740590.pdfPERC. TEST
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DEPARTMENT
PERMIT
OE 740590
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GROUP
ApplicantFW
�UME
❑ YE9 NO
APPLICATION
Inside Heavy Lines
ADDRESS
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LINE
NAME (OR NAME OF BUSINESS)
THIS SITE IS LOCATED IN THE CITY
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NON-RESIDENTIAL
lUD�i i j /wmo0 H 0ME5 INC.
PER Th. V1BLE E ACTUAL
LOT COVERAGE t LOT COVERAGE
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A1LIN0 ADDRESS �`�^PERMISSIBLE
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PER\I IH8IHLE AEI ;FiT� PROPOSED HEly�il'P
BE CODED
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TELEPHONE NUMBER
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ACTUAL L.T AA111115 TOTAL, BLDG.
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NU BER O' STORIES NUMBER OF
REQUIRED YARDS PROPOSED YARDS
PRON2W. HIDE REAR FRONT SIDE
NAME
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LEGAL LOT VARIANCE M R (TION 8 Q
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PLA NI OVAL DATE:
Valuation
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TELEPHONE NUMBER
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STREET R/ /�,�_� C
STREET R/V5WfO(Yf'. DEFICIENCY PROPERTY
NAME
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COMP. PLAN ST. R144F.Y.N•1'. n.....,r...FT. 15G
BUILDING
//1V0t17_N1Jo00 HOMES i/VC,
REafARICS
Driveway slopes not to exceed those
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ADDRESS
!,0 �% 17 v..+
indicated on Standard Dwg. No.103
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CHECKED BY
PLOT PLAN (Indlente Building setbacks, abutting street.)
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TELEPHONE NUMBER
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CLEARANCE
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STATE LICEN NUMBER
CITY LICENSE NUMBEI(
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REMARKS
SWIMMING POOL
Legal Descrlptlon of properly (Show Below or Allaeh Four Copies)
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PERC. TEST
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Jj/ I _V_ N I IFYES E3 NO
SPECIAL INSPECTO .REQUIRED
GROUP
® RESIDENTIAL
CAe
❑ YE9 NO
(OCCUPANCY
NEW
LINE
PLAN CHECKS DY
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
❑ SIGN
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F EDMONDS. LOCAL TAX
SHOULD
❑ ADD 0 RETAINING
WALL
❑
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EPdAR.V
BE CODED
DEMOLISH
ALTER EXCAVATE ❑ FENCE
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REPAIR PRE -MOVE SWIM
INSP. POOL
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NU BER O' STORIES NUMBER OF
NG
DWELi/ L E V t L.. I
UNITBLI
NATURE OF W(On`R�K^eTo B/.E//LD—�O%N�E� /� _
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Valuation
Fee Receipt No
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Plan Check No .....................
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BUILDING
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PROPOSED USE
UPLUMBING
51 NEMC /=ArM/Ci OWELL, (V C
PLOT PLAN (Indlente Building setbacks, abutting street.)
HEAT A GAS LINE
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FENCE
SIGN
tRETAINING
WALL
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SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
1 hereby acknowledge that I have read this application; that the In•
TOTAL AMOUNT DUE
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formation given Incorrect; and that I am the owner, or the duly author-
tzedlatl agent of the owner. I to comply with city e¢d elate leve
APPLICATION APPROVAL
erson
ti doing
Inting conetructla¢; and In dolhg the work authorized thereby, no person
ATTENTION
will be employed In violation of the Labor Code of the state of waehlagton
THIS PERMIT
ThiB application is not a permit until
relating to Workmen's Compensation Imuranoe.
AUTHORIZES
signed by the Building Official Or his Dep -
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY TILE
Ut and fees are aid, and receipt is ac-
P P
plcled In ninety days: MOVED -IN BUILDINGS shall be cam•
WORK NOTED
knowledged in apace provided.
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plated In el menthe.)
SIGNAIL (OWNER -AGENT)DATE SIGNED
INSPECTION
1R• SIGN A UR
DEPARTMENT
0 /
CITY OF
EDDIONDS
DATE
NOTE: Applic n Subject to Plan Check Fee
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This Permit facers work to be don n Private property ONLY.
775.2525
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PL59.32
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