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750042.pdf, (Z' KYCS Co . ilht G N ADDRESS CITY T S2. K t= jLE S Co , I t`tC- C ADDRE88 F CITY TELEPHONE NUMBER Z 50ATTI� I wAr. I ?G3--f35ZSS u STATE LICENBD NUMBER CITY LICENSE NUMBER aa3--ot - 12859 I Legal Description of Properly (Show Below or Attach Four Copies) PERMIT 750042 NUMBER REAR LEGA LOT VARIANCE OR CON ONAL ' RYE � N PERMIT NUMBER A3�- 7 4 PLANNIN n • APPI VAL L2 .. ,&04 • Lw n•)Ar-� STREET R/W �— EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS Driveway slopes not to exceed those __JLL— I-�+-- BUILDING DEPARTMENT UBE ApplIcantFlll ZONE i Inside Heavy Lines r I wDDI, NAME (OR NAME OF HUBINEHB/ GA8 LINE ❑ YES �.NO G 17y of E�Mohin� PER LOTH , (Z' KYCS Co . ilht G N ADDRESS CITY T S2. K t= jLE S Co , I t`tC- C ADDRE88 F CITY TELEPHONE NUMBER Z 50ATTI� I wAr. I ?G3--f35ZSS u STATE LICENBD NUMBER CITY LICENSE NUMBER aa3--ot - 12859 I Legal Description of Properly (Show Below or Attach Four Copies) PERMIT 750042 NUMBER REAR LEGA LOT VARIANCE OR CON ONAL ' RYE � N PERMIT NUMBER A3�- 7 4 PLANNIN n • APPI VAL L2 .. ,&04 • Lw n•)Ar-� STREET R/W �— EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS Driveway slopes not to exceed those __JLL— I-�+-- BUILDING DEPARTMENT UBE ApplIcantFlll ZONE PERMIT APPLICATION Inside Heavy Lines r I wDDI, NAME (OR NAME OF HUBINEHB/ GA8 LINE ❑ YES �.NO G 17y of E�Mohin� PER LOTH � � C MA[L1N ADDREBB iso 6-+h Auc So __. PEHO1 _........_ ...........� , (Z' KYCS Co . ilht G N ADDRESS CITY T S2. K t= jLE S Co , I t`tC- C ADDRE88 F CITY TELEPHONE NUMBER Z 50ATTI� I wAr. I ?G3--f35ZSS u STATE LICENBD NUMBER CITY LICENSE NUMBER aa3--ot - 12859 I Legal Description of Properly (Show Below or Attach Four Copies) PERMIT 750042 NUMBER REAR LEGA LOT VARIANCE OR CON ONAL ' RYE � N PERMIT NUMBER A3�- 7 4 PLANNIN n • APPI VAL L2 .. ,&04 • Lw n•)Ar-� STREET R/W �— EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS Driveway slopes not to exceed those __JLL— I-�+-- 175 YES 0 NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP RESIDENTIAL GA8 LINE ❑ YES �.NO I �'�' 1 F_ [�I © NEW PLAN CBECK DY W THIS SITE IS OCATED IN THE CITY EDMONDS. TAX NON-RESIDENTIAL SIGN �HOULD BE CODED 3F 11.04.SALES ADD ❑ DEMOLISH O WAL N1NG REMARKS FENC wo�/� �1�z]/- LJOe / 9 7 3 ALTER ❑ EXCAVATEOR z ❑ Pt.) .......... REPAIR ❑ INSP. O POOLswill INP NUa1BER Ol•' STORIES NUMBER OF DWELLING Z UNITS NATURE OF WORK TO BE DONE Valuation Receipt No Plan Check No... .................. /Fee BUILDING WQW&P 4 PROPOSED USE c; VPLUMBING e� ILsXNL 7— HEAT & GAS LINE P87w! PLOT PLOT PLAN (Indicate Building setback., abutting street.) 9 FENCE SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE IAVCv I hereby acknowledge that I have read this application; that the In- formation given to correct; and that 1 ano the owner, or the duly author- Ized agent of the owner. I agree to comply with city end state laws regu. ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no pore on will be employed In violation of the Labor Cade 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- ehall be completed In ninety day.; MOVED -IN BUILDINGS shall be com• knowledged In apace provided. plletteedd In elx months.) el R AGENT) DATE elONEU INSPECTION DEPARTMENT DIRECTpR' �BIONATURE �,OWII f/ /J i CITY OF NOTE: Applicant Subject to Plan Check Fee EDMONDS DATE S 775-2525 Thle Permit coven work lu be done on private property ONLY. A,,Y eun.l nlrlinn en lho public d.—In (curb., nIdr.Mk., driveways, FILE .....r,.. rl,�.l „III rp0r,• nepnrnli p.rml.elen.