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740435.pdf---_...._.__...__.�.._. .. _.... _.._... _......__ V.Ivstinn RESIDENTIAL BUILDING DEPARTMENT AppllcantFlu °NE PERMIT APPLICATION Inside Heavy Linos aoB ElNON-RESIDENTIAL ADDRESS SIGN NA7� (OR AME OF US1NE8 ) ElADD ❑ 3 MAl%/ ^ PBS F I t / WAIJININC LOT COVEAAI pEFtM IS010LE U ag 6 0 FRONT SIDE REAR FRONT BIDE REAR LEGAL LOT VARIANCE OR CONDITIONAL USE CI YES 0 NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS 13 YES ❑ NO [ YES E] NO YLAN ..EO.ED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX NA'1'UItE UH' WURK 'lU HE DONE V.Ivstinn RESIDENTIAL NEW LINE i ElNON-RESIDENTIAL ❑ SIGN I ElADD ❑ ❑ WAIJININC PROPOSED USE ALTER DEMOLISH E ❑ FENCS HEAT & GAS LINE ❑ OROFILL PLOT PLAN (Indicate Building setbacks, abutting streets) .......... Ft') FENCE REPAIR ❑ IN RESP. -MOVE ❑ PPOOL RETAINING WALL 1'I NUMBER OF STORIESN UMBER OF II DEMOLITION DWELLING PRE -MOVE INSPECTION EXCAVATION OR FILL UNITE FRONT SIDE REAR FRONT BIDE REAR LEGAL LOT VARIANCE OR CONDITIONAL USE CI YES 0 NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS 13 YES ❑ NO [ YES E] NO YLAN ..EO.ED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX NA'1'UItE UH' WURK 'lU HE DONE V.Ivstinn Fse Reecipt No, Iwl i tion catch No ..................... I � BUILDING i PROPOSED USE PLUMBING HEAT & GAS LINE VVVV VVVV PLOT PLAN (Indicate Building setbacks, abutting streets) FENCE SIGN _ RETAINING WALL 1'I SWIMMING POOL II DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL • �� AMOUNT DUE by acknowledge that I have read this appllcallon; that the In. I hereby / e O / / / formation given Is correct; and that I nm the owner, or the duly author. Iced agent of tae owner. I agree to comply with city and elate law. regu- ATTENTION APPLICATION APPROVAL lating .aetrucRon; and In doing the Work authorized thereby, no person Will be employed In ""alloo of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until relating to Workmen'. Compensation Insured.. AUTHORIZES signed by the Building Official or his Dep- i T e mit Limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is aC- ) led In ninety days; MOVED -IN BUILDINGS shelf be .m- knowledged in space provided. ontha•) OWNER OR AOEN'1') DATE SIGNED fiT. INSPECTION D TOR'H 816NAT AE I DEPARTMENT / `J //❑�� _ CITY OF'TL(� EDMONDS ot NOTE: Applicant Subject to Plan Check Fee pt Thl. Permit rovers cork to be Gone a n private Property ONLY. %%.r/-2545 rnnsl nlrtlnn on the public domain (caths, eldrwalks, driveways, FILE :tar ulrr etc.) ,alit reV nepnrnlr prrml.�lnn.