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740621.pdfI V, 5-0 I LW 7 APPLICATION APPROVAL This application is not a permit until Signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE LOT VARIANCE NDITIONAL USE RESIDENTIAL0 BUILDING ADDRESS 1 �- IOF ❑❑ F VTELEPHONE O - PLANNING DEPT. APPROVAL DATE: CITY NUMBER R/lV "�' ��0621 STIN6 STREET R/W ............FT. DEFICIENCY THIS PROPERTY EXITI EXISTING COMP. PLAN ST. R/W ............FT. ............PT. �y W ❑ NAMEa }- B6 G 4g -ice- el) Lf c�O L � DEPARTMENT AppllcantFin ZONE .t ADD1tEB8gr 611 17— ] rl W SIGN A / BY APPLICATION Inside Heavy Lines �+r ,.r- %G7 G� ❑ ]OH ADD Es REM/AIA\Rt.9r �jl METER tiI'LE SERVICE SIZE CLEARANCE I I ME OF BUSINESS) FMAI��Q rrL PERMOVERE % COVERAGE ACTUAL/LOT LOT COVE AOE rf''II WQI-"'F- O ST^A�TE LICENSE NUMBER) CITY LICENSE NUMBE32 L (•y'—G ..1 ((J L� I EBe QI PERMISSIBLE HEIGHT PROPOSED If ORT 1"Ce 1� REMAfifCH /� Legal Description of Property (Snow below or Attach Four Copies) ❑ TELEP ONE NUMBER ACTUAL LOT AREABLDG.AREAc—L 1 O a V, �o-j PERM TEST I PERMIT NUMBER z REQUIRED YARDS PROPOSED YARDS I V, 5-0 I LW 7 APPLICATION APPROVAL This application is not a permit until Signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE LOT VARIANCE NDITIONAL USE RESIDENTIAL0 BUILDING ADDRESS YES NO PERMIT NUMBER �- IOF ❑❑ F VTELEPHONE O - PLANNING DEPT. APPROVAL DATE: CITY NUMBER R/lV ONLY THE WORE NOTED tRETAINING STIN6 STREET R/W ............FT. DEFICIENCY THIS PROPERTY EXITI EXISTING COMP. PLAN ST. R/W ............FT. ............PT. �y W ❑ NAMEa }- B6 G 4g -ice- el) Lf c�O L � V % PRE•MOVE INSPECTION REMARKS —CHECKED .t ADD1tEB8gr 611 17— ] rl W SIGN A / BY CITY MLER TELEPHONE NUI �+r ,.r- %G7 G� ❑ WALL KING REM/AIA\Rt.9r �jl METER tiI'LE SERVICE SIZE CLEARANCE I I CHECKED BY I rrL / a$ rf''II WQI-"'F- O ST^A�TE LICENSE NUMBER) CITY LICENSE NUMBE32 L (•y'—G ..1 ((J L� I ORCPII.AL ❑ FEN GI..........Ft.) o 1"Ce 1� REMAfifCH /� Legal Description of Property (Snow below or Attach Four Copies) ❑ TYPE CONNECTION VERIFIED BY 1 O (� V, PERM TEST I PERMIT NUMBER z Iv m I W REMARKS .1 JU.IIIER OF STORIES JFIRE TYPE STA[1' IONT IMPROVED I No I I . I V, 5-0 I LW 7 APPLICATION APPROVAL This application is not a permit until Signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE Plan Check No ..................... RESIDENTIAL0 BUILDING GAS LINE ❑PLANBCHECKED �- IOF ❑❑ xEty HEAT & GAS LINE tl TINS PERMIT � BYO THIS SITE IS LOCATED IN THE CITY ONLY THE WORE NOTED tRETAINING } NON-RESIDENTIAL ❑ �,, l LOCAL 5ALE5 TAX PRE•MOVE INSPECTION 7--'7'-/ •.rel EDMONDS SIGN 1:x-2 SHOULD BE CODED 31.04MONDS. 775-2525 ADD ❑ .Ik,.s, driveway., Any ennst nielion nn ibr pnbilc Aemnln (curbs, nldr)vniR'oa'ays, ❑ WALL KING REM/AIA\Rt.9r �jl DEMOLISH rf''II WQI-"'F- II//��,(r-•{�I tom, �/-�t u1,c ❑ ALTER ORCPII.AL ❑ FEN GI..........Ft.) Y�� I 1"Ce 1� ❑ ❑ REPAIR PNSP. ❑ POOL ❑ JU.IIIER OF STORIES NUMBER OF - DWELLING / UNITS MATURE OF WORK TO BE DONE I Valuation Fee i Recelpt f I V, 5-0 I LW 7 APPLICATION APPROVAL This application is not a permit until Signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE Plan Check No ..................... 0 BUILDING '1 PROPOSED USE 7y PLUMBING V aPLOT PLAN (Indicate Building Setbacks, abutting streets) HEAT & GAS LINE tl TINS PERMIT � FENCE SIGN ONLY THE WORE NOTED tRETAINING WALL N SWIMMING POOL IIGNATURE (OWNER OR AGENT) DATE SIGNED DEMOLITION PRE•MOVE INSPECTION 7--'7'-/ EXCAVATION OR FSLL I V, 5-0 I LW 7 APPLICATION APPROVAL This application is not a permit until Signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In- formation given Is correct; =4 that I Aba the owner, or the duly author- Ired agent of the owner. I agree to comply with city end slate law. relu• ATTENTION lating construction; and In doing the work authorised thereby, no person will be employed In violation of the Labor Cade of the State of Washington TINS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE WORE NOTED shall be completed In ninety day.; MOVEDAN BUILDINGS shall be com• pictsd In It. months.) IIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT 7--'7'-/ CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee 775-2525 This Permit coven work to be done on prlrnleDONLY. .Ik,.s, driveway., Any ennst nielion nn ibr pnbilc Aemnln (curbs, nldr)vniR'oa'ays, iIc,i Llll rcyWre eeUuru:r Ucrnfleelon I V, 5-0 I LW 7 APPLICATION APPROVAL This application is not a permit until Signed by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE