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750074.pdf,. I BUILDING DEPARTMENT APPI tFill ONE PERMITIS 750074 PERMIT APPLICATION Inside Ifeavy Lines JOB ADDRESS - NAbl (OR NAME OF BV./l/jam//gs)�r/� / � ACTUAL �A/��=''%�� v O//rPros(,J/ LOT COVERAGE LOT COVERAGF. LOT COVERAGE 3 NO ADDREBB , 1'EItMIddiDLE HEI611T PROPOSED HEIGHT 0 7 Q CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA REQUIRED YARDS PROPOSED YARDS W 1 NAME FRONT SIDE REAR FRONT BIDE REAM LEGAL LOT VARIANCE Olt CONDITIONAL USE yUj ADDREBB 0 YES [3 NO PERMIT NUMBER .N.1 U PLANNING DEPT. APPROVAL DATE: CITY TELEPHONE NUMBER' ! STREET R/W C EXULT... STREET R/W ............FT. DEFICIENCY THIS PROPERTY 1 NAME COMP. PLAN ST. R/W ............FT. ............FT. W 1 REMARKS Cd ADDRESS W I BY CITY TELEPHONE NUMBER (CHECKED N U METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER 1 REMARKS < + � I Legal Description of Properly (Shaw Below or Attach Four Copies) TYPE CONNECTION VERIFIED BY I 7. O" Iy" PERC. TEST PERMIT NUMBER !d m � j W O REMARKS m s� a FIRE ZONE OF CONSTRUCTION STREET IMPROVED i (TYPE YES ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP GAg RESIDENTIAL LINE NEW El N. YES ❑ NO I PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX NON-RESIDENTIAL ❑ SIGN ADD RETAINING REMARKS SHOULD BeCODED 31.04. i 11 DEMOLISH WALL ALTER EXCAVATE FENCE E] 0 OR FILL (.......... x..........Ft.) El REPAIR ❑ IN MOVE SWIN ❑ POOL NUMBER OF STORIES NUMBER OF DWELLING I UNITS NATURE F WORK TO HE E Valuation Fee Receipt No. ' Plan Check N. ..................... Z BUILDING ! PROPOSED USE C a PLUMHIN6 � U aPLOT PLAN (Indlenlo Building setbacks, abutting street.) HEAT A GAB LINE O FENCE SIGN RETAINING WALL N ISWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL -�Sroo TOTAL AMOUNT DOE I hereby acknowledge that I have rend this application; that the In- a a , O© formatlon given is correct; and that I out the owner, or the duly author- tred agent of the owner. I agree to comply with city and .tate law. re gu- ATTENTION APPLICATION APPROVAL lating Construction; and In doing the work authoriled thereby, no person will beemployed In violation of the Labor Code of the Slate of Waehington THIS PERMIT This application is not a permit until relntlsg to Workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIONH which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - - shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pleted In six months.) SIGN ILE to ER Oil AD 'NT) DATE SIGNED 1- 7,S INSPECTION DEPARTMENT DIR OR'S 5GN IT CITY OF T NOT ' Applica t Subject to Plan Check Fee EDMONDS DATE i 7 ----`_--- 775-2528 1 d 1 This Permit coven Work to be done on private properly ONLY. Any construction on the public domain (curb., sidewalks, driveways, FILE1 marquees, etc.1 will require separate permission.