740592.pdfIT —/✓ I B'YEs [] NO
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❑ YES M440
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d_.I LOT COVERAOEs LOT COVERAGE 0—
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(1 LEGAL LOT VARIANCE Olt CONDITIONAL USE
NUMBER OF STORIES NUMBEIL OF
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PLANNING,D;TT. ATOV AL IaATE:
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EXISTING STREET R/iC-7S:' DEFICIENCY THIS PROPERTY
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Valenti-
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aZope not to emceed those
D1 ADDRESS
indicated Qn StandardDogsCHE - Nn_
CHECKED BY
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O METER SIZE SERVICE SIZE CLEARANCE CH C ED BY
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D STATE LICENSE NUMBER CITY LICENSE NUMBER ; �/l I lr I
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IT —/✓ I B'YEs [] NO
EDIIIOND9 —
NOTE: Applicant Subject to Plan Check Fee — �3_ 7si
775-2525
This 1'rnnil c York to be done on private properly ONLY.
Any construction on the public Jumeln (curbs, sidewalks, 4,1v.Ways, FILE
mureures, rice was r.amre ..parole O.rmleaon.
RESIDENTIAL
[—] OAS
❑ YES M440
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LINE
PLAN CHECKED Y
THI TE IS CATEDAIN THE CITY
❑ NON•RESIDENTIAL
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OF EDMONDS. LOCAL SALES TAX
BE CODED 37.04.
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KING
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DEAtOLISH ❑ wALL
ALTER EXCAVATE❑ PENCE
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REPAIR ❑ INSPOR
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NUMBER OF STORIES NUMBEIL OF
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NA/T/I`7��RE OF WORK T/O� g/7 ErDONE
Valenti-
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PROP SED UBE
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PLUMBING
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OPLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAS LINE
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FENCE
SIGN
tRETAINING
WALL
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SWIMMING POOL
DEMOLITION
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PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
Ihereby acknowledge that I have read this application; that the In-
CJ VV
formnllon given 1. correct; and that I am the owner, or the duly uuthor-
Ized eg¢nt of Lho owner. I agree to comply with city and elate Saws ngu-
ATTENTION
APPLICATION APPROVAL
ls.ling aonetructlaa; and In doing the work authorized thereby, no person
,
Will be employod 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 Insured".
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is me
shall he completed In ninety days; MOVED -IN BUILDINGS shall be cam-
knowledged In space provided.
i
pleted In six months.)
B (OIVNEH OI ° T) ON D
INSPECTION
DEPARTMENT
1
DI OIL' 8!O ATU E
JDATE
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1,d
•
CITY OF
DATE
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EDIIIOND9 —
NOTE: Applicant Subject to Plan Check Fee — �3_ 7si
775-2525
This 1'rnnil c York to be done on private properly ONLY.
Any construction on the public Jumeln (curbs, sidewalks, 4,1v.Ways, FILE
mureures, rice was r.amre ..parole O.rmleaon.
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UBE PERMIT
BUILDING DEPARTMENTAppuemtFln ZONE `' �u NDMH°R 7,11 C3 2
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ADDRESS �lO lr"��
PERMIT APPLICATION Inside Heavy Lines
P1;
RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough) y- L - 7 J��
Fra me
Furnace &.Fuel Lines Z )`
Final