWIMMING POOL
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TELEPHONE NUMBER
DEMOLITION
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SERV}CE SIZE CLEARANCE
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CHE ED BY
PRE -MOVE INSPECTION
STATE LlCENB£ NUMBER
CITY LICENSE NUMBER 2 /- ` It I `�/ t( I
EXCAVATION OR FILL
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REMARKtl
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Legal Description of Property (Shaw Below or Attach Four Caples) 94a.�bgpL q� —I �OL� Io^It 09x•1
TOTAL AMOUNT DUE
Lot #7 and the n 1/2 of lot #6, TYPE �CONNECTIOr/N WVEERIFIE B ✓ lJ i l�
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o Block 10 Edmonds Sea View Tracts, �T,J'C' E 2.
I; PERC. TEST
PERaI U\1
ER
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a together with vacated portion of
feed agent Of the Owner. I agree to comply with city and state laws rogue
ATTENTION
APPLICATION APPROVAL
W
m
REMARKS
Sound View Place adjacent to said
e
Will be employed In Woiatlan of the Labor Code of the State of Washington
THIS PERMIT
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N I TYPyECNB;R
ON STREET IMPROVEDa Lot 7.
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relatlog to Workmen's Compensation lesumee.
AUTIIORIZE8
signed by the Building Official or his Dep.
0 YES NO
NOTE: Permit Limit One Year (£acspt DEMOLITIONS which
SPECIAL INSPECTOR REQUIREDOCCUPANCY ROUP
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❑ GAB ❑ YES NO I. /
RESIDENTIAL LINE
knowledged in space provided.
PLAN CHECKED BY
xEW THIS SITE IS GATED IN THE CITY
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NON-RESIDENTIAL F�SIGN OF EDMONDS. LOCAL SALES TAX
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SIGNATURE (OWNER OR AGENT) DATE SIGNED
SHOULD BE CODED 31 04.
ADD RETAINING REMARKSy�
WAIL
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DEMOLISH I '/A /1 /
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EXCAVATE FENCE .—Mv
DEPARTMENT
ALTER �J`/�-/�ILC�_/.ry(=.�
OR FILL (....................Ft.) 7
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REPAIR ❑ Pswim
IR P. ❑ POOL
EDMONDS
DATE r
NOTE. Applicant Subject to Plan Check Fee
NUMBER OF STORIES NUMBER OB
DWELLING /
PR 0.3107
UNITS !/
No.
NATURE OF WORK TO BE DONE
Vnalion
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IPee
Receipt
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PLOT PLAN (Indicate Building eetbacke, abutting streets)
HEAT &-e1l'8'Rf NQ1 -
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FENCE
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SIGN
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SWIMMING POOL
DEMOLITION
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EXCAVATION OR FILL
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TOTAL AMOUNT DUE
Ihereby acknowledge that I have read Bus application; tatthein•
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formation given Is correct; and that I am the owner, or the duly author.
feed agent Of the Owner. I agree to comply with city and state laws rogue
ATTENTION
APPLICATION APPROVAL
Inting construction; and In doing the work authorised themby, no person
Will be employed In Woiatlan of the Labor Code of the State of Washington
THIS PERMIT
This application Is not a permit until
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relatlog to Workmen's Compensation lesumee.
AUTIIORIZE8
signed by the Building Official or his Dep.
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NOTE: Permit Limit One Year (£acspt DEMOLITIONS which
.NI.THE
Y
WORK NOTED
uty; and fees are paid, and receipt is ac -
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shall be completed In ninety days; MOVED -IN BUILDINGS shall be come
knowledged in space provided.
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pletcd In .III months.)
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SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRE C 'e SIO A
RE
DEPARTMENT
-
CITY OF
EDMONDS
DATE r
NOTE. Applicant Subject to Plan Check Fee
PR 0.3107
This Permit covers work to be done on private property ONLY.
Any rune tructinn nn the pnhtie dnmaln (curb.. sidewalks, driveways,
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