740489.pdft
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BUILDING DEPARTMENT I Applicant FlUSE C �; PERMIT
ZONE 740489
PERMIT APPLICATION Inelde IIPAVy Lues
NAMEJOS /
NAE lOR NAME OF ADDRESS O
BUSINESS)
c7 YERaf I9BIBLE A A
h ..iEn M`��•n!•i L IAT COVERAGE It
!J114 covEL AO
W
MAILIN A
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PERMISSIBLE HEIG14T PROPOSED FIEIOHT
0
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dL4 k,
l/ �7) per
W�R-k �U�j0.
j
I Y
REQUIRED YARDS PROPOSED YARDS
TELEPHONE NUMBER
moo
OOL
5 "
�s 8 3
— /
Ob BTORIE9
NAM.
SIGN
LEGAL LOT VARIANCEOR CONDITIONAL USE
tRETAINING
ADDRESS
3
IB YES C] NO PERMIT NUMBER
DWELLING
I
CITY OF
5
NOTE: Applicant Subject to Plan Check Fee
STREET R/W ))
C;
CITY
EXCAVATION OR FILL
TELEPHONE NUMBER
x
TO
JJ A %I
BE DONE
COMP. PLAN ST. R14K/(Q3�'1'.
NAME
....3,,,l...PT.
REMARIIB
yIDl=F.�
Driveway slopes not to exceed those
Fe
nnnxe88
indicated on Standard Dwg. No. 103
F
C1T
j
TELEPHONE NUMBER
cx c HY
3
!J114 covEL AO
W
uRESIDENTIAL
NEW
ADDRETAINING
DEMOLISH
ALTER AVATE
,
PERMISSIBLE HEIG14T PROPOSED FIEIOHT
0
�
ACTUAL LOT AREA TOTAL BLDG. AREA
l/ �7) per
W�R-k �U�j0.
j
®
REPAIR ❑
REQUIRED YARDS PROPOSED YARDS
eSZ
✓�
moo
OOL
`
FRONT BIDE REAR FRONT BIDE REAR
UMBER
Ob BTORIE9
NUSfIIEA OF
SIGN
LEGAL LOT VARIANCEOR CONDITIONAL USE
tRETAINING
WALL
3
IB YES C] NO PERMIT NUMBER
DWELLING
I
CITY OF
DEMOLITION
NOTE: Applicant Subject to Plan Check Fee
STREET R/W ))
EXCAVATION OR FILL
EXISTING STREET R/IWI,?,�. aft. DEFICIENCY//Title PROPERTY
x
TO
JJ A %I
BE DONE
COMP. PLAN ST. R14K/(Q3�'1'.
....3,,,l...PT.
REMARIIB
Driveway slopes not to exceed those
indicated on Standard Dwg. No. 103
Z
j
cx c HY
METER SIZE
SERVICE SIZE
CLEARANCE
CHC Y
I
[At
REMArtitB
`
I v
r
TYPE OF
ElADDEl
uRESIDENTIAL
NEW
ADDRETAINING
DEMOLISH
ALTER AVATE
❑
GAS
LINE
SIGN
WALL
❑ YE8 �,NG
PLAN CHECKED BYTHIS SITE IS LOCA
SOHOULD BE CODED
REMARKS
p
�`�
l/ �7) per
W�R-k �U�j0.
PLUMHIN6
HEAT &CAB LINE
®
REPAIR ❑
ORCFILL
INSP., T0VE
ElFENC3..........Ft.l
EJ`/
moo
OOL
`
�.<I
UMBER
Ob BTORIE9
NUSfIIEA OF
SIGN
DATE SIGNED
tRETAINING
WALL
N
DWELLING
I
CITY OF
DEMOLITION
NOTE: Applicant Subject to Plan Check Fee
UNITS
EXCAVATION OR FILL
'ATURE
TO
JJ A %I
BE DONE
I Valunllon
- —
TOTAL AMOUNT DUE
Plan Check No .....................
G
0 Olo Q VIAtL
PROPOSED U .
Ired Agent of the owner. I agree to comply with city and state laws regu•
BUILDING
O
ATTENTION
PLUMHIN6
HEAT &CAB LINE
PLOT PLAN (Indicate Building Setbacks, abutting Streets)
5
AUTHORIZES
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
shall be completed In ninety days; MOVED -IN BUILDINGS shall be Som.
FENCE
Pleled In Sia months.)
SIGN
DATE SIGNED
tRETAINING
WALL
N
SWIMMING POOL
CITY OF
DEMOLITION
NOTE: Applicant Subject to Plan Check Fee
PRE -MOVE INSPECTION
EXCAVATION OR FILL
Z Hereby acknowledge that I have read this npplle¢tlon; that the In-
TOTAL AMOUNT DUE
formation given Is correct; And that I nrn the owner, or the duly author-
Ired Agent of the owner. I agree to comply with city and state laws regu•
1¢ting construction; and In dolog the work authorized thereby, ao person
ATTENTION
wU, us employed In violation of Ne Labor Cade of the State of Washington
TINS PERMIT
relating to Workmen's Compensation Inamones.
AUTHORIZES
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
shall be completed In ninety days; MOVED -IN BUILDINGS shall be Som.
WORK NOTED
Pleled In Sia months.)
31ONATURE (OWNER OR AGENT)
DATE SIGNED
INSPECTION
-?�� �.
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
This Permit c".... walk to be dame an private Dtamely ONLY.
Any coact'actin- on tI.S Public domain (curb.. Side'alko, drlvmays,
,�,. r,ln„ . ,•tr.� ..m rr,lolr,• r.l,un,i,• nr ma.etm,.
YES
10
APPLICATION APPROVAL
This application is not a perrilt until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac.
knowledged in space provided.
9- 6 7!�
FILE