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Plan Check No..A. t
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N OR CONDIT
L..Al. LOT VARIA IONA-
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URE PERMIT 74C
NAME
ALZ
04 ADDRkqS
BUILDING DEPARTMENT
AppHeantFiWU
ZONE NUMBER
PERMIT APPLICATION
inside Heavy Lines
JOB
a"
NAME (OR NAME OF BUSINESS)
-
HEAT & GAS LINE:5
WAP -P Pq1L(-JP5
ACTUAL
MRAOF LOT .VAA.
LOT COV , T� 4
METER SIZE
SERVICE SIZE CLEARANCE
PERMINHIBL—EHEIGHT N -A FR—OPOSED Uri
BY
STATE LICENSE NUM13EII
---;FOTAL —BL.DG.
_KUTUAL
REMARKS
CITY
I TELEPHONE NUMBER
LOT AREA
lz-� VA110A(r,,- IAII)5-14
WALL
REQUIRED YARDS 7PI1OP
NAME
TYPE C@NNECTION VER FE BY
FRONT SIDE BEAR FRONT _
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Plan Check No..A. t
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N OR CONDIT
L..Al. LOT VARIA IONA-
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TIUEET YW
EXISTING STREET R/4.0/634) 114.C.E..11 T.faPROP..TY
COMP. PLAN ST. R/,W/z0.%4
NAME
ALZ
04 ADDRkqS
REMARKS
PLUMBING
ZI
PLO491
7A-N ..tb.ekff, abutting streets)
HEAT & GAS LINE:5
CITY
LEPHONE NUMBER
METER SIZE
SERVICE SIZE CLEARANCE
CITED
BY
STATE LICENSE NUM13EII
CZ46SE 591t
REMARKS
SIGN
Legal Description of Property (Show Below or Attach Four Copies)
WALL
(:5 'J'S
0(-z--) 1yraL7-oejj1j li- MAPY is)
TYPE C@NNECTION VER FE BY
/-5 - Zuon-,2
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
REMARKS
EXCAVATION OR FILL
F1jrE TYPE NSTR;�ION EET IMPR VED
YES NO
0
SPECIAL INSPECTOR REQUIRED OCCUPANCY BOUP
0 YES )< NO )c - -2—
I
GAS
SIDENTIAL
7 NEW 'RE Ej
LZ
F-1 NON-RESIDENT.AL SIGN
ADD Ej RETAI NO
1:1 DEMOLISH WALL
ALTER 0 EXCAVATE EN E
C It FILL x .......... Vt.)
PLAN CHE D BY THIS SITE IS LOCATED IN THE CITY
OF E L SALES TAX
SHO DLDIONIDIDELIOSAI
REPAIR E] PRE -MOVE El SWIM
INSP. POOL
NUMBER Or STORIES NUM ER OF
DWELLING
UNITS /jaq e,
Ised agent of the owner, I agree to comply with city And late laws rash.
ATTENTION
AL-rer--4-r1(-'y`U F0r, R-E-211101-211UT 65"'Pil'
Plan Check No..A. t
BUILDING
L16
PROPOSED USE
PLUMBING
PLO491
7A-N ..tb.ekff, abutting streets)
HEAT & GAS LINE:5
FENCE
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
0
TOTAL AMOUNT DUE
I h-bY Ilk-11ilit. the' I hove read this application; that the in-
'formi"ini give. Is correct; and that I ant the owner, or the duly author.
Ised agent of the owner, I agree to comply with city And late laws rash.
ATTENTION
APPLICATION APPROVAL
lati't construction; and in doing the work authorized thereby, on per...
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
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 whid,
ONLY TH
WORK NOTED
uty; and fees are paid, and receipt is Be
shall be completed In ninety day.; MOVED -IN BUILDINGS hall be com-
knowledged in space provided.
pleted In six months.)
XA IE,�7N 11 OR DATE SCONE
NSPECTION
It'
DEPARTMENT
DIRECTOP IW
10/" A,
CITY OF
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
DATI1
775-2525
This P-"lt ro%rrs work to be done on private Pf0portY ONLY.
Any construction on Clio public domain (curba, sidewalks, driveways,
ro-q .... . to.) will ,qwr. .,I,-.te porml..I.e.
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