740502.pdft �
USE PERMIT
4
BUILDING DEPARTMENTApplicant Fill 2O 5- 12 NUMBER 740502
PERMIT APPLICATION Inside IleaYy I m°"
N A F BUH1NESs)
A LINO ADDAEBB
CITY /TE�L�'EPAH�O/NE CN,�UMtyH,BR
NAME
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PEItafltltllDLE
LOT COVERAGE% C •s)�
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LOT COVIAAGE rYAltDH
0119a111LE HEIORT
1t )POSED IlEIO}{A
NEW
10
L7UAL OT REA
TOTALBL OAC tN.
SIGN
�.PRORF.QVIIIED
YAI(UH
ADD
FRONT SIDEEAR
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FRONf BEAR
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7.5
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LEGAL LOT AR ANLL OR CONDITIONAL USE
YES NO PERMIT NUMBER
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PLANNIN . YItOV STE�
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CITY TELEPHONE NUMBER
NEW
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NON-RESIDENTIAL
STREET !l/LV O
EXISTING STREET RDEFICIENCYT�Ii38 PROPERTY
SIGN
THIS PERMIT
NAME
ADD
PLAN HT. R=. ^•FT. aFlj
ONLY THE
{YORE NOTED
shall b completed In ninety days; MOVED -IND LDINOS shall be corn-
KING
RETAINING
AEMARK
COUP ..�I. _
REMARK..
Driveway atopen not to exceed those S o
Il0 . TUItE IONNEI N' DAT eION'
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ADDIL�H
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CHEC BY
CITY OF
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CITY
PNENUER
TELEPHONE—NUMBER
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7V d 39S
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MET 111'21 SElLV{CE 812E CLEARANCE
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
3 3/ a
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23-0
PRE-NSPI'l
_WX A K 6n
WOOL
Legal Description of Property (snow Heiow or Attach Four Copies)
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NUMBER OF
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PERC. 1ltlT R
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DWELLING
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(/ UNITS
FIRE ZO E TYPE OF�S,�yNSTRl1CTION STREET IMPROVED
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G, PROPOSED USE
Q
PLOT PLAN (Indicate Building setbacks, abutting e
9
PLUMBING
RESIDENTIAL
❑
GAH
LINE
U +N_ pt•"
PLAN C H E C K E IIP
"L 1
THIS SITE IS LOCATED IN THE CITY
NEW
10
NON-RESIDENTIAL
SIGN
THIS PERMIT
EDMONDS. LOCAL SALES TAX
ADD
SIGN
ONLY THE
{YORE NOTED
shall b completed In ninety days; MOVED -IND LDINOS shall be corn-
KING
RETAINING
AEMARK
SHOULD BE CODED 3104.
SH
Il0 . TUItE IONNEI N' DAT eION'
❑
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AL9
CITY OF
eWIMMIN6 POOL
ED51ONDS
OTE: Applicant Subject 10 P!a Cbrc Fre
DEMOLISH
DEMOLITION
FENC
7V d 39S
-
ALTER
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EXCAVATE
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PRE-NSPI'l
WOOL
M u 6c ,�13
REPAIR
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O
POOL
•
NUMBER OF STORIES
NUMBER OF
5i I
'
DWELLING
pLl°�—
L
(/ UNITS
N\AU/RF�OF T
BE DON/E�L
Valuation
Fee Receipt No.
IW,ORK
Plan Check Nu .....................
BUILDING
G, PROPOSED USE
Q
PLOT PLAN (Indicate Building setbacks, abutting e
9
PLUMBING
TOTAL AMOUNT DUE
I herebyacknowledge that I have read this application; that the In-
Iormnlion given iscorrect; and that I am the owner, or the duly author-
Ired .gent or the owner. I as,,. to comply wlth city and state laws regu.
r Qo
HEAT A GAS LINE
FENCE
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
SIGN
ONLY THE
{YORE NOTED
shall b completed In ninety days; MOVED -IND LDINOS shall be corn-
RETAINING WALL
Il0 . TUItE IONNEI N' DAT eION'
INSPECTION
L
Z�L
DEPARTMENT
CITY OF
eWIMMIN6 POOL
ED51ONDS
OTE: Applicant Subject 10 P!a Cbrc Fre
DEMOLITION
775-2525
Title 11ernllt rare. work to W dun n private property ONLY.
PRE -MOVE INSPECTION
marquees. etc.) will rcaulre separole P. .11.0an.
EXCAVATION OR FILL
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-
knowledged In space provided.
FILE
TOTAL AMOUNT DUE
I herebyacknowledge that I have read this application; that the In-
Iormnlion given iscorrect; and that I am the owner, or the duly author-
Ired .gent or the owner. I as,,. to comply wlth city and state laws regu.
ATTENTION
letting construction; and In doing the work authorised thereby, po person
will be employed In violation of the Labor Code of the state of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
{YORE NOTED
shall b completed In ninety days; MOVED -IND LDINOS shall be corn-
Insix month..)
Il0 . TUItE IONNEI N' DAT eION'
INSPECTION
L
Z�L
DEPARTMENT
CITY OF
ED51ONDS
OTE: Applicant Subject 10 P!a Cbrc Fre
775-2525
Title 11ernllt rare. work to W dun n private property ONLY.
Any construction on lite public dmm�ln (curbe, sidewalk., driveways,
marquees. etc.) will rcaulre separole P. .11.0an.
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-
knowledged In space provided.
FILE