750048.pdfI
NAME FRONT SIDS: REAR FRONT SIDE REAR
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DEPARTMENT
1r� PROPOSED USE
ZONE NUMBER
URE PERMIT 750048
BUILDING
Applicant Fill
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U PLANNINGI DEPT. APPROVAL DATE:
`- PERMIT APPLICATION
]Inside FleaYy Lines
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wanness 21509 -96th West
PLOT PLAN (Indicate Building setbacks, abutting streets)
NAME (OR NAME OP BUSINESS)
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COMP. PLAN BT. R/W ............FT. ............FT.
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METRO -MORTGAGE COMPANY
LOTPERCOBBLE
LOT COVERAOF LOT COVE)SAGE
MAIN O ADDREes
0
PKItAtItlsIBLE HEIGHT PROPOSED HEIGHT
ADDRESS
P.O. Box 33549
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CITY
TELENUMBER.E NUMBER.
CITY TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL BLDG, AREA
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Edmonds Washington
365-2022
REQUIRED YARDS PROPOSED YARDS
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NAME FRONT SIDS: REAR FRONT SIDE REAR
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1r� PROPOSED USE
LEGAL L— VARIANCE CONDITIONAL USE
ADDRESSC) YES NO PERMIT NUMBER
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U PLANNINGI DEPT. APPROVAL DATE:
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CITY TELEPHONE NUMBER
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STREET R/W
PLOT PLAN (Indicate Building setbacks, abutting streets)
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NAME
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COMP. PLAN BT. R/W ............FT. ............FT.
N7
REMARKS!
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ADDRESS
V CHECKED BY
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CITY
TELENUMBER.E NUMBER.
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METER S1ZE SERVICE SIZE CLEARANCE
CHECKED BY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
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Is:
REMARKS
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EXCAVATION OR FILL
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Legal Description o/ Property I'll— Below or Attach Four Cople.)
COMP. INSP.
TYPE CONNECTION VERIFIED BY
I hereby acknowledge that 1 have read this application; that We in.
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25.00
The south 84 feet of the west 150 feet PERC, TEST
PERMIT NUMBER
,zed ..gent of ins owner. I agree to comply with city and Stele law. rogu-
ATTENTION
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wU of tract 6. block 7 Alderwood Manor
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will 'oe employed In violation of the Labor Code of the state of Washington
THIS PERMIT
This application is not a permit until
REMARKS
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mating to Workmen'. Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit limit One Year IF ... pt DEMOLITIONS which
Addition �o
uty; and fees are paid, and receipt is ac -
shall be completed In nlnsly days; MOVED -IN BUILDINGS shell be com.
"1 FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED
knowledged in space provided.
plcted In six months,)
YES NO
SIGNATURE (OWNEK OR AGENT) DATE SIGNED
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
DI" OR's BIGNATU {J
Metro -Mortgage Co. 2-14-75
�( RESIDENTIAL GAB ❑YES ❑ NO
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LINE PLAN CHECKED BY
NEW THIS SITE IS LOCATED IN THE CITY
NOTE: A h ISG' 1 I PI Cl k C
NON-RESIDENTIAL ❑ SIGN OF EDMONDS.LOCAL SALES TAX
DATE
ADD RETAINING SHOULD BE CODED 3104
REMAR
WALL'
❑
DEMOLISH
EXCAVATE
El ALTER TE
❑ x..........
(PENCE
O OR FILL
REPAIR ❑ INS.EpMOVF, El POOL
NUMBER OF STORIES7__ NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO HE DONE
Vnluatlon I
Fee
Receipt No,
COMPLIANCE INSPECTION I
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• Ilh Cdfl 1! )IC U d)1 lfC CC
775.2525
This 1'rrinll r ark In Nr dour un prlvnte pn,perly ONLY.Any cunnlnlrllnn nn It., public damnin (enrb., nlAru'nlNs, del --y.,
narrmmr., etc.) %"R require nepurulr per ml Wan. FILE
BUILDING
1r� PROPOSED USE
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PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & CAB LINE
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FENCE
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SIGN
RETAINING WALL
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SWIMMING POOL
,
DEMOLITION
Is:
PRE -MOVE INSPECTION
EXCAVATION OR FILL
—
COMP. INSP.
25.00
I hereby acknowledge that 1 have read this application; that We in.
TOTAL AMOUNT DUE
25.00
formation Elven le correct; and that i am the owner, or the duty author -
,zed ..gent of ins owner. I agree to comply with city and Stele law. rogu-
ATTENTION
APPLICATION APPROVAL
fatln'I construction; and In doing the work authorized thereby, no person
will 'oe employed In violation of the Labor Code of the state of Washington
THIS PERMIT
This application is not a permit until
mating to Workmen'. Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit limit One Year IF ... pt DEMOLITIONS which
ONLY THE
uty; and fees are paid, and receipt is ac -
shall be completed In nlnsly days; MOVED -IN BUILDINGS shell be com.
WORK NOTED
knowledged in space provided.
plcted In six months,)
SIGNATURE (OWNEK OR AGENT) DATE SIGNED
INSPECTION
DI" OR's BIGNATU {J
Metro -Mortgage Co. 2-14-75
DEPARTMENT
I
CITY OF
NOTE: A h ISG' 1 I PI Cl k C
EDMONDS
DATE
• Ilh Cdfl 1! )IC U d)1 lfC CC
775.2525
This 1'rrinll r ark In Nr dour un prlvnte pn,perly ONLY.Any cunnlnlrllnn nn It., public damnin (enrb., nlAru'nlNs, del --y.,
narrmmr., etc.) %"R require nepurulr per ml Wan. FILE
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The south 94 feet Of tho west' 150 faei
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of tract %, block 7 Aidcrwood Manor
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Plan Check N
RESIDENTIAL
❑
INE
YES r,
❑PLAN
NEW
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BUILDING. DEPARTMENT Applicant Fill
ZONE NUMBEIT
750049
CHECKED BY
PERMIT APPLICATION Inside Heavy Lines
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❑
gION
ADDRESS 130�_96'th west
❑ DEMOIBH
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RETAINING
WE-91—ARKS
NAME (OR NAME OF BUSINESS)
P};IiMItldIDLE c ACTUAL //
LOT COVEI1AGE
EXC❑ TE
❑
ENC
FENCE
LOT COVERAGES
OFILL
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( x .......... Ft.)
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MAILING,D-PERMISSIBLE
HEIGHT PROPOSED HEIGHT
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y
OSWIM
SWIMMING POOL
it.'!. (k)Y.:).s5a()
NUMBS/L
DEMOLITION
,
ACTUAL LOT AREA TOTAL BLDG. AREA
PRE -MOVE INSPECTION
DW ELLING
CITY TELEPHONE
CONiI' . I PIS1' ...'.5.00
UNITE
(_.;Wi is() I It( ton
3Gri-,^n
REQUIRED YARDS PROPOSED YARDS
15.00
tormationgiven Is correct; and that I am the owner, or the duly author -
NAME
FRONT NIDE REAR FRONT SIDE REAR
ATTENTION
.
lating construction; and In doing the wort[ authorized thereby, no person
-
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THIS PERMIT
LEOA1. LOT VARIANCE OR CONDITIONAL USE
relating to Workmen's Compensation Insures".
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signed by the Building Official Or his Dep -
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ADDRESS
YES ❑ NO PERMIT NUMBER .
.hall be completed In ninety days; MGVED-IN BUILDINGS Shall be cam•
knowledged in space provided.
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TANN IN6 DEPT. APPROVAL DATE:
SIGNATUltE (OWNER Olt AGENT) DA'Z'E SIGNED
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�DIR OR'8 ti)L6NATU J.
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CITY _ _
TELEPHONE NUMBER
R/1Y
CITY Oh
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EDDIONDS
DATE
NOTE: ApIdicane Subject to Ptd„ Check Pry
STREET
EXIHTING STREET R/W ............FT. DEFICIENCY T}178 PROPERTY
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ns -2525
NAME
COMP. PLAN ST. R/W ............FT. ............F7'.
Any een.IrucRun en the pnhllc Aomum Ieurbn, nldewnik., drlr'm)xy°'
INSPECTOR
pt
.nnwcww
REMARKS
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The south 94 feet Of tho west' 150 faei
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of tract %, block 7 Aidcrwood Manor
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(:] YES — [] NO
EDMONDS.
Valuation I Fee
UU111r-L I
Plan Check N
RESIDENTIAL
❑
INE
YES r,
❑PLAN
NEW
(Oy
CHECKED BY
❑ NON-RESIDENTIAL
❑
gION
ADD
❑ DEMOIBH
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RETAINING
WE-91—ARKS
w PLOT PLAN (Indicate Building setbacks, abutting HEAT & GAS LINE
ALTER
EXC❑ TE
❑
ENC
FENCE
OFILL
( x .......... Ft.)
RETAINING WALL
❑
REPAIR
❑ INSP�IOVE
OSWIM
SWIMMING POOL
DUMBER OF STORIES NUMBER OF
DEMOLITION
,
PRE -MOVE INSPECTION
DW ELLING
EXCAVATION OR FILL
CONiI' . I PIS1' ...'.5.00
UNITE
TOTAL AMOUNT DILE
(:] YES — [] NO
EDMONDS.
Valuation I Fee
UU111r-L I
Plan Check N
(Oy
BUILDING
,
W PROPOSED USE
PLUMBING
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w PLOT PLAN (Indicate Building setbacks, abutting HEAT & GAS LINE
`r -e -t -caste)
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FENCE
SIGN
RETAINING WALL
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N
SWIMMING POOL
i
DEMOLITION
,
PRE -MOVE INSPECTION
I
EXCAVATION OR FILL
CONiI' . I PIS1' ...'.5.00
TOTAL AMOUNT DILE
I hereby acknowledge that I have read this application; that the In -
15.00
tormationgiven Is correct; and that I am the owner, or the duly author -
Iced agentof the owner. I agree to comply with city and state laws rmgu-
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the wort[ authorized thereby, no person
-
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insures".
AUTHORIZES
signed by the Building Official Or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
{YORK NOTED
uty; and fees are paid, and receipt is Be
.hall be completed In ninety days; MGVED-IN BUILDINGS Shall be cam•
knowledged in space provided.
pleled In elx mentis.)
SIGNATUltE (OWNER Olt AGENT) DA'Z'E SIGNED
INSPECTION
�DIR OR'8 ti)L6NATU J.
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DEPARTALENT
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..._; , . .1
CITY Oh
/•-,'�: :':��i i1,
EDDIONDS
DATE
NOTE: ApIdicane Subject to Ptd„ Check Pry
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ns -2525
Title 1'rrmll a ark to br• duan ar) prlrnle prnirr ty ONLV.
Any een.IrucRun en the pnhllc Aomum Ieurbn, nldewnik., drlr'm)xy°'
INSPECTOR
mama...., r•Ic.) x111 n•gnir„ .epnrwle Vernil..inn.