750178.pdfi
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NUMBETR 750178
BUILDING DEPARTMENTI
ZONE
Applicant Flu
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PERMIT APPLICATION inside Heavy Linos
ADH
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ADDRESS
X09%
%%leaas.0
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NAME (OR NAME OF BUSINESS)
William Skinner,
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LOT COVERAGE?
LOT COVERAGE
ACTUAL JJ
LOT COVErtAOE
MAILING ADDRESS
PROPOSED IfEiGHT
I
PE[tMIBBIBLE HEIGHT
7309, Nth. Meadowdale Road.
O
CITY
TELEPHONE NUMBER
ACTUAL LOT AREA
TOTAL BLDG. AREA
Z
Edmonds. Wn.
74.3-1295-
PROPOSED YARDS
REQUIRED YARDS
NAME
FRONT SIDE
REAR FRONT BIDE REAR
ADDREtlH
LEGAL LOT VARIANCE ON CONDITIONAL USE
FW.
YES [) NO PERMIT NUMBER
CITY TELEPHONE NUMBER
PLANNINGDEPT.APPROVAL DATE:
'
STREET R/W
C
EXISTING STREET R/W ............
DEFICIENCY THIS PROPERTY
'(J
NAME
�0.
COMP. LAN ST. R/W ............FT.
FT.
d
Alpine Fence Company.
REMARKS
G
ADDRESS
11235 - 16th. S. W. Seattle. Wn.
NC__
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CHECKED BY
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CITY
I TELEPHONE NUMBER
248-1310-
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METER 8111E BL•'RVICE SIZE CLEARANCE
CHECKED HY
STATE
STATE LICENSE NUMBER
CITY LICENSE NUMBER
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I
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_
Legal Description of Property (Show Below or Attach Four Copley)
REMARKS
T PE CONNECTtON
VERIFIED HYi
r.
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Four copies enclosed.
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PERC. TEST
I PERMIT NUMB
1W
r
REMARKS'.
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a
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVE.
0 YES [3 NO
SPECIAL INSPECTOR REQUIRED ANCY GROUP
®RESIDENTIAL
❑PLANBCHECKEllOBYO
(OCCUPGAS
El NEW
❑ LINE
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
SIGN
OF EDMONDS. LOCAL SALES TAX
ADD
RETAINING
REMARKS
SHOULD BE CODED 31.04.
DEMOLISH WALL
ALTER EXCAVATE FBNCE1rL
Fence requirements - section 12.14.040,
❑ OR FILL (..........x.......... .)
REPAIR ❑ INPI.fOVE O SWIM
POOL
attached.
NUMBER OF STORIES NUe[DER OF
DWELLING
UNITS
NATURE OF WOR II�E D�O�NE
qO
Valuallan
Fee Receipt No.
Ilan Check Nn.....................
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7
BUILDING
<III
PROPOSED
a
USE
PLUMBING
aPLOT
PLAN (indicate Building selbneke, abutting streets)
HEAT & GAS LINE
PENCE
C% C,
1
SIGN
RETAINING WALL
N
SWIMMING POOL
I
DEMOLITION
PRE-MOVE INSPECTION
EXCAVATION OR FILL
f
O U
TOTAL AMOUNT DUE
1 hereby aeknow•IedRe that I hove reed lite npDllcntlan; that the In.
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a
Iormnttan given is correct; and that I am the owner, or the duly author-
lied agent or owner. I eowor with Illy and state laws ergo-
ATTENTION
cto doing t
Inling canetructlon; and In dole the work authorized thereby, on person
APPLICATION APPROVAL
Will be employed In Violation or the Labor Code of the Stale of Washington
THIS PERMIT
This application is not a permit until
'
relating to Workmen's Compensation Insurance.
AUTHORIZER
signed by the BuildingOfficial or his De
p-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
uty; and fees are paid, and receipt is ac-
,hall-
ba completed In nicety days; MOVED-1N BUILDINGS .hell be core.no
e
kdged in space provided.
pleted In .1. month..)
810NATURE (OWNER OR AGENT)
DATE SIGNED
INSPECTION
DIREC Sr URE
DEPARTMENT
CITY OF
�Iyt
+-
EDMUNDS
DATE_
NOTE: Applicant Subject to Plan Check Fee
This Pernilt covers work to be done an private property ONLY.
775-2525
Any rnnrlruetlra on ibe p,,! le damn in (curb., .Idewalke, drlrew.y.,
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