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750282.pdf
PERMIT APPLICATI®N I Inside Heavy Lines NAAfE OR NAME OF BUSINESS) 1 _ 411Cc 571��Y C ��NODREdS 3 � C�t�.��c'� C. CITYITELEPHONE NUMBER W ADDRESS F JDE ADDRESS O�0 n e , PERMIHSIBLEAOTUALOTUA LOT COVERAGE 3's ��D LOT COVERAGE o I-� •� -'( �� PERMISSIBLE PERMISSIBLE HEIGiI��t PROPOSED HEIO��fPROPOSED HEIO��f TOTAL A =RFyA_ LINE REQUIRED YARDS PROPOSEE D YARDS FRONT SIDE REAR FRONT BIDE / REAR ZS I l71 ,cr t 15 lith, 3Qk, e25- LYAL LOT VARIANCE Oft CONDITIONAL USF. ES Ej NO PERAHT NUMBER ❑ BIGN RESIDENTIAL J�il� ` APP I-� •� -'( C Y T/E,LJE�Pk�10'NE NUMBER LINE PLAN CHECKED II p THIS SITE S LOCA ED IN THE CITY �,( R/tVY4/T.tt•-1'. DEFICIENCY THIS PROPERTY �jN n ,Ij` /��//, «/ • - / �L / /II /,l `7/W / / tT m ❑ BIGN N/�Mg EDMONE DCOS. SALES TAX OFSHOULD LOCA1.0L ,t ,1� ,I . R/W'I.S1FT. .. C%.....FT. / rR1BWAYtXB veway slopes not to exceed thoes R)`tARK9� BDED 34. z ADDRESS FC VCITYTELEPHONE WALL ❑DESFOLFSFI ALTER r7 EXCAVATE FENCE NUMBERfLOS RV`/1CBYSTATE OR FILL G.........z.......... ILl LICENSE NUDSHER CITY LICE/ E-hIOVE SWIM REPAIR ' POOL ❑ IN ^7� / sL/�� rL C '7 n �� %' S11GJ NUa1BER OF STORIES NUMBER OF V Legal Description of Property (Show Below or Attach Four Copies) KEMA d DWELLING PE CONNECTION V E HY 1_3 11fER1F I td PE EBT PI;.R Af N HER Valuation Fee Receipt Ne. _ L J L� ' I � u r, � .i e, N REMARKS V - .L !'j Pion Check N. ..................... I FIRE ZONE I TYPE OF CONSTRUQTION 1 STREET IMPROVED RESIDENTIAL ElGASU IES 11-110 I-� •� -'( © NEW LINE PLAN CHECKED II p THIS SITE S LOCA ED IN THE CITY LEI NON-RESIDENTIAL ❑ BIGN / EDMONE DCOS. SALES TAX OFSHOULD LOCA1.0L El ADD1:1O RETAINING R)`tARK9� BDED 34. WALL ❑DESFOLFSFI ALTER r7 EXCAVATE FENCE OR FILL G.........z.......... ILl E-hIOVE SWIM REPAIR ' POOL ❑ IN ^7� / sL/�� rL C '7 n �� %' S11GJ NUa1BER OF STORIES NUMBER OF V DWELLING UNITS NAT E OF WORK TO DE DONE o a. Valuation Fee Receipt Ne. _ L J L� ' I � u r, - .L !'j Pion Check N. ..................... BUILDING rU UU PLUMBING D Lr�• r IJ1 .� PLOT PLAN (Indicate Building setbacks, abutting a reete) HEAT A GAS LINE �•(x1 J I I I( C:' 1 I�_;. �� PENCE I .,Q\ `�C BIGN .. t RETAINING WALL I SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL J 1 TOTAL AMOUNT DUE 3 hereby acknowledge that I have reed this application; that the In- formation given Is correct; and that I M the owner, or the duly author. Item agent of the owner. I agree to comply with city and state laws regu• lating construction; and In doing the work authorized thereby, no person ATTENTION APPLICATION APPROVgI, will be employed In violation of the Labor Code of the State of Waahington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZER signed by the Building Official or his Dep - 1 NOTE: Permit Limit One Year (EXCeDt DEMOLITIONS which ONLY THE Uty; and fees are paid, and receipt ie ae- ohall ba completed in ninety days; MOVED -IN BUILDINGS shall be Som- WORK NOTED knowledged in space provided. 1 pleted In nlz months.) 81GNATURE (OWNER Oft AGENT) " DATE SIGNED INSPECTION IRE 8 8 NA UAE / (•, ` DEPARTMENT -� �1 CITY OF EDafONDB NOTE: Applicant Subject to Plan Check Fee / S This P—At a`ark to be don n private property ONLY. 775-2525 Any conntrurtlnnnn th. public dnmaln (nrthn, nidnrnikn, drlrew'eye, iii. rr,.� •.,ill r. inlrr nrpnrnrr r nil,alon, FILE