750160.pdfPLANNIN() Ij T APPR VAL A- _ DATE:
`Y'
U
REMARKS 0. K. to connect into sanitary sewer
than 2 -inch.
but with no with no larger line than 2 -inch.
0.' CITY
TELEPHONE NUMBER
METER SIZE
I SERVICE SIZE
NAME
I cffizijCrBY
San Juan Pool Juan Pool Corp,
TYPE CONNECTION
O ADDRESS
`8 735 N. E. 198th
C CITY
N
TELEPHONE NUMBER
REMARKS
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g Seattle
ZOO
PERNUT
NUMBER 7501 60
CITY LICENSE NUMBER
BUILDING DEPARTMENT
Applicant Fill
5:_
NEN
1 Legal Description of Properly (Show Below
or Attach Four Copies)
PERMIT APPLICATION
I Inside heavy Linos
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H L BE CODED 31.04.
S OV D
ADDRESS /
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ADD RETAIMNG
WALL
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NAME (OR NAME OF BUSINESS)
DEMOLISH
ALTER ❑ EXCAVATE ❑ FENCE
On FILL (.......... x_ ........ Ft.)
1
8M
❑ REPAIR PRE -MOVE?"
PERMISSIBLE
ACTUAL
,
INSP. I,. 1 POOL
LOT COVERA6E t ,/b
Y
LOT COVEJAGE
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MAI N6 AD R S
PERMISSIBLE HEIGHT,�//�
PROPOSED HEIGHT /�
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1115 Emerald Hills Drive
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UNITS
CITY
TELEPHONE NUMBER
ACTUAL LOT AREA
TOTAL DLD6. AR A
Valuation
Edmonds
776-8896
REQUIRED YARDS
PROPOSED YARDS
d
NAME
FRONT BIDE
REAR FRONT SIDE REAR
PROPOSED USE
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PLUMBING
LEG LOT VARIANCE OR CONDITIONAL USE
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ADDRESS
ER YES NO PERMIT NUMBER
PLANNIN() Ij T APPR VAL A- _ DATE:
`Y'
U
REMARKS 0. K. to connect into sanitary sewer
than 2 -inch.
but with no with no larger line than 2 -inch.
0.' CITY
TELEPHONE NUMBER
METER SIZE
I SERVICE SIZE
NAME
I cffizijCrBY
San Juan Pool Juan Pool Corp,
TYPE CONNECTION
O ADDRESS
`8 735 N. E. 198th
C CITY
N
TELEPHONE NUMBER
REMARKS
L;::Yl %
g Seattle
363-5151
STATE LICENSE NUMBER
CITY LICENSE NUMBER
❑ YES O
223-02-5023
NEN
1 Legal Description of Properly (Show Below
or Attach Four Copies)
PLANNIN() Ij T APPR VAL A- _ DATE:
`Y'
STREET KW
EXISTING STREET R/W.FI'. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT.......0..FP.
REMARKS 0. K. to connect into sanitary sewer
than 2 -inch.
but with no with no larger line than 2 -inch.
�111'
METER SIZE
I SERVICE SIZE
I CLEARANCE
I cffizijCrBY
REMARKS
TYPE CONNECTION
VERIFIE B
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P.C. TEST
IPE iblI M ER
REMARKS
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FIREf7pb)E TYPE OF
ONSTRUCTION STREET IMPROVED
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C�%b� ❑ YES Ej NO
SPECIAL INSPECTOR QUIRED OCCUPANCY GROUP
11-M.
� GAS
❑ YES O
NEN
NON-RESIDENTIALEl
E
PLAN CHECKS DY
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
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H L BE CODED 31.04.
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DEMOLISH
ALTER ❑ EXCAVATE ❑ FENCE
On FILL (.......... x_ ........ Ft.)
1
8M
❑ REPAIR PRE -MOVE?"
,
INSP. I,. 1 POOL
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NUMBER OF STORIES NUMBER OF
!
DWELLING
UNITS
NATURE OF WO K DE DOlyE
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Valuation
Fee Receipt No.
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Plan Check No .....................
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BUILDING
PROPOSED USE
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PLUMBING
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PLOT PLAN (Indicate Building setbacks, abutting street.)
HEAT & CAS LINE
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FENCE
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SIGN
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RETAINING WALL
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SWIMMING POOL
DED10L1TION
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PRE -MOVE INSPECTION
EXCAVATION OR FILL
44
TOTAL AMOUNT DUE
I hereby acknowledge that I have rand this application; that the In-
formation elven Is correct; and that I am the owner, or the duty author-
Ized agent of the owner. I agree to comply with city and elate law. regu-
ATTENTION
APPLICATION APPROVAL
Ialing con.tru thiel; and In doing the work authorized thereby, no person
Will be employed In violation of the Labor Code of the State of Washington
THUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZER
signed by the Building Official or lila Dep-
NOTE: Permit Limit One Your (Ezcept DEMOLITIONS Which
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is ac -
_----•
.hall be completed In ninety days; MOVEDIN BUILDINGS atoll he wan•
knowledged in apace provided.
plated In six month..)
SIGNAT ItE ER (OWNER OAGENT)
DATE 1111E1
INSPECTION
DEPARTMENT
D 'S BIGI ATL
_3 TSI
-1 % LC
F.�r�Cc�e2eJ`7�/
CITY OF
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
/DATE �+
X713
i
77S -ISYS
This Permit co— work to be done on private property ONLY.
Any const rurtll on the public dnmaln (cnrh., eldewnike, drlveweys,
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RECORD OF INSPECTIONS j
Date Passed
Foundation
Plumbing (Partial)
(Rough)
Frame
Furnace & Fuel Lines
- Final
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