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740546.pdf,r RESIDENTIAL GAB LINE ❑ YES Q.NO ` ❑ ADD ALTER ElDEMOLISH NON-RESIDENTIAL EXCAVATE s1GN RETAINING ��� WALL It J/"ENCE OF EDMONDS. LOCAL SALES TAX SHOULD eE CODED 31.04. ARKS Fence requirements - section 12.14.040 i ❑ OR FILL I��—I (..........x..........Fl.) REPAIR EJ PRE-hIOVE INSP. 1 attached. IUMBER OF STORIES NN5TIEROF SIGN RETAINING WALL BUILDING DEPARTMENT Applicant FID ZONE NUBS13ER 740546 SWIMMING POOL PERMIT APPLICATION Inside IleaVy Lines PRE -MOVE INSPECTION Me ADDRESS EXCAVATION OR FILL LOT CVPERMISSIBLE 7 LOT COVERAGE ! jf ACTUAL q LOT COVERAGE I } d_ 1 hereby acknowledge lhnt I have read this application; that the In. NAME {OR NAME OF BU81NER8) I4J) IIA rYt �- ( U x �� y� OL X � I - M MA -11 ADDRESS Irl / `.�o �)' i `� PEIt5318e1BLE HEIOlIT PROPOSED HEiORT M D YI (`' i I 'U(,� TELEPHONE NUMBER D �r ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS PROPOSED YARDS BIDE REAR FRONT BIDE REAR NAME THIS PERMIT This application Is not a permit until relating to Workmen's Compensation Insurance, //, P r0 GL/ )7- {.. /0l /' /�'1 r 1 NOTE: Permit Limit One Year (Except DE51OLITIONS which ONLY THE WORK NOTED ` yUj ADD 'B8 N 5Qe— LEGAL LOT VARIANCE OR CONDITIONAL USE YE8 C3 No PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: CITY NACM�E, %NI C d ADDRESS FO !U 4 CITY F 7 O U STATE LICE Legal Descrl O J b W STREET R/1V p EXISTING STREET R/W ............FT, DEFICIENCY THIS PROPERTY LAN ST. R/W ............FT. ............ REMARKS FT. NO NEW RESIDENTIAL GAB LINE ❑ YES Q.NO PL CKED DY THIS SITE 15 LOCATED IN THE CITY ❑ ADD ALTER ElDEMOLISH NON-RESIDENTIAL EXCAVATE s1GN RETAINING ��� WALL It J/"ENCE OF EDMONDS. LOCAL SALES TAX SHOULD eE CODED 31.04. ARKS Fence requirements - section 12.14.040 ❑ OR FILL I��—I (..........x..........Fl.) REPAIR EJ PRE-hIOVE INSP. 8M5E POOL attached. IUMBER OF STORIES NN5TIEROF SIGN RETAINING WALL DWELLING N SWIMMING POOL DEMOLITION (r Pian Check Nn ........ _............ BUILDING e, PROPOSED USE PLUMBING O PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT d: GAS LINE O .�, FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE } d_ 1 hereby acknowledge lhnt I have read this application; that the In. OL formation given le correct; and that I am the owner, or the duly nuthor- Ired agent of the owner. I agree to comply with city and slate taws regu. ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person x•111 be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application Is not a permit until relating to Workmen's Compensation Insurance, AUTHORIZER signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DE51OLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - shalt he completed In ninety days; MOVED -IN BUILDINGS shall be com- knoWledged ace provided. pleted T six months.) SIGNATUIIE (OIVNER OR AGENT) DATE SIGNED INSPECTION IRE R' SIGN TURF DEPARTMENT t v CITY OF —DATA EDMONDS NOTE: Applicant Subject to Plan Check Fee /Q ' 775.2525 This Permit raven work to be done on private property ONLY. Any constructlnn nn the put dmm�in Icnrbs, sidewalks, drWews.ys, FILE .v,pirrr, rl,•.1 "111 r,ilalr,• nrpnrnir prrnllsslnll.