740442.pdfLegal D11111Ptla1 or Property 10bow Below or Attach Four COPlcel
S. 70 ft of the N 280 ft of the E.
® RESIDENTIAL
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NEW
10 NON-RESIDENTIAL
❑
SIGN
laling construction; and In doing the work authorised no personwill
ADD ❑
O
WALL KING
relating to Workmen's Compensation Insurance.AUTHORIZES
DEMOLISH
ALTEREXAVAT❑ E
❑
FENCE..........
shallbecompleted In ninety days; MOVED -IN BUILDIll be com-
ZONVE PERMIT
740442
PRE -MOVE INSPECTION
BUILDING DEPARTMENT
Applicant Flu
REPAIR O
❑
PERMIT APPLICATION
Inside Heavy Lines
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JOB
POOL(
(UMBER OF STORIES
ADDRESS
NOTE: Applicant Subject 10 Flan Check Fee
NAME tort, NAME OF BUSINESS)
Crest
DWELLING
ISWRLAN e A
Laurnece Kleiner
LoTiU
LOT COVERAGER?A LOT COVE AGE
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MAILING ADDRE08
PERMISSIBLE HEIGHT PROPOSED HEIGHT
20828 Hilidrest Place
COMPLIANCE INSPECTION
CITY
TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL BLDG. AREA
Edmonds, Wn.
REQUIRED YARDS PROPOSED YARDS
NAME
FRONT HIDE REAR FRONT BIDE REAR
(occupant Ashley 778-4578)
LEGAL LOT VARIANCE OR CONDITIONAL USE
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ADDRESS
0 YES NO PERMIT NUMBER
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PLANNING DEPT. APPROVAL DATE:
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CITY
TELEPHONE NUMBER
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STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NAME
COMP. PLAN ST. R/W ............FT. ...........,FT.
REMARKS
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BY
C1'TY
TELEPHONE NUMBER
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METER SIZE
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CHECKED BY
Legal D11111Ptla1 or Property 10bow Below or Attach Four COPlcel
S. 70 ft of the N 280 ft of the E.
YES fl NO
OF
® RESIDENTIAL
F�
LINE
E]
NEW
10 NON-RESIDENTIAL
❑
SIGN
laling construction; and In doing the work authorised no personwill
ADD ❑
O
WALL KING
relating to Workmen's Compensation Insurance.AUTHORIZES
DEMOLISH
ALTEREXAVAT❑ E
❑
FENCE..........
shallbecompleted In ninety days; MOVED -IN BUILDIll be com-
ORCFILL
PRE -MOVE INSPECTION
..
EXCAVATION OR FILL
REPAIR O
❑
DEPARTMENT
Olympus Mortgage Corp. 74
TNSP. OVE
POOL(
(UMBER OF STORIES
NUMBER OF
NOTE: Applicant Subject 10 Flan Check Fee
775-2525
DWELLING
Any nnt.t nlrlinn nn tlir Pnhlle dm.ln frnrlre, nlikwnikn, drlrew'nye,
-j t+l:t
UNITS
1ATURE OF WORK TO BE DONE
COMPLIANCE INSPECTION
YES fl NO
OF
❑ YES ri NO
SALES TAX
tion 25.00
25.00
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in apace provided.
Plan Check No .....................
I hereby acknowledge that I have read this applicjd
hat the in-
BUILDING
formation given Ie correct; and that I am the owner, oly author -
PLUMBING
feed agent of the owner. I agree to comply with city anlaws regu-
BEAT A GAS LINE
laling construction; and In doing the work authorised no personwill
FENCE
be employed In vlolatlon of the Labor Code of the Stashington
SIGN
relating to Workmen's Compensation Insurance.AUTHORIZES
RETAINING WALL
N
SWIMMING POOL
shallbecompleted In ninety days; MOVED -IN BUILDIll be com-
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
❑ YES ri NO
SALES TAX
tion 25.00
25.00
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in apace provided.
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this applicjd
hat the in-
formation given Ie correct; and that I am the owner, oly author -
feed agent of the owner. I agree to comply with city anlaws regu-
ATTENTION
laling construction; and In doing the work authorised no personwill
be employed In vlolatlon of the Labor Code of the Stashington
THUS PERMIT
relating to Workmen's Compensation Insurance.AUTHORIZES
NOTE: Permit Limit One Year (Except DENS which
ONLYTILE
WORK NOTED
shallbecompleted In ninety days; MOVED -IN BUILDIll be com-
pleted In .1. monthe.)
IONATUIiE (O\VNEIt OR AGENT) DIGNED
INSPECTION
DEPARTMENT
Olympus Mortgage Corp. 74
CITY OF
EDMONDS
NOTE: Applicant Subject 10 Flan Check Fee
775-2525
Thle Pennit 1111.e. work to be done on private property ONLY.
Any nnt.t nlrlinn nn tlir Pnhlle dm.ln frnrlre, nlikwnikn, drlrew'nye,
-j t+l:t
❑ YES ri NO
SALES TAX
tion 25.00
25.00
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in apace provided.