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750298.pdf
Plan Check No ..................... I, j -�• BUILDING Jl'I aPROPOSED USE ! D PLUMBING aPLOT PLAN (Indlenla BSiming Setbacks, nbutting Streets) HEAT A GAS LINE �© FENCE 1 SIGN i� RETAINING WALL N 1' BUILDING DEPARTMENT PERT ZONE 750293 DEMOLITION Applicant Fill EXCAVATION OR FILL PERMIT APPLICATION Inside Heavy Lines joa ' formatlon given is correct; and that I stn the owner, or the duly author- Ixe1 agent tr cto owner. t agree to comply withauthorized City riz and erste laws erson Inting construction; and In tlolog the work authorlsad Neroby, no ADDRESS APPLICATION APPROVAL person 111.1 bo employed In violatlan or the Labor Code of the Slate of Wanhington to Tills PERMIT This application is not a until NAM�Et (O NAME OF BU81NE8B) relating Workmen•. Compensation Insurance, permit ,1 ONLY TILE efgRed by the Building Official or his Dep- ^� emit Limif One Year (Exaapt DEMOLITIONS which PERMISSIBLE E Uty; and fees are paid, and receipt is ac- ehall o comp led In ninety days; MOVED -IN BUILDINGS shall be com. knowledged In space plat In elx pnlhe.) LOT Co LOT COVERAGE LOT COVE AOE provided. S1 ATU3 (OWNER OR AGENT) DATE 16NED INSPECTION D1 R'S a 1 MAILING ADDRESS rn� G DEPARTMENT•'�vr%---• � PERMISSIBLE HEIGHT PROPOSED HEIOHT O e'Yl,—•- ` MOTE: Applicant Subject to Plan Check Fee EDMONDS DATE CITY TELEPHONE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA This Permit cuvero work to be dans on Private property ONLY. Any canslruetlnn an tha public domain (rurbn, nlden'Nke, drilew'Ve, - n,,,reurr<. r1e.) 1%111 ......... r nepnratc t�rrndneian. PILE REQUIRED YARDS PROPOSED YARDS NAM FRONT SIDE REAR FRONT BIDE REAR j WADDRESS LEGAL LOT VARIANCE OR CONDITIONAL USE py, 0 YE8 E3 NO PERMIT NUMBER r=j PLANNING DEPT. APPROVAL DATE; C !c CITY TELEPHONE NUMBER I STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY O b NAME a COMP. PLAN ST. R/W ............Fr. ............ FT. W REMARKS+ All 5 yam, 1 x° w TY Axl Wit,,e TELEPHONE NUMBER (CHECKED BY -: d 7703izyj U -R METER SrLE SERV)Cfl SIZE CLEARANCE CHECKED BY STATE LI—elf CITY LICENSE NUMBER I I 1,tC REMARKS Legal Description of Property (Show Below or Attach Four Copies) r I TYPE CONNECTION VERIFIED BY C PL•RC. TESTPERMIT NUMBER 0., R REMAKS if I 1 .7 FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED YES El NO j SPECIAL INSPECTOR REQUIRED OCCUPANCY OROUP RESIDENTIAL GAB ❑ YES [] NO NEW I LINE PLAN CHECKED DY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL [ ,,,EDMONDS. EDMONDS. LOCAL SALES TAX W A SHOULD BE CODED 31.04. DEMOLISH [jDD RETAINING WALL REMARKS ALTER CE......•. OCFILLTE ❑ R ❑ (FEN n•) ElREPAIR PRE -SWIM ❑ INP. ❑ POOL NUMBER Ob 8TOH1F.9 NUMBER OF DWELLING UNITS NAT OF WORK T BE DONE Valuation Fee Receipt No. Plan Check No ..................... I, j -�• BUILDING Jl'I aPROPOSED USE ! D PLUMBING aPLOT PLAN (Indlenla BSiming Setbacks, nbutting Streets) HEAT A GAS LINE �© FENCE 1 SIGN i� RETAINING WALL N 1' SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that I have read this nppllcatlon; that the In. TOTAL AMOUNT DUE ' formatlon given is correct; and that I stn the owner, or the duly author- Ixe1 agent tr cto owner. t agree to comply withauthorized City riz and erste laws erson Inting construction; and In tlolog the work authorlsad Neroby, no ATTENTION APPLICATION APPROVAL person 111.1 bo employed In violatlan or the Labor Code of the Slate of Wanhington to Tills PERMIT This application is not a until relating Workmen•. Compensation Insurance, AUTHORIZES permit ,1 ONLY TILE efgRed by the Building Official or his Dep- ^� emit Limif One Year (Exaapt DEMOLITIONS which WORE NOTED Uty; and fees are paid, and receipt is ac- ehall o comp led In ninety days; MOVED -IN BUILDINGS shall be com. knowledged In space plat In elx pnlhe.) provided. S1 ATU3 (OWNER OR AGENT) DATE 16NED INSPECTION D1 R'S a 1 G DEPARTMENT•'�vr%---• •'^•• CITY OF MOTE: Applicant Subject to Plan Check Fee EDMONDS DATE 775-2525 This Permit cuvero work to be dans on Private property ONLY. Any canslruetlnn an tha public domain (rurbn, nlden'Nke, drilew'Ve, - n,,,reurr<. r1e.) 1%111 ......... r nepnratc t�rrndneian. PILE