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740398.pdf7 CITY 11 TELEPHONE NUMBER N E M ADDHE e TELEPHONE NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. COMP. PLAN ST. R/W ............pT. DEFICIENCY THIS PROPERTY ............FT. REMARKS BUILDING PERMIT DEPARTMENT I Applicant Fill APPLICATION Inside heavy Linea USE PERMIT ZONE NUMBER 7 IOB ADDRESS I y ) - ' e 1 IJ•p�lE (OR NAM�EE`.,,gppF BUSINESS td atAILlNO ADDRESS 3 I Q�&IJONE LOTPERMISSIBLE q ALL CT L LOT COVERAGE LOT YESiAC PERMISSIBLE HEIGHT PROPOSED HE CCITI QQ'ljt.(T� /IJ �/'�•�, NUMBER ACTUAL LOT AREA TOTAL BLDG. REQUIRED YARDS PROP BIDE REAR FRONT NAMEFRONT Uj ADDRESS W H PERMIT NUMBER REMARKS NA won K BE DOVE LEGAL LOT VARIANCE OR CONDITIONAI C3 YES 0 NO PERMIT NUMBER 7 CITY 11 TELEPHONE NUMBER N E M ADDHE e TELEPHONE NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. COMP. PLAN ST. R/W ............pT. DEFICIENCY THIS PROPERTY ............FT. REMARKS rIRa vivaxra ue ............ .nor.. .�...... YES 0 NO CHECKED BY METER SIZE I SERVICE SIZE I CLEARANCE I CHECKED BY REMARKS TYPE CONNECTION VERIFIED BY PERC. TEST PERMIT NUMBER REMARKS NA won K BE DOVE INSP. L_j POOLI rIRa vivaxra ue ............ .nor.. .�...... YES 0 NO DWELLING SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL NA won K BE DOVE ❑ YES O Valuation I NEW (/nE,O,Fr� "tom r ' LINE PLAN CHECKED BY BY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL ❑ OF EDMON DS. LOCAL SALES TAX e / BUILDING SIGN [o W PROPOSED USE SHOULD BE CODED 31.04. _ ADD b0 (, f. ' RETAINING WALLEl REMARKS nGM— /17S PLOT PLAN (Indicate Bullding setbacks, abutting streets) DEMOLISH A169—r— A169—r—/• U� / ALTER ❑ OR EXCAVATE ❑ I_ x .......... Ft.) REPAIR PRE -MOVE SWIM RETAINING WALL INSP. L_j POOLI NUAIBEII OF STORIES NUMBER OF DWELLING UNITS NA won K BE DOVE Valuation FCC Re.clpt Na, (/nE,O,Fr� "tom r ' Plan Check N. ..................... �' e / BUILDING [o W PROPOSED USE PLUMBING b0 (, f. ' PLOT PLAN (Indicate Bullding setbacks, abutting streets) HEAT @ GAS LINE 9 PENCE SIGN RETAINING WALL N SWIMMING POOL DMICLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowlsdge that I haus read this apoll-thm: that the fn- l7V formation given Is correct; and that I am the owner, or the duly author- Ired agent of the owner. I agree to comply with city and state laws regu- lating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington TINS rERMIT 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 winch ONLY THE ut and fees are paid, and receipt is ac- Y� p shall ba completed In ninety days; MOVED -IN BUILDINGS shall be win• WORK NOTED knowledged in apace provided. pleted In Ix mon t.) BION •' (O OR ADEN ) DATE SIGNED INSPECTION DIRECTOR'S e A URE DEPARTMENT CITY OF EDMOND$ DAfE NOTE: Applicant S jerl to Plan Check Fee 775-2525 This Permit coven work to be done on private property ONLY. .any rnnstrucliou pn ibc public dumntn Icurbn, nldewnike, drlyeway°' PILE ,r,turr., rt c.,.Ilt r,"tnl r• nein rnt,• prrml.slnn. ''