740487.pdf.t7
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Ll CITY TELEPHONE NUMBER
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EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/N ...........-FT. ............FT.
REMARKS
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CLEARANCE I CHECKED BY
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TYPE OF CONBTRU ION STREET 3�SPROVI
5i �j YES EJ NO
'.CTO REQUIRED OCCUPANCY GROUP
RESIDENTIAL
❑
LINE
BUILDING DEPARTMENT
PERMIT APPLICATION
Applicant Fill
Fide Heavy Lined
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13 C
PERMIT
NUMBER 740487
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ADDRESS aa�a
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NAME IOR NAME OF BUSINESS)PER
/hoc -n' HAUS
THIS PERMIT
LOT aCOVERAGE e
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LOTUCOVEIIAGE
MAILING ADDRESS
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TELEPHONE NUMBER
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PERMISSIBLE HEIGHT PROPOSED HEIGHT
ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS
FRONT BIDE
PROPOSED YARDS
REAR FRONT BIDE REAR
NAME
ADD
DEMOLISH
DEPARTMENT
F ADDRESS
CITY OF
LEGAL LOT
f.Ix YES E3 NO
'P'ILANbiltgi
VANIANCE OR CONDITIONAL USE
PERMIT NUMBER A �ta —5'0 Y
*Y O�d��
'PT APPR
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STREET R W
AL
CITY
I TELEPHONE NUMBER
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Ll CITY TELEPHONE NUMBER
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'r t
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EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/N ...........-FT. ............FT.
REMARKS
Q /A
CLEARANCE I CHECKED BY
�a
ww e
)J/A,
TYPE OF CONBTRU ION STREET 3�SPROVI
5i �j YES EJ NO
'.CTO REQUIRED OCCUPANCY GROUP
1 3.5-6 135,";
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-
Ivtowledged In apace provided.
-
FILE
RESIDENTIAL
❑
LINE
formation given is correct; and that I ara the owner, or the duly author•
C]GAS YES NO
❑ NEW
laling construction; and in doing the work authorized thereby, no person
will he employed In violation of the Labor Code of the Slate of Washington
THIS PERMIT
PLAN CHECK DY
THIS SITE IS LOCATED IN THE CITY
NOTE: Permit Limit One Year (Except DEMOLITIONS whichONLY
NON-RESIDENTIAL
®
SIGN
pleted In six menthe.)
.
OF EDMONDS. LOCAL SALES TAX
ADD
DEMOLISH
DEPARTMENT
RETAINING
WALL
CITY OF
REMARKS
SHOULD BE CODED 31.04.
-
NOTE: Applicant Subject to Plan Check Fee
775-2525
lserk to be done o
This Permit r n private property ONLY.
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FMM-A"
ALTER
,r I11 r Imre nrmrrnlr nerved nslen.
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FEN C
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fa7Gf/Gt ,
FILLTE
❑ OR FILL
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El REPAIR
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swim
POOL
p.
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NUMBER OF STORIES _ NUMBER OF
D
DWELLING
I
S�ZA7'�.acl«-b3
r�
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee
Receipt r
INSTALL
S),9N uN FR C1
OF
-S'F,14`'
Plan Cheelc No .....................
.�,
BUILDING
PROPOSED UBE
PLUMBING
U
PLOT PLAN (Indicate
Building setback., abutting
streets)
HEAT A GAS LINE
9
FENCE
f
SIGN s7
nETAININO WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
Mine
EXCAVATION OR FILL
1 3.5-6 135,";
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-
Ivtowledged In apace provided.
-
FILE
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
formation given is correct; and that I ara the owner, or the duly author•
lied agent of the owner. I agree to comply with city and state law. regu-
ATTENTION
laling construction; and in doing the work authorized thereby, no person
will he employed In violation of the Labor Code of the Slate of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS whichONLY
TIDE
W'ORH NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS Shalt be Som.
pleted In six menthe.)
IIONATURE (OWNER ORAQENT) DATE SIGNED
INSPECTION
Ui'�L /J �J �,j-•� U
D
!
DEPARTMENT
O 'Z�•7
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
775-2525
lserk to be done o
This Permit r n private property ONLY.
Any ran.trilrthm as the puI Anmaln (enraa, sidewalks, driveways,
,r I11 r Imre nrmrrnlr nerved nslen.
1 3.5-6 135,";
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-
Ivtowledged In apace provided.
-
FILE