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740467.pdf0 YES I] NO YES [] NO OF EDMONDS. LOCAL SALES TAX SHOULD eE CODED 31.04. REMARKS Fence requirements — section 12.14.040 attached. Plan Check No BUILDING Valuation I Fee PROPOSED USE PLUMBING ElRESIDENTIALF-108 LINE HEAT & GAS LINE NEW ❑ NON-RESIDENTIAL FENCE SIGN ❑ ADD ; !! ` DEMOLISH BUILDING PERMIT DEPARTMENT APPLICATION Appueant FlU Insldo Heavy Lines USE E NUmel 740461 JOB ADDRESS �/ r AVATE 1 N SE (OR NAME OF U.1 -88))y ITRMISSIBLE ACTUAL IAT COVERAGE LOT COVEIAGE ❑ OROFILL ►Mi A 11 d El REPAIR PERMISSIBLE HEIGHT PROPOSED HEIGHT F IN PMOVE ❑ O TT— IUMBER OF STORIES TELEPHONE NUMBER I ACTUAL LOT AREA TOTAL BLDG. AREA 7 DWELLING / L4 ziO REQUIRED YARDS PROPOSED YARDS FRONT S_JD I: REAR FRONT SIDE. REAR TOTAL AMOUNT DUE i ''( I1 NAME r7 t 1 ,.,.all.. given Is correct; and that I = the owner, or the duly author- ` lied agent of the owner. I agree to comply with city and .tate laws regu- i H O ADDRESS LEGAL LOT VARIANCE CONDITIONAL USF. 0 yF.e ❑ NO PERMIT NUMM BER PLANNING DEPT. APPROVAL DATE: This application is not a permit until relating to Workmen's Compensation Insurance. ' i C CITY ONLY TH' Won. NOTED TELEPHONE NUMBER STREET R/1V EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY knowledged in space provided. p2 COMP. PLAN ST. R/W ............FT. ............FT. / r I/h_f) A REMARKS c 0 YES I] NO YES [] NO OF EDMONDS. LOCAL SALES TAX SHOULD eE CODED 31.04. REMARKS Fence requirements — section 12.14.040 attached. Plan Check No BUILDING Valuation I Fee PROPOSED USE PLUMBING ElRESIDENTIALF-108 LINE HEAT & GAS LINE NEW ❑ NON-RESIDENTIAL FENCE SIGN ❑ ADD ❑ DEMOLISH L]RETAINING ALL RETA114ING WALL ALTER AVATE ❑ OROFILL (,,�....z�J.,3F•t.) El REPAIR ❑ IN PMOVE ❑ swill POOL IUMBER OF STORIES NUMBER OF EXCAVATION OR FILL DWELLING TOTAL AMOUNT DUE UNITS ''( I1 I hereby acknowledge, that I have read this application; that the In- 0 YES I] NO YES [] NO OF EDMONDS. LOCAL SALES TAX SHOULD eE CODED 31.04. REMARKS Fence requirements — section 12.14.040 attached. Plan Check No BUILDING Valuation I Fee PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT & GAS LINE FENCE . 0 , 0 0 SIGN RETA114ING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE ''( I1 I hereby acknowledge, that I have read this application; that the In- r7 t 1 ,.,.all.. given Is correct; and that I = the owner, or the duly author- ` lied agent of the owner. I agree to comply with city and .tate laws regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person 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 which ONLY TH' Won. NOTED uty; and fees are paid, and receipt is ac - shall be completed in nicety day.; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pletcd In six months.) UrNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION D We GNAT E DEPARTMENT r� — CITY OF �/j' ` � cta, EDMONDS DATE - NOTE: Applicant Su jcct to Pfau Check Fer — a 775-2525 O � This 1'ennit raven work to he dune an Drlyate properly ONLY. 7 Any construction on the public doo�aln (curbs, Ila -1h., 1111 aY., FILE mnrnueen, etc.) will rceulee separate nermledon.