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740624.pdf�DDREtlB 1-3190 rSTo.✓� /�v� �! HTY TELEPHONE NUMBER STATE LICENSIINUDIBER CITY LICEN rZJL BE NUMBE Legal Description at Properly (show Below or Altnch Four Copies) EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN 8T. R/W ............FT. ............FT. REMARKS N(CHECKED BY O [i PERC. TESTI PERMIT NUMBER M U W W REMARKS r FIRE ZONSr tTYPE OF CONSTRUCTION STREET IMPROVED Valuation Ire. Receipt No. SPECIAL INSPECTOR REQUI. E]GASI RESIDENTIAL ❑ NE O"I. DHECK D DY ❑ NEW ❑ ADD ❑ ALTER E]REPAIR ❑ ❑ ❑ ❑ NON-RESIDENTIAL DEMOLISH I[:]WALL EXCAVATE OR FILL IN PAIOVE ❑ ❑ SIGN RETAINING FENCE (......__x .......... Fl.) POOL REMARKS PO _ I /N7C) BUILDING DEPARTMENT Applicant FILL USE ZONE PERMIT ��� NUMBER PERMIT APPLICATION Ineldo Heavy Line" I - ADDRE88 /7 / / DWELLING I NAME (OR NAME OF BUSINESS) / tl O PERMISSIBLE ` tied agent of the owner. I agree to comply with city and elate Iawe Mgu• ATTENTION LOT COVERAOEe LOT COVEAGE O/)� gas,- MAI7L! ADDRE788 PERMISSIBLE HEIGHT FI 0 BED HEI/GvH'T // // / J BIZ r/i� S -L✓ �� S S %RL BLDp. AREA This application is not a permit until CITY TELEPHONE NUMBER ACTUAL LOT AREA ( 3 b d 0 N Signed by the Building Official Or his Dep- 1'IATT�� 3 3 7t, REQUIRED YARDS PR P BED YARDS l — NAME FRONT SIDE REAR FRONT SIDE REAR W pleled In nix months.) Lam❑ NO PERMIT NUMBER NALn �� w 1 IK�Ar. ADDHEtlB [�'Y£ B D i PLANNING DEPT. A��,'r j_ Q ("�� T I� CITY TELEPHONE NUMBER SIJ �'f .J I EDMONDS STREET R/W—I �DDREtlB 1-3190 rSTo.✓� /�v� �! HTY TELEPHONE NUMBER STATE LICENSIINUDIBER CITY LICEN rZJL BE NUMBE Legal Description at Properly (show Below or Altnch Four Copies) EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN 8T. R/W ............FT. ............FT. REMARKS N(CHECKED BY O [i PERC. TESTI PERMIT NUMBER M U W W REMARKS r FIRE ZONSr tTYPE OF CONSTRUCTION STREET IMPROVED T N I f .4YEB NO CCUPANCY GROUP j--?_ SITE IS LOCATED IN THE CITY DMONDS, LOCAL SALES TAX LD BE CODED 31.04. Pion Check No ..................... Valuation Ire. Receipt No. SPECIAL INSPECTOR REQUI. E]GASI RESIDENTIAL ❑ NE O"I. DHECK D DY ❑ NEW ❑ ADD ❑ ALTER E]REPAIR ❑ ❑ ❑ ❑ NON-RESIDENTIAL DEMOLISH I[:]WALL EXCAVATE OR FILL IN PAIOVE ❑ ❑ SIGN RETAINING FENCE (......__x .......... Fl.) POOL REMARKS PO _ I /N7C) iUMBER OF STORIES NUMBER OF I hereby acknowledge that I have read thin application; that tha /n• SIGN 30.,x. DWELLING I RETAINING WALL UNITS tied agent of the owner. I agree to comply with city and elate Iawe Mgu• ATTENTION APPLICATION APPROVAL VATURE OF WORK TO BE DONE O/)� gas,- lating construction; and In doing the work authorized thereby, no person Will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT T N I f .4YEB NO CCUPANCY GROUP j--?_ SITE IS LOCATED IN THE CITY DMONDS, LOCAL SALES TAX LD BE CODED 31.04. Pion Check No ..................... Valuation Ire. Receipt No. BUILDING PLUMBING HEAT k GAB LINE PENCE I hereby acknowledge that I have read thin application; that tha /n• SIGN 30.,x. RETAINING WALL SWIMMING POOL tied agent of the owner. I agree to comply with city and elate Iawe Mgu• ATTENTION APPLICATION APPROVAL DEMOLITION lating construction; and In doing the work authorized thereby, no person PRE -MOVE INSPECTION EXCAVATION OR FILL �U TOTAL AMOUNT DUE I hereby acknowledge that I have read thin application; that tha /n• / formation given In correct; and that I em the owner, or the duly author• tied agent of the owner. I agree to comply with city and elate Iawe Mgu• ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no person Will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. 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 ac - l — shall be completed in ninety days; MOVED -IN BUILDINGS shall be care- knowledged in space provided. pleled In nix months.) RON TURF ( WNER OR AGENT) DATE IGNED INSPECTION DIRECTOR•Q _S10N R // DEPARTMENT �`PifI(✓/ j VJ CITY OF I EDMONDS DATE NOTE: Applicant Subject to Plan Check Fee 775-2525 This I'emdt a rete work to be don n private property ONLY. Aar rn nelrnrllnn n lhr pnblle. Jmm�ln (turbo, nldrwalk., drlrewaye, FILE 0