740632.pdfr _"I
USE N MBR 740632
BUILDING DEPARTMENT
Applicant Fill
PERMIT APPLICATION
Inside Ireavy LinesOB
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ADDRESS 0
NAME (OR NAME OF BUSINESS)
PERM ItlBIOLE
��,�,�� CONSTRUCTION CO.
IAT COVERAGE rh LOT COVERAGE
MAILING ADDRESS
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PERMISSIBLE HEIGHT W PIIOPOBED HElO T 0 O
A D
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7531 -242nd Place S.W.
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CITY TELEPHONE
NUMBLR
ACTVAL LOT AREA 2 TOTAL
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Edmonds, Washington
775-2268
R000
VAIiUB PROPOSED YA RDB a
NAME
FRONT 8IDE REAR FRONT HIDE REAR
a S /o ca
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LEGAL LOT VARIANCE OR CONDITIONAL USE
aUj
ADDRESS
IS YES [3 NO PERMIT NVe1HER
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PLANNING PVT OV
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CITY TELEPHONE
NUMBER
C.9
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STREETIL/t �I
EXI8TIN0 STREET RIA 4- DEFICIENCY THIS PROPERTY
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NAME
COMP. PLAN 0T. R/�.� ... .... ...FT.
W
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REMARKS Driveway slopes not to exceed those
ADDH
indicated on Standard Dwg. No. 103
W
N
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CHECKED BY
CITY TELEPHONE
NUMBER
OHHEE'J
VI
METER 8IZE SERVICE SIZE CLEARANCE
DaY/
STATE LICENSE NUMBER CITY
LICENSE NUMBER
223-01-10232
991
asst Descrlplloa of Property ow Ho w or
Almch Fau[ Coplea)
TYPE CONNECTION
V'E'R1IF
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eye-
,Dy�BY
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PEIt TESTPER
NUMBER
REMARKS
to
e
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FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED'.
�� �t/ ES ❑ NO
e.Ly
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
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YES ,.,,.<-
❑ 'CI •`
27 y
•�-/d /
® RESIDENTIAL
❑ GAB
LINE
NEW
PLLAAN1 CH cx nY THIS SITE IS LOCATED IN THE CITY
SALES TAX
NON-RESIDENTIAL
❑ SIGN
!�M OF EDMONDS. LOCAL
w_ SHOULD BE CODED 31.04.
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ADD ❑ RE" MA...
DEMOLISH WAIL
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i�EM 9
EXCAVATE FENCE
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/]"�/ (.-( /'.ff%r/v'�L %/ OI� / �/I�� C� U t/� C 7•�
ALTER
OR FILL (......... .z ....... _Ft.)
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E] REPAIR ❑ PRE -MOVE SWIM
INSP. POOL
/
o7Y.(J(�/�:� J /OT 61/Y S//�
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NUMBER OF STORIES NUM", OF
DWELLING
1
2 UNITS 1
jI
NATURE OF WORK TO BE DONE
Valuation
Fee Receipt Na.
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New Res i dence-s i ng I e family
Plan Check No.
DUILDING
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j3 p
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PROPOSED USE
1,
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PLUMBING
ao
U
HEAT & GAS LINE
a 0,
PLOT PLAN (Indicate Building setback., abutting streets)
ti
�
FENCE
SIGN
RETASNING WALL
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14
SWIMMING POOL
1
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
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j
I
TOTAL AMOUNT DUE
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d/
I heresy acknowledge that 1 have read this application; that the In.
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'
formation given le correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and .tate lawn regu-
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no Damon
will be employed In vioiallon of the Labor Cade of the Slate of Washington
THUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
I
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty( and fees are paid, and receipt Is ac-
-;
shall be completed In bluely days: aIOVED BUILDINGS shell be corn-
knowledged in apace provided.
PI month..)
•T)
HIGNATU (OWNER Oft A DATE SIGNED
INSPECTION
DEPARTMENT
D '8 ON URE
6-74
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CITY OF
)
NOTE: Applicant Subject to Plan Cbeck Fce
EDIIIONDS
775.2525
ATE
Thin 1'emHt covers work to be done an private property ONLY.
Any renatruetinn on lite Public Amm�ln (eurbe, nldenelk" dr.-wya,
it a lr,• nepnrale 1`rrnil..loll.
FILE