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740408.pdf/ /P— - I 0 YES [3 NO —11 PLANNING DEPT. APPROVAL DATE: id CITY TELEPHONE NUMBER STREET R/tV !c �Or y PERC. TEST NEW EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY N LINE COMP. PLAN 9T. R/W ............Fr. ............FT. REMARKS This application is not a permit until C ARESB d / �- e t NON-RESIDENTIAL CHECKED BY C�T/•E7LEPHONE uty; and fees are paid, and receipt Is ac - 0 O rNUMBER [ � '�/ ' METER BILE I SERVICE SIZE CLEARANCE I CHECKED BY j C'TYLICENSE NUMBER REMA}iK8 I Legal Description of Property (Show Below or Attach Four Cocks) DEMOLISH BUILDING DEPARTMENT Applicant FW ZONE NUMBER 740408 PERMIT APPLICATION I Inside Heavy Lines ,OB ADDRESS FO I TYPE OF -CONSTRUCTION I STREET IMPROVED I ri r.• r, 111 rr•rl ulr,• nepnr¢Ir m•rmisslmt. ❑ ORCFILLTE N (OR A \ OF yiESS / .. .. ......Ft.) D / REPAIR ❑ PRE -N PMOVE ❑ SWIM POOL U/- G LOT C VERA LOTU O LOT COVERAGES LOT COVERAGE ISI fUT3DER OF STORIES NUb1DER ON I m rya Mwrt.rt3.O ADDRESS ((a F DWELLING I PERMISSIBLE HEIOIIT PROPOSED HEIGHT C CIT 1/ TELEPFiO NUMBE ACTUAL LOT AREA TOTAL BLDG. AREA - - o REQUIRED YARDS PROPOSED YARDS Iw ' ��� Valuation NAME FRONT SIDE REAR FRONT BIDE REAR 72. .. I u • P,an Check No ..................... [[.�I aUj ADDRESS yCI. �]k LEGAL LOT - VARIANCE OR CONDITIONAL USE I E3 YES NO PERMIT NUMBER 2 BUILDING / /P— - I 0 YES [3 NO —11 PLANNING DEPT. APPROVAL DATE: id CITY TELEPHONE NUMBER STREET R/tV !c �Or y PERC. TEST NEW EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY N LINE COMP. PLAN 9T. R/W ............Fr. ............FT. REMARKS This application is not a permit until C ARESB d / �- e t NON-RESIDENTIAL CHECKED BY C�T/•E7LEPHONE uty; and fees are paid, and receipt Is ac - 0 O rNUMBER [ � '�/ ' METER BILE I SERVICE SIZE CLEARANCE I CHECKED BY BT LI ENSE NUM�B7JER 7s� C'TYLICENSE NUMBER REMA}iK8 I Legal Description of Property (Show Below or Attach Four Cocks) / /P— - I 0 YES [3 NO —11 RESIDENTIAL GAB ❑ YES ❑ NO formation given is correct; and that I am the owner, or the duly outhcr- �Or y PERC. TEST NEW PERMIT NUMBER 1:4 LINE n THIS SITE IS LOCATED IN THE CITY This application is not a permit until I AUTHORIZES NON-RESIDENTIAL � REMARKS uty; and fees are paid, and receipt Is ac - OF EDMONDS. LOCAL SALES TAX WORK NOTED knowledged In space provided. ElSHOULD ADD RETAINING REMARKS BE CODED 3104 DEPARTMENT ]aj DEMOLISH O EDMOND$ allegesNOTE: 1 plicast Subject to Plan Check Fee j FIRE ZOOIto I TYPE OF -CONSTRUCTION I STREET IMPROVED I ri r.• r, 111 rr•rl ulr,• nepnr¢Ir m•rmisslmt. / /P— - I 0 YES [3 NO —11 I hereby acknowtetlge that I have read this application; that Ne In- RESIDENTIAL GAB ❑ YES ❑ NO formation given is correct; and that I am the owner, or the duly outhcr- APPLICATION APPROVAL NEW lating construction; and In doing the work authorized thereby, no person LINE PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY This application is not a permit until role Ing to Workmen's Compensation Insurance. AUTHORIZES NON-RESIDENTIAL � SIGN uty; and fees are paid, and receipt Is ac - OF EDMONDS. LOCAL SALES TAX WORK NOTED knowledged In space provided. ElSHOULD ADD RETAINING REMARKS BE CODED 3104 DEPARTMENT ]aj DEMOLISH WALT EDMOND$ allegesNOTE: 1 plicast Subject to Plan Check Fee Int ALTER ❑ FENCE ,r ` � fAi 4 ri r.• r, 111 rr•rl ulr,• nepnr¢Ir m•rmisslmt. ❑ ORCFILLTE .. .. ......Ft.) REPAIR ❑ PRE -N PMOVE ❑ SWIM POOL U/- G 12-7 S ISI fUT3DER OF STORIES NUb1DER ON DWELLING I UNITS fATURE WOFO HE DONE �F — I�F} ' ��� Valuation Fee Receipt No. 72. .. I u • P,an Check No ..................... yCI. �]k I v F�. �'^JC �K��le`rb 2 BUILDING rROPOBED USE PLUMBING 'LOT PLAN (Indicate Building setbacks, abutting streets) HEAT k GAB LINE FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL — I I hereby acknowtetlge that I have read this application; that Ne In- TOTAL AMOUNT DUE formation given is correct; and that I am the owner, or the duly outhcr- APPLICATION APPROVAL Izrd agent of the owner. I agree to comply with city and state "we rag'- ATTENTION lating construction; and In doing the work authorized thereby, no person will be employed In Violation of the Labor Coda of the Stale of Weahmglon THIS PERMIT This application is not a permit until role Ing to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONH which ONLY TIRE uty; and fees are paid, and receipt Is ac - shall be completed In ninety days; MOVED -IN BUILDINGS shall be com. WORK NOTED knowledged In space provided. pleled In elx months.) IIGNATUI;E ( WNER OR AGENT INSPECTION DIRECTOR' SIONATU DEPARTMENT ]aj CITY OF DATE EDMOND$ allegesNOTE: 1 plicast Subject to Plan Check Fee TillsI'erntit rnvero t ork to be done an Private properly ONLY. 775-2525 Any ronslnlrtlnn on the public domain (eurbn, sidewalks, drlcewaye, ri r.• r, 111 rr•rl ulr,• nepnr¢Ir m•rmisslmt. FILE r 3� 17, I1. RECO-- ROO INSPECT Date Passed jI