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740581.pdfSPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP BUILDING DEPARTMENT Applicant Fill PERM ZONE RS -, NUMBER 740581 191 RESIDENTIAL GAS ❑ PERMIT APPLICATION Inside Heavy Lines ADDRE8a jDB 90a �¢�-' .© NEw NAME (OR NAME OF BUBINE 8) � % /P ^ �)� c,,\-N L6t' (ZI /9 A/ LINE PLAN CHE E BY THIS SITE IS LOCATED IN THE CITY - PERMISSIBLE ACTUAL LOT COVERAGE a LOT COVE1AOE C) . )/ r �H lc- 1:1NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX 0.' C MAILING ADDRFj�@Je Q / al/ C (. G PERai18BiHLE HEIGHT PROPOSED HEIGHD : _At?O V 2 SIGN H UL IIE CODED 31.04. CITY TELEPHO E NUMBER 7 75�� s �' TOTALEA A L `,RED % YARDS p E ARK ALTER EXCAVATE FENCE YA RDB PROPOSED REAR OR FILL (....................Ft.) NAME FRONT BIDE REAR •R REPAIR ❑ INBPMOYE EF POOL,J O ADDRESS LEGAL LOT VARIANCE OR CO �ONAy USE ® YES E-) NO PERMIT NUMBER 'Ot1 (O!-73 NUMBEROF STORIES NUMBER OF yF U T. AP ROVAL E, G D �Z DATE: UN TSLIN6 O'6112�,P�'wl ez) S � 62a al CITY TELEPHONE NUMBER (iU - Valuation Fee Receipt No. cc I STRE STREET R/W{l EXISTING STREET R1VA!-. `0F 1'. DEFICIENCY THIS PROPERTY O II NAME rr .r� ��II'''' COMP. PLAN ST. R/W(QC�//��iC•Fr. .....1.�..FT. W ld ADDRESS REMARKS , Driveway slopes not to exceed those O G 0--k A-14! /)l 44/4!-3 "/ indicated on Standard Bwg, No. 103 w I y4, %� CHS BY I x C1TY�.(r/j'� TELEPHONE NUMBER O FENCE O O �'Y 1 METER BILE BER VICE e11E CLEARANCE CH D BY STATE LICENSE NUMBER CITY LICENSE NUMBER WALL 3—�/—//770 REMA 8 N r- RC'SS • E(SC:.1 L. I O Q-, Legal Description of Property (Bhaw� HeloW or Attach Four Cople? DEMOLITION TYPE CONNECTION VERIFIE - 'r EXCAVATION OR FILL - 1 L �rL- I' t' 1 •, ,v PERC. TEST PERMIT UMBER a. formation given Is correct; and that I am the owner, or the duly author- C`L�wn� I Ized agent of the owner. I agree to comply with city and elate laws rogue ATTENTION APPLICATION APPROVAL REMARKS m baling eoaatruction; and In doing the work authorized thereby, no person SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP 191 RESIDENTIAL GAS ❑ ❑ YES .© NEw LINE PLAN CHE E BY THIS SITE IS LOCATED IN THE CITY " L 1:1NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX SIGN H UL IIE CODED 31.04. ADD DEMOLISH E RETAINING E ARK ALTER EXCAVATE FENCE / �,r r ��/ Q�f,/ /Q/W +/I�}✓ �IZV104 r, d -D OR FILL (....................Ft.) REPAIR ❑ INBPMOYE EF POOL,J NUMBEROF STORIES NUMBER OF UN TSLIN6 O'6112�,P�'wl ez) S � 62a NATURE OF WORK TO HE DONE Valuation Fee Receipt No. Plan Check No ..................... II BUILDING i3 /D�Qp PROPOSED USE PLUMBING 0013 / (— •� PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT A GAB LINE 7 �O x O FENCE ...j SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that I have read this application; that the In- TOTAL AMOUNT DUE 1 formation given Is correct; and that I am the owner, or the duly author- Ized agent of the owner. I agree to comply with city and elate laws rogue ATTENTION APPLICATION APPROVAL baling eoaatruction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until relatlog to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official Or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY T W'ORH NOTED uty; and fees are paid, and receipt is ac - shall be completed In Noety days; MOVED -IN BUILDINGS shall be win- ledged in space provided. pklt In six months.) BIG ATUIIE 1OW R OR AGENT) DA E SIGNED INSPECTION DI TO ' 81 NA URE } �fv� 16'/97 L/ DEPARTMENT GLvra•✓ OITY OF EDMOND$ DATE NOTE: Applicant Subject to Plan Check Fee _ 775-2525 This I'erntit l a cask to be done on private property ONLY. Any c-Oructlonon Lite public dmm�In (culls, sldelvedl.. 1111.1raya• r,l.ii"•.. ri r.l „III ri l nirr xel�u noir Inil•�Iot PILE _...._..- --- ----- -• • � --- � -_-- - 1 �- - - - ___ .- ---- -- - ----- - - -----�-�..-� %'_._._ r. �'1 , ,. _ --- �r .. . '�