740391.pdfIUd ADDRESS
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Legal D\escr\iption of Property (Show Be(I ar At mch Four Copies)
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YES 0 NO PERMIT NUMEII
PLANNING DEPT. APPROVALy/�
STREET R/W
EXISTING STREET R/W ............FT.
COMP. PLAN ST. R/W ............ FT.
REMARKS
BUILDING
PLUMBING
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BUILDING DEPARTMENT Applicant FID
oso -/;1-
UMBER 740391
PIRMIT APPLICATION
Inside Heavy Linea
JOB
NAME (OR NAME F BUSIN )
RETAINING, WALL
7
ADDRESS / �;
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PERMIBS1BLE �"
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hly k-eewd6rD /AG{YG
ACTUAL
BPE AL 3NBPECCTOORRRRREQUIRED OCCUPANCY GROUP
C]YES '-' `-'�_
—CHECKED
RESIDENTIAL ❑ LIN
NEW LINE
NON-RESIDENTIAL elcx
ADD RETAINING
❑DEMOLISH WALL
ALTER ❑ EXCAVATE ❑ FENCE-///�f/.rlT.pidG?'i!�
OR FILL 4.........s..........Ft.)
REPAIR PRE -MOVE SMM
❑ INSP. ❑ POOL
LOT COVERAGES
LOT COVERAGE
MAILING O ADDRESO
�A ��
�o���
FORMISSIHLE t1E10I1T
PROPOSED HEIGHT
��� e_
.
EXCAVATION OR FILL
CtTY l\+�
MO 11�S
T�E1`"PHHUNEry�N,UMBFR
I ` \ fir_ \OvI
ACTUAL LOT AREA
RFOtit 17, VARDR
TOTAL BLDG. AREA
PROPOSED YARDS
IUd ADDRESS
O
IC CITY 7
NAME ,\
V Q1t N CoN Co P
PC ADDRESS
!U
4 CITY
F
T,
O
U
Legal D\escr\iption of Property (Show Be(I ar At mch Four Copies)
C�1tY1 q�'r�51 o C V�0
o
YES 0 NO PERMIT NUMEII
PLANNING DEPT. APPROVALy/�
STREET R/W
EXISTING STREET R/W ............FT.
COMP. PLAN ST. R/W ............ FT.
REMARKS
PROPOSED USE
BUILDING
PLUMBING
se
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RE`T[/A RNKB
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21
FIRE ZONE
TYPES 0 CONSTR CT10N ETRE T IMPtiOV ED
ES 0 NO
SIGN
RETAINING, WALL
.,
-
BPE AL 3NBPECCTOORRRRREQUIRED OCCUPANCY GROUP
C]YES '-' `-'�_
—CHECKED
RESIDENTIAL ❑ LIN
NEW LINE
NON-RESIDENTIAL elcx
ADD RETAINING
❑DEMOLISH WALL
ALTER ❑ EXCAVATE ❑ FENCE-///�f/.rlT.pidG?'i!�
OR FILL 4.........s..........Ft.)
REPAIR PRE -MOVE SMM
❑ INSP. ❑ POOL
PLAN Y THIS SITE IS LOCATED IN THE CITY
(V"12Ly y//JP OF EDMONDS. LOCAL SALES TAX
41-1-8 S LD BE CODED 31.04.
�j �q
Z114,—e--u
N U.IBER OF STORIES NUMBER OF
DEMOLITION
DWELLING
EXCAVATION OR FILL
I heresy acknowledge that I have rend this application; that the in-
TOTAL AMOUNT DUE
UNITS
Ired agent of the owner. I -9110 to complY With city and .late I.W. reg.-
NATURE OF WORK TO BE DONE
J
ATTENTION
APPLICATION APPROVAL
Plan Cheek No .....................
Valuation
Fee
Receipt No.
'
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
PROPOSED USE
BUILDING
PLUMBING
PLOT PLAN (Indicate Hulldln6 9llbacke, nbuttln6 atresia)
HEAT & GAB LINE
21
FENCE
SIGN
RETAINING, WALL
N
1
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I heresy acknowledge that I have rend this application; that the in-
TOTAL AMOUNT DUE
I.—tian given le carred; and the' I are, Rte owner, or the duly author-
Ired agent of the owner. I -9110 to complY With city and .late I.W. reg.-
Miles construction; and In doles the Work authorized thereby, .o person
ATTENTION
APPLICATION APPROVAL
will beemployed In violation at Na Labor Code of the State of Wmhl-.tan
relating to Workmen'.
THIS PERMIT
This application is not a permit until
Compe... tlan Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety day.; MOVED -IN BUILDINGS shall be cam-
Itnowledged in space
pleted In six months.)
provided.
GNATU1tE ( \VNE R AO ) D TE BION
INSPECTION
Dl ONA URE
-'I
DEPARTMENT
CITY OF
J
EDMOND9
ATE -
NOTE: Appilearlt Subjel fo Plan Cbeck Fee
Till, Permit —1. work to be don n private property ONLY.
775-2828
Any ronetruetlmt to Rte Pnbllr Aanutln Mnrbn, sidel"110, drl-Ways.
Q., t, 111 r lulu eep.rnie Vcrndsslon,
FII.F.
RECORD & INSPECTIONS