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750218.pdfCj YES 0 NO ❑ AH E] NEW El RESIDENTIAL NON-RESIDENTIAL CAS. HION El YES 0 NO PLAN CHECKED DY THIS SF SHoI ®WALL ADD ALTER ❑ DEMOLISH EXCAVATE O RETAINING FENCE RE A,RRKH ,I BUILDING ONE NUMBER -75021 a OR FILL .....................Ft.) lO Y PROPOSED USE REPAIR ❑ TNP. BUILDING DEPARTMENT Applicant Fill (UMBER OF STORIES NUMBER OF PERMIT APPLICATION I Inside Heavy Lines joB � i I DWELLING I � SIGN ADDRE88 UNITS NAME (OR NAME OF BUSINESS) SWIMMING POOL PERMISSIBLE % OT PRE -MOVE INSPECTION ,,✓✓ / c C. LOT COVERAGE OT COVEjAOE EXCAVATION OR FILL j a MAILING DDRE88 -I`. PERMISSIBLE HEIGHT PROPOSED HEIGHT 7 ISi I formation given Is correct; and that I am the owner, or the duly author- 2. QQ p01y21o71, 5 ised agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL O CITY —3 TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA Xe. relating to Workmen's Compensation Insurance. ONTHO TIIE signed by the Building Official or his Dep- •�Li �LO %C�S .57— REQUIRED YARDS PROPOSED YARDS rN shall be completed In nicety days: MOVED -IN BUILDINGS shall be com. Imawledged in space provided. 1 NAME FRONT BIDE REAR FRONT 8IDE REAR I - INSPECTION IREDEPARTMENT �� ZE 7s r., CITY OF EDMONDS LEGAL LOT VARIANCE OR CONDITIONAL USE NOTE: Applicant Subject to Plan Check Fee pUj ADDREtlB E] YES NO PERMIT NUMBER 775-2525 h PLANNING DEPT. APPROVAL DATE: i Ana• rn­t­0lnn I a the public Aomnln (sorbs, eldrwalke, delrew'nre'les FILE CITY TELEPHONE NUMBER STREET R/W EXISTING STREET R/W ............F -r. DEFICIENCY THIS PROPERTY O NAME 1 //^/ C/ -/ j� C7 /"'- � 7J'C O -CK Y! COMP. PLAN BT. R/W ............FT.............FT. REMARKS C, ADDRESS 2 Q' (% CHECKED BY C CtTYG / 17 --ONE NUMDErRI r— O L Cf —%IL O -&W_ G ;2-M54 METER SIZE SERVICE SIZE CLEARANCE ECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER ^ 14 I •J� (Fr~t RE MARKS V Legal Deeorlptlo�n (Show Below orr-Attttaackctr Four Copies) �/ ��,,,?J,�/[/Q�—� ^ /ofPPrlopert`y V(/ // / G{- TYPE VERIFIEED BY [Y l / CONNECTION I� PERC. TEST PERMIT NEMBER 0.. I i n Id O REMARKS to , Cj YES 0 NO ❑ AH E] NEW El RESIDENTIAL NON-RESIDENTIAL CAS. HION El YES 0 NO PLAN CHECKED DY THIS SF SHoI ®WALL ADD ALTER ❑ DEMOLISH EXCAVATE O RETAINING FENCE RE A,RRKH ,I BUILDING OR FILL .....................Ft.) lO Y PROPOSED USE REPAIR ❑ TNP. ❑ SWI I POOL (UMBER OF STORIES NUMBER OF h � i DWELLING I � SIGN UNITS N ,;ATURE OF WORK TO BE DONEVoluatlon Fre Receipt No. 9, / K '' Plan Check No ..................... I � BUILDING lO Y PROPOSED USE PLUMHIN6 ZPLOT PLAN (Indicate Building setbacks, abutting streets) HEAT k GAS LINE h � i FENCE I � SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION J EXCAVATION OR FILL j TOTAL AMOUNT DUE I hereby acknowledge that I have reed this application; that the In- ISi I formation given Is correct; and that I am the owner, or the duly author- ised agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL i toting conelruellDa; and In dolag the work authorized thereby, no person wlll be employed In violation of the Labor Cade of the Slate of Washlogton THIS PERMIT This application Is not a permit until relating to Workmen's Compensation Insurance. ONTHO TIIE signed by the Building Official or his Dep- NOTE: Permit limit One Year (Except DEMOLITIONS which LY WORK NOTED uty; and fees are paid, and receipt is ac- ' shall be completed In nicety days: MOVED -IN BUILDINGS shall be com. Imawledged in space provided. 1 pletcd In six months.) I (ON ER OR AGE ) llATE 910NED INSPECTION IREDEPARTMENT ZE 7s CITY OF EDMONDS DTE NOTE: Applicant Subject to Plan Check Fee ,- 775-2525 This 1• r eovers work la Im done on prirete property ONLY. i Ana• rn­t­0lnn I a the public Aomnln (sorbs, eldrwalke, delrew'nre'les FILE rl �'.i „111 r erl'nral,' Ir rndeelnn,