750034.pdf0
Plan Check N
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Z
USE
NUMBER 75003=
BUILDING DEPARTMENT
Applicant Flit
E
BUILDING
PERMIT APPLICATION
Inside Heavy Lines
q PROPOSED USE
U
DDRE88 'S Q
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NAME (OR NAME OF BUtllNESB)
PLUMBING
p�•�
W
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PERMISSIBLE ACTUALCe LOT COVERAGLOT COVERAGE
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MAILING ADDRESS
r ! 7-N
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PLOT PLAN (IndlCale Building setbacks, abutting Streets)
PERMISSIBLE HEIGHT PROPOSED HEIGHT
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to10Z
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d
FENCE
ID
CITY
Y
TELEPHONE NU,M/BER
ACTUAL LOT AREA TOTAL BLVD. AREA
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PC
— PA D A) +lS
V TSD
REQUIRED YARDS PROPOSED YARDS
NAME
a
FRONT BIDE REAR FRONT BIDE REAR
F
NUMBER VARIANCE Olt NDITIONAL USE
o YES I.OT❑ NO PERMIT
ADDRESS
�y.PLANNING
TELEPHONE NUMBER
DEPT. APPROVAL DATE:
C1'fY
STREET R/iY
NEW
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NAME
LINE
LAN 8T. R/W ............FT. M.
cREMARKS
NON-RESIDENTIAL
❑
SIGN
ADDRESS
ADD
1:1DEMOLISH
[M
TOTAL AMOUNT DISE
BY
F
CITY
TELEPHONE NUMBER
FENCE
(CHECKED
V
❑
ORFILL
METER SIZE I SERVICE SIZE
I CLEARANCE
I CHECKED BY
0
Plan Check N
Z
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BUILDING
q PROPOSED USE
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aq
PLUMBING
W
W
O
PLOT PLAN (IndlCale Building setbacks, abutting Streets)
HEAT A CAS LINE
d
FENCE
1 O ID 0,
d•
�cj_!YV
O
W
RETAINING WALL
a
BWIDSMIN6 POOL
DEMOLITION
❑
NEW
FRESIDENTIAL
LINE
EXCAVATION OR FILL
NON-RESIDENTIAL
❑
SIGN
ADD
1:1DEMOLISH
TOTAL AMOUNT DISE
ALTER
EXCAVATE
I hereby acknowledge that I have read tale application; that the In-
FENCE
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❑
ORFILL
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((..,�.•..G.1�....&Ft.)
REPAIR
❑
INSP.
O
Pwim
w•III be employed In violation of the Labor Code of the State of Wmh...I.n
THIS PERMIT
This application is not a permit until
OOL
NUMBER OF STORIES
NUMIIF.R OF
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt Is ac -
shell be completed In ninety days; MOVED -IN BUILDINGS shall be coo-
DWELLING
I
pleled In six months,)
IONATURE (OWNEI Olt ADEN DATE BIONED
INSPECTION
UNITS
^
DEPARTMENT!
FIRE ZONE I TYPE OF CONSTRUCTION I STREET IMPROVED
YES [3 NO
SPECIAL INSPECTOR REQUIRED I OCCUPANCY GROUP
0 YES [j NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OP EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
Fence requirements - section 12.14.040
attached.
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Plan Check N
Z
,0,
I
BUILDING
q PROPOSED USE
aq
PLUMBING
W
PLOT PLAN (IndlCale Building setbacks, abutting Streets)
HEAT A CAS LINE
C
FENCE
1 O ID 0,
d•
�cj_!YV
SIGN
RETAINING WALL
BWIDSMIN6 POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DISE
•1
I hereby acknowledge that I have read tale application; that the In-
oS r O O
formation given is correct: and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and elate Tawe raga-
ATTENTION
APPLICATION APPROVAL
lade. conetrucllon: and In 40109 the work authorized thereby, no peso.
w•III be employed In violation of the Labor Code of the State of Wmh...I.n
THIS PERMIT
This application is not a permit until
relating to Workmen'■ Compensation Imuraau.
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 -
shell be completed In ninety days; MOVED -IN BUILDINGS shall be coo-
knowledged in space provided.
pleled In six months,)
IONATURE (OWNEI Olt ADEN DATE BIONED
INSPECTION
D1RE0 al
^
DEPARTMENT!
\/ —
CITY OF
EDMONDS
AT
NOTE: Applicant Subject to Plan Check Fre
775-2525
_ 30— 7-::
This Per ft eaten work to be done on Drhnle properly ONLY.
Any construction on the Public domain (curb., sidewalks, drlvm"$,
marques, e1c.) will rcqulre .eperale Vermleelon.
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