750065.pdfCOMP. PLAN ST. R/\P".T/.4tf..!1T. ..._V...PT.
REMARKS Driveway slopes not to exceed those
G— twn q: s5te-viGL
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r.
BUILDING
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aPLOT PLAN (Indicate Bullding Setbacks, abutting streets)
HEAT & GAS LINE
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TYPE OF CON RUCTION STREET IMPROVED
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BUILDING DEPARTMENT
AppUcaI
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NUMBER
❑YES.N0 I
El NEW
ized agent of the owner. 1 agree to comply with city and state law. regu-
PERMIT APPLICATION
inside IieaJOB
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ADDRESS I I �
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ADD
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NON-RESIDENTIAL
NOTE: Permit Limit One Year (Except DEeIOLITION8 w'htch
NAME (OR NAME OF BUSINESS) ,l
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
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SWIM
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ACTUAL LOT ARE
TOTAL O. AREACITYPHONE
REQUIR YARIJS
PROPOSED YARDSNAME
FRONT HIDE
REAR FRONT SIDEREAR
WLEGAL
LOT VARIANCE OR CONDITIONAL USE
ADDRESS
(a YEA NO PERMIT NUMBER
PLANNING DEP APP V
2 TI1
CITY
TELEPHONE N
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STREET R/ IV
EXISTING STREET R/RC....{g�'1'.
DEFICIENCY THIS PROPERTY
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COMP. PLAN ST. R/\P".T/.4tf..!1T. ..._V...PT.
REMARKS Driveway slopes not to exceed those
G— twn q: s5te-viGL
/I�+ / EM O/ — k 'WDO �+ O "L/
Pian Checl[ No... A..J..?
r.
BUILDING
...........
001re 2
reerr—GIs
o/—71nv�J�rr»s!3
(_6,C q
aPLOT PLAN (Indicate Bullding Setbacks, abutting streets)
HEAT & GAS LINE
21 t,
O Y V—_�
L�
SIGN
RETAINING WALL
FIRE ZO E
,'/t/,y
TYPE OF CON RUCTION STREET IMPROVED
<rYlTa/�s/?J/J/l�n<�/�s�in��o,�,
eWIMMINb POOL
r�YEB
� NO
PRE -MOVE INSPECTION
LEGIl01.1
ES�[L_piIJG
EXCAVATION OR FILL
SPECIAL INSPECTOR
REQUIRED OCCUPANCY GROUP
TOTAL AMOUNT DUE
I hereby acknowledge that I have rend thin application; that the In-
GAS
❑YES.N0 I
El NEW
ized agent of the owner. 1 agree to comply with city and state law. regu-
RESIDENTIAL
❑
LINE
FLANFLA. CHECKEaDY THIS SITE IS LOCATED IN THE CITY
ADD
relating to Workmen's Compensation Insurance,
NON-RESIDENTIAL
NOTE: Permit Limit One Year (Except DEeIOLITION8 w'htch
s1GN
RETAINING
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
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pleted In .1. month,.)
DEMOLISH
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WALL
FENCE
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❑
EXCAVATE
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SWIM
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NUMIIER OF
DWELLING
UNITE
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Pian Checl[ No... A..J..?
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BUILDING
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4 PROPOSED USE j /�/` �
a fao,-e 9A L L
PLUMBING . LCP
(_6,C q
aPLOT PLAN (Indicate Bullding Setbacks, abutting streets)
HEAT & GAS LINE
21 t,
O Y V—_�
PENCE
SIGN
RETAINING WALL
PRo I'os en N
eWIMMINb POOL
DEMOLITION
PRE -MOVE INSPECTION
LEGIl01.1
ES�[L_piIJG
EXCAVATION OR FILL
lsI/ YID N s T.
TOTAL AMOUNT DUE
I hereby acknowledge that I have rend thin application; that the In-
formation givenm le correct: and that I athe owner, or the duly author.
ized agent of the owner. 1 agree to comply with city and state law. regu-
ATTENTION
Iating construction; and in doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance,
AUTHORIZES
NOTE: Permit Limit One Year (Except DEeIOLITION8 w'htch
ONLY THE
WORK NOTED
shall be completed In ninety days; e[OVED-IN BUILDINGS shall becom-
pleted In .1. month,.)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDDIONDS
NOTE: AQhlicallt Subject to Plan Check Fee
775-2525
TI[In 1'enull [•ureas work to be done an private properly ONLY.
Any construction on the public domain (curbs, eIdewfdks, dr1y.WAy.,
nturqueen, etc.) will regmre set, nrnte permleelon.
Valuation Fen
2t; , �•U
—").g'n
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
FILE
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��. �• /V I b YES 0 NO
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1
REQUIRED
OCCUPANCY GROUP
' COV01AOE
❑ YES O:NO
BY
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PERMIT
NUMBER
\ BUILDING DEPARTMENT
Applicant Fill
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PERMIT APPLICATION
inside Heavy Lines
Oil -
ADDRESS
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NAME (OR NAME OF BUSINE88)
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PEItMIBBIBLE HEIGHT
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ElREPAIR ❑ INSP.LIOVE ❑ SWIMPOOL
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CITYACTUAL
TELEPHONE NUMBER
LOT ARE
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777— -• /�' C i
REQUIR D YARUB
a of Property (show Below or
rvn_nrnloc/ i-,
FRONT NIDE REAR FRONT 81 Dk REAR
f ;
LEGAL LOT VARIANCE Olt CONDITIONAL USE
�' YES NO PERMIT NUMBER
i
P,.evvrwn nF.PT. APPROVAL) l. --PATE: I
EXISTING STREET R/Pt—/A*ri''T. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/�. .... n...FT.
REMARKS r)1'LVeway fi1opt.ti not to e%c :�Cd thr':se
znr1..:Ited or. Standard D'ar:. I'lo. 133
FIRE ZONE TYPE
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UAL
REQUIRED
OCCUPANCY GROUP
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BY
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YOKED HEIGHT
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t
❑ NEW
PLAN CHECKED
AL BLDG. AREA
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Is- NON-RESIDENTIAL
PROPOSED YAROB
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-
FRONT NIDE REAR FRONT 81 Dk REAR
f ;
LEGAL LOT VARIANCE Olt CONDITIONAL USE
�' YES NO PERMIT NUMBER
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P,.evvrwn nF.PT. APPROVAL) l. --PATE: I
EXISTING STREET R/Pt—/A*ri''T. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/�. .... n...FT.
REMARKS r)1'LVeway fi1opt.ti not to e%c :�Cd thr':se
znr1..:Ited or. Standard D'ar:. I'lo. 133
FIRE ZONE TYPE
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- n. 1l:'T. _S1JJ�7% -rn-J .
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SPECIAL INSPECTOR
REQUIRED
OCCUPANCY GROUP
❑ YES O:NO
BY
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L RESIDENTIAL
CA9
[jLINE
❑ NEW
PLAN CHECKED
THIS SITE IS LOCATED IN THE CITY
Is- NON-RESIDENTIAL
❑ SIGN
OF EDMONDS. LOCAL SALES TAX
BE CODED 31.04.
ADDRETAINING
❑ WALL
REMARKS
SHOULD
❑ DEMOLISH
y
���� Ill/fiF�"'-•
j�_y
/ L^�- (i ��i /,�
ElALTER [:]EX EXCAVATE ❑ FENCE
^ OR FILL (.......... x Ft.)
..........
ElREPAIR ❑ INSP.LIOVE ❑ SWIMPOOL
1(
lt',J fN`iTaa/C_ {��A'el�t-(C
1 q'+ / ;?
61)61 41 �-,/LH(
NUMBER OF STORIES NUMBER OFDWELLING
n
'1
I
, UNITE l
y S((f /
NATURE OF WORK TO BE DONE ,
V.Iunllan
Fee
Receipt No.
Plan Cheek No ....................
BUILDING,��
[7
4
PROPOSED USE
1"
PLUMBING
HEAT &GAS LINE
%7 l
PLOT PLAN (,I�n7dicate Building setbacks, abutting street.)
FENCE
BIGN
RETAINING WALL
SWIMMING POOL
DEhfOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE�,�
(7 Q
I hereby acknowledge that I have read this application; that the In.
c
formatlon m given le correct: and that I athe owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state law, regu-
ATTENTION
APPLICATION APPROVAL
lating construction: and In doing the work authorized thereby, no person
will be ..Played In violation of the Labor Code of the State of Wwhingtoa
THIS PERMIT
This application is not a permit until
relating to workmen'. Compensation Imurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is Be
shall be completed 1. bluely day.; MOVEDAN BUILDINGS shall be Som-
knowledged in space provided.
nleted In elx months.)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTOA'B BiONATU E
r
I
DEPARTMENT
/ y -r f_f
- '
CITY OF
EDMONDS
DATE -
NOTE: Applicant Subject to Plan Cbeek Fee
775-2525
This Permit covers work la be done on prlvat, property ONLY.
Any construction on the public domain (curbs, sidewalks, drlrevv"s,
INSPECTOR
marquese, ele.) will require separate permission.
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