750254.pdfRESIDENTIAL LIN
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PLAN CHECK D Y
THIS SITE IS LOCATED IN THE CITY
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DEPARTMENT
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SHOULD BE CODED 31.04.
BUILDING
ApplF111lcant
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PERMIT APPLICATION
Inside Heap Lines
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Ann�& E I m Place West
NAME (OR NAME OF BUeINEBe)
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BELT HOMES
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PERMISSIBLE ^/ r ACTUAL
LOT COVERAGEe 3'7 t/o LOT COVE&AGE 1 O
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MAILING ADDRESS
INSP. POOL
PERbI113e1HLE HEIOIIT , PROPOSED HEIGHT /
9808_2 15th S.W.
30 ��-
NUMBER OF
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CITY
TELEPHONE NUMBER
LOT AREA BLDAREA
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TOTAL � I
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Edmonds, Washington
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REQUIRED YARDS PROPUII YARDS
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NAME
FRONT BIDE REAR FRONT BIDE REAR
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NATURE OF WORK TO HE DONE
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Per Receipt Na.
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LE LOT ARIANCE OR CONDITIONAL USE
ADDRESS
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TELEPHONE NUMBER
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Thomas E. Belt
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REMARKS slopes not to exceed those
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indicated an on Standard Dwg
NoHECKED
SWIMMING POOL
9808 -215th St. SW.
DEMOLITION
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PRE -MOVE INSPECTION
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TELEPHONE NUMBER
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TOTAL AMOUNT DUE
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I hereby acknowledge that I have rend this application; that the In-
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formation given Is correct; and that I am the owner, or the duly author-
ZEdmonds,
Washington
776-2829
METER SIZE SERVICE SIZE CLEARANCE
H ED BY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
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AUTHORIZES
signed by the Building Official Or his Dep -
223-01-4937
ONLY THE
WORT{ NOTED
y—„�-�'-'--
uty, and fees are paid, and receipt isaC-
shall be completed In ninety days; MOVED -IN BUILDINGS shell be com.
REMA e
pleted In is months.)
Legal Description of Properly (Show Below
or Attach Four Copies)
INSPECTION
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Lot #12 Elm View AdditionTYPE
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CITY OF
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EDMONDS
CONNECTION
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775.2525
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FIRE ZONE I TYPE OF CONSTRUCTION^ STRE,FT IMPROVED
RESIDENTIAL LIN
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PLAN CHECK D Y
THIS SITE IS LOCATED IN THE CITY
T
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❑NON-RESIDENTIAL
❑
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ESITEIS, LOCAL SALES TAX
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SIGN
❑ ADD RETAINING
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SHOULD BE CODED 31.04.
❑
ARK
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INSP. POOL
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NUMBER OF STORIES
NUMBER OF
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NATURE OF WORK TO HE DONE
Valuation
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New Residencerlun
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BUILDING
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SWIMMING POOL
DEMOLITION
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PRE -MOVE INSPECTION
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EXCAVATION OR FILL
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TOTAL AMOUNT DUE
I hereby acknowledge that I have rend this application; that the In-
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formation given Is correct; and that I am the owner, or the duly author-
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,red agent of the owner. I agree to comply with city and .late law. regu-
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIN PERMIT
This application is not a permit until
Totaling to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official Or his Dep -
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
WORT{ NOTED
y—„�-�'-'--
uty, and fees are paid, and receipt isaC-
shall be completed In ninety days; MOVED -IN BUILDINGS shell be com.
knoWledged In Space provided.
pleted In is months.)
SIGNATURE (OWNER Olt AGENT) DATE STONED
INSPECTION
R O B GNA UR
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DEPARTMENT
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CITY OF
C
EDMONDS
ATE
NOTE: Applicant Subject to Plan Check Fee
775.2525
This 1•ennit Toyer. work la be done on private property ONLY.
Any ran+I ntrllan an the public dantnln feurbe, eldew'alke, driveways,
rlr.1 ,rill re,lul rr Wena Tele n•'r,aln+lan.
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RECORD OF INSPECTIONS
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Foundation • '3— 7.c
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Plumbing (Partial)
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(Rough) 7 /iS'-7d'
Frame - 7—lot--
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Furnace & Fuel Lines ' 7
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