750029.pdf,
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BUILDING DEPARTMENT I Applicant Fin ZONE NUMBZONEER
PERMIT APPLICATION Inside Heavy Line. ao
ADDRESS
658 Alder Street
PERMISSIBLEACTUAL
LOT COVERAGE LOT C.VELGE
PERMISSIBLE HEIGHT PROPOSED HEIGHT
ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
FRONT BIDE REAR FRONT SIDE REAR
LEGAL LOT VARIANCE OR CONDITIONAL UBE
rl YES rl NO PERMIT NUMBER
U
a
0
c�
F
O
V
Lots 19 8 20, Block 94 - City of Edmonds
V
A
a
a
a
PLANNING DEPT. APPROVAL DATE:
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
El YES [-I NO
—
NEW
Fx� RESIDENTIAL
NON-RESIDENTIAL
F�
LINE
SIGN
ADD ❑ DEMOLISH
ALTER EXCAVATE
❑
F-1(_'
NI
WALL NC
z.
❑ ORFILL
tRETAINING
.........Ft.)
N
REPAIR ❑ INSP.
O
PWIf
OOL
(UMBER OF STORIES NU3IBER OF
PRE -MOVE INSPECTION
EXCAVATION OR FILL
DWELLING
INSPECTION
UNITS
Evergreen Mortgage
1-24-75
TATURE OF WORK TO BE DONE
CITY OF
COMPLIANCE INSPECTION
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PLANNING DEPT. APPROVAL DATE:
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
El YES [-I NO
—
rinn Check N. .....................
BUILDING
PLUMBING
HEAT & CAS LINE
ATTENTION
FENCE
SIGN
tRETAINING
WALL
N
SWIMMING POOL
ONLY TILE
DEMOLITION
WORK NOTED
PRE -MOVE INSPECTION
EXCAVATION OR FILL
YES 11 NO
SALES TAX
APPLICATION APPROVAL
This application is not a permit until
elgned by the Building Official or his Dep.
uty; and fees are paid, and receipt is ac-
knowledged in apace provided.
DI C OR•S SLQNjATU - - •.+�.
FILE
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given to correct; and that I am the owner, or the duly author-
Iied agent of the owner. i agree to comply with Illy =d state laws rsgu•
ATTENTION
lating construction; and It doing the work authorized thereby, no person
will be employed In Violation of the Labor Code of the State of Washington
THIS PERMIT
relatlog to Workmen'. Compensation Innranee.
AUTHORIZES
NOTE: Permit Limit One Year (Exeept DEMOLITIONS which
ONLY TILE
Shall be completed In ninety days; MOVED•IN BUILDINGS shall be com-
WORK NOTED
pleted In 'Ix months.)
31GNATURE (OWNER OR AGENT)
DATE SIGNED
INSPECTION
DEPARTMENT
Evergreen Mortgage
1-24-75
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
This Permit ewers work to be done n private Properly ONLY.
775-2525
Any [noel rar[Im, nn Ilse pahlla dmmain Irnrbe, nldewnike, drit'ewaye,
irin rr•. el r,) "III r )air,• a m -I.. ...'r,n leelnn.
YES 11 NO
SALES TAX
APPLICATION APPROVAL
This application is not a permit until
elgned by the Building Official or his Dep.
uty; and fees are paid, and receipt is ac-
knowledged in apace provided.
DI C OR•S SLQNjATU - - •.+�.
FILE