740569.pdfG
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BUILDING DEPARTMENT I AppticantFW Z' aiuelaER 740569
PERMIT APPLICATION Inside heavy Linos
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Cg ADD1tE88
F CITY (TELEPHONE NUMBER
8 Bothell, Wn•
O
ADDRESS
593
Maple Street
PERM1.11WLE
LOT COVERAGI?
—' ft//��
LOT COVERAGE
PERMISSIBLE HEIGHT
PROPOSED HEIGHT
ACTUAL LOT AREA
TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
I CHECKED BY
REMARKS
LEGAL. LOT
n v'A n NO
VARIANCE OR CONDITIONAL USE
PERMIT NUMBER
PLANNING DEPT, APPROVAL DATE:
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............PT.
REMARKS
CHECKED BY
METER SIZE I SERVICE SIZE
I CLEARANCE
I CHECKED BY
REMARKS
SPECIAL INSPECTOR M
TYPE CONNECTION
VERIFIED BY
PERC. TEST
I PERMIT NUM HER
REMARKS
ElRESIDENTIAL
NEN
YES ❑ NO
THIS SITE
OF EDMO
Valuation I Fee
k
w
i
r I US).
Pian Check No .....................
+
O
BUILDING #740320
SPECIAL INSPECTOR M
PROPOSED USE
LI
YES ❑NO
OLAN
ElRESIDENTIAL
NEN
PLUMHINa (67)
CHECKEDBY
❑
NON-RESIDENTIAL
E]
ION
❑ ADD
❑
DEMOLISH
KING
WALL
REMARKS
ALTER
FENCE
❑
ORCFILLTE
(ENCs.......... Ft.)
SIGN
❑ RP•.PAIR
❑
r❑
I I
swil
INSP.PRE-MOVE
111___}}}
POOL
UMBER OF STORIES
NUMIIER OF
SWIMMING POOL
DWELLING
DEMOLITION
UNITS
YES ❑ NO
THIS SITE
OF EDMO
Valuation I Fee
k
w
i
r I US).
Pian Check No .....................
+
O
BUILDING #740320
PROPOSED USE
PLUMHINa (67)
102.50
I
a PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
1
FENCE
SIGN
RETAINING WALL
N
A
SWIMMING POOL
)
DEMOLITION
}
PRE -MOVE INSPECTION
EXCAVATION OR FILL
Ili
TOTAL AMOUNT DUE
102.50
1 hereby acknowledge that I have read this application; that the In-
formation given Ie correct; and that I am the owner, or the duly author.
(zed agent of the owner. I agree to comply with city and .tate law. regu-
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no person
will be employed In Violation of We Labor Code of the State of Washington
TIDE PER511T
This application is not a permit until
relating to Workmen's Compensation Inewraace.
AUTHORIZER
signed by the Building OIIICSaI Or 1118 Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WOne NOTED
uty; and fees are paid, and receipt is ac -
shall he completed In ninety days; MOVED -IN BUILDINGS shall be com.
knowledged in space provided.
pleted 1 Is menthe•)
SIGN U E (OWNER O OE T
DATE IONED
INSPECTION
Dl CTOR'B flalNAT
i
DEPARTMENT
CITY OF
�
OND
EDMONDfi
DATE
NOTE: App/rca object to Plan &eck Fee
77
Thla Permlt r rork to be done on private property ONLY.
Any construction an it's public domain (eurbs, sidewalk., driveways'
FILE
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Final