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740496.pdfU yN.I (S ADDRYI.. go7 37711 4 q C TY F O STATE LICENSE NUa1BEii ,233- o /- ' S &) 33e Plan Check No ..................... RESIDENTIAL F-1 GAS LINE !�. NEW JZ ❑ NON-RESIDENTIAL j BUILDING DEPARTMENT BUILDING 1, PROPOSED USE 11��-� 7711 °NENUMBIER7��T`�vPERMIT [� /` ❑ APPLICATION I7ApplicentFill Llnoe aosADDREBHNAME ALTER +I EXCAVATE (OR NAME OFPERMISSIBLE PEN I ❑ ORFILL ...... .......Ft.) SIGN REPAIR ACTUALOdLOT LOT PRE-INSPsiOVE El SWIM iUMBF.R OF STORIES NUMBER OF COVERAOE COVESYAOEMAILING SWIMMING POOL ADDRESSPERMItltlIHLE HEIafiT PROPOSED HE16HTHEX UNITS PRE -MOVE INSPECTION I i EXCAVATION OR FILL I � i ACTUAL LOT AREA TOTAL BLDG. AREA Q x U yN.I (S ADDRYI.. go7 37711 4 q C TY F O STATE LICENSE NUa1BEii ,233- o /- ' S &) 33e FRONT HIDE REAR FRONT -BIDE REAR LEGAL LOT VARIANCE OR CONDITIONAL UHE O YES 0 NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET H/W p �. EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY '/P, COMP, PLAN ST. R/W ............FT. ............FT. W REMARKS D ) z ra q` - I CKECKED HY METER SIZE I SERVICE SIZE I CLEARANCE CHECKED BY 1a REMARKS /j jA F YES l0/i :PE OF CONSTRUCTION 'OR REQUIRED I OCC[ NO YES [] NO SALES TAX Plan Check No ..................... RESIDENTIAL F-1 GAS LINE !�. NEW JZ ❑ NON-RESIDENTIAL j s1aN BUILDING ADD PROPOSED USE 11��-� 7711 E yALL ❑ DEMOLISH O ALTER +I EXCAVATE r PEN I ❑ ORFILL ...... .......Ft.) SIGN REPAIR ❑ PRE-INSPsiOVE El SWIM iUMBF.R OF STORIES NUMBER OF SWIMMING POOL DWELLING I DEMOLITION UNITS PRE -MOVE INSPECTION FRONT HIDE REAR FRONT -BIDE REAR LEGAL LOT VARIANCE OR CONDITIONAL UHE O YES 0 NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: STREET H/W p �. EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY '/P, COMP, PLAN ST. R/W ............FT. ............FT. W REMARKS D ) z ra q` - I CKECKED HY METER SIZE I SERVICE SIZE I CLEARANCE CHECKED BY 1a REMARKS /j jA F YES l0/i :PE OF CONSTRUCTION 'OR REQUIRED I OCC[ NO YES [] NO SALES TAX Plan Check No ..................... !�. j BUILDING PROPOSED USE PLUMBING O +I M PLOT PLAN (Indicate Building setbacks, abutting Street.) HEAT Q GAS LINE I FENCE SIGN I RETAINING WALL Oa N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION I i EXCAVATION OR FILL I � i Q TOTAL AMOUNT DUE I hereby acknowledge that I have read this applies IS.; that the In. r formation given I. correct; and that I am the owner, or the duly author. Iced agent of the owner. I agree to comply with city and slate laws regu- ATTENTION APPLICATION APPROVAL lacing construction; and in doing the work authorized thereby, no person wlll be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until j relating to Workmen'. Compensation Imurance. AUTHORIZES signed by the Building Official or his Dep- 1 I NOTE: Permit Limit One Year (Except DEMOLITION8 which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- (� — _-----�---"" 11 .hall be completed In ninety days; MOVED -IN BUILDINGS Shall be com. Imowledged in space provided. plated In I. month..) SIGNATURE IONNER Oli GENT) DATE DN D INSPECTION DIREC R'S 81 NATURE •„ DEPARTMENT CITY OF EDMONDS DAT NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit coven v.erk to be done on private property ONLY. Any e-zrnation nn the public domain (turbo, .Id—lk.. &I—ar.' FILE Irilnrir, a „III tea ��ir• sel�)ralr ;ii•nnl.nlan. ,. '>". A �") (�l ,, <.t. .r ,. � ; „ ,. � � �