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740485.pdft i 'e i fi BUILDING DEPARTMENT DUE PERMIT Applicant Fill NUMBER 740485 I ,I PERMIT APPLICATION Inside Heavy Linea DD o NAME (OR NAME OF HEESB) ADDRESS PERMISSIBLE o ACTUAL / TI IAT COVERAGE O/ LOT COVFWAGE D L MASLINO ADDRESS a /` PEffaI IdBIHLE HEIGRT PROPOSED HFJ) r O 36 ie� T/E�LEPHONE NUMBER A U(tL%LOT AREA TObALL DG._AREA I A I AA /1 e 1 /� `c I ' .I rl C3 _ i i / i //� `� 3 C7 rr-- AR 7 -- CITY I TELEPHONE NUMBER {-/'--- ____-.,�,,,,,•',,f,-,,,M�„r ,ouaw uemw or Attach QFour Copies) i HELI(— wI Q -ri e) Lo- --A 4 O DWELLING UNITS _7 REQUIRED YARDS —U—ND YARDS FRONT SIDE REAR FRONT SIDE REAR as �s 30' /s - ED 30 LEGAL LOT VARIANCE OR CONDITIONAL USE [a YE9NO PERMIT NUMBER PL NNI EP.T. APP�(yV �A L., STREET R/W Jr g EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY �yyC CMARKSOMP. PLAN ST. R/W ............FT. ............FT. RE t� �l CHEC D SY METER SIZE SERVICE SIZE I CLEARANCE I C C.ED HY REMARKS YPE CONNECTION I VERIFIED II I FERC —TEST PERMIT NUMBER REMARKS FIRE 20NE T OF CONS%TRUCTION I BTREE IMPROVED (J NO 3PECSAL INSPECTOR RREEQUIRIM I OCCUP . GROUP YES LAN CHEC D Y THIS SITE IS LOCATED IN THE CITY OF_EDMONDS. LOCAL SALES TAX RESIDENTIAL Fee Recclpt No. NEW IG_]I ❑ LSNE © ADD NON-RESIDENTIAL 0 FIWAS SIGN WING ❑ DEMOLISH ® ALTER EXCAVATE O PLUMBING ❑ ORFILL 0REPAIR ❑ IRE -MOVE 'UMBER OF STORIES ( NUMBER OF ❑ ( ...........) SWIM POOL DWELLING UNITS _7 REQUIRED YARDS —U—ND YARDS FRONT SIDE REAR FRONT SIDE REAR as �s 30' /s - ED 30 LEGAL LOT VARIANCE OR CONDITIONAL USE [a YE9NO PERMIT NUMBER PL NNI EP.T. APP�(yV �A L., STREET R/W Jr g EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY �yyC CMARKSOMP. PLAN ST. R/W ............FT. ............FT. RE t� �l CHEC D SY METER SIZE SERVICE SIZE I CLEARANCE I C C.ED HY REMARKS YPE CONNECTION I VERIFIED II I FERC —TEST PERMIT NUMBER REMARKS FIRE 20NE T OF CONS%TRUCTION I BTREE IMPROVED (J NO 3PECSAL INSPECTOR RREEQUIRIM I OCCUP . GROUP YES LAN CHEC D Y THIS SITE IS LOCATED IN THE CITY OF_EDMONDS. LOCAL SALES TAX Valuntion Fee Recclpt No. F Plan Check No ..................... DUILDING d [f- I y PROPOSED VSE O PLUMBING PLOT PLAN (Indicate Bulltling setbacks, abutting streets) HEAT A GAS LINE fr+ /%'4 FENCE i 60 C) Q T A-,l/o N'64L/ SIGN I ��D1 11I6 � II RETAINING WALL SWIMMING POOL ' DEaSOLITION VII PRE -MOVE INSPECTION EXCAVATI0N OR FILL II ` OQ TOTAL AMOUNT DUE ------------- I hereby acknbwledgo that I have read this application; that the In. formation given 1. correct: and that I am the owner, or the duly author- pS lied agent of the owner. I agree to comply with city and elate laws regu- lating construction; and In doing the work authorised thereby no person ATTENTION APPLICATION APPROVAL Will be employed In violation of the Labor Code of lbs State of Washington THIS PERMIT relating to V/orkmea•e Compensation Insurance. AUTHORIZES This application is not a Pertnit until NOTE: Permit Limit One Year (Except DEMOLITIONS TILE signed b sigY the Building Official Or his Dep- whichwhichONLY ehell ed in nlnely days; AIOVED-IN BUILDINGS shall be in- coac- WORK NOTED UtY; and fees are paid, and receipt Is ae- ked e ed In elx m eh knOWledged in space provided. TUR N ER O A ENT) DATE SIGNED INSPECTION DEPARTMENT D3 R•S I TU • a'6_ ¢ CITY OF % f f"'�•�/ 19TE: Applicant Subject to Plan Check Fee EDbIONDS DATE ��It seven work to be done on private properly ONLY, 775-2525 — :•Ilan on tbo public domain (curb., sidewalk., driveways, cer.l Irlll rrq airs nel�llratr Irrrmiseloll• FILE