750342.pdfLE6 LT VARIANCE OR CONDITIONAL USE
8 o NO PERMIT NUMBER
PItAI D �T. PP O AL T
IE NUMBER _
B ET V /� ,,,,//
EXIST STREET R/{C9y&Q. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/I1L].i/ ... ��...PT.
REMARKS O.K. to connect into sanitary sewers
but with no larger line than 2".
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IE NUMBER BY
4.SG SI
WADDRESS
BUILDING DEPARTMENT
AppllPAilt FW
USES Fap &4)PERMIT
750342
PERMIT APPLICATION
Inside Heavy Lined
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JOB
ADDRESS
CITY
NAME (OR NAME OP DUSINEBB)
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PERMISSIBLE
LOT COVERAGE
LOT UCOVERAOE
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Ph RM )BSIBLE HEIGHT
PROPOSED HEIGHT -
LE6 LT VARIANCE OR CONDITIONAL USE
8 o NO PERMIT NUMBER
PItAI D �T. PP O AL T
IE NUMBER _
B ET V /� ,,,,//
EXIST STREET R/{C9y&Q. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/I1L].i/ ... ��...PT.
REMARKS O.K. to connect into sanitary sewers
but with no larger line than 2".
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IE NUMBER BY
4.SG SI
WADDRESS
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i
V
EBUILDING
CITY
PROPOSED
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ALTER
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ADDRESS
4, Z.
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LINE
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(..........>:.......... Fl.)
SWITI
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REMARKS
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CIT
OF
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4
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STATE LICENSE NUMBER
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R�F/� ONE
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Legal Description of Property (Show Be
I Valuation
O
C
V
YA
CJ
SIGN
LE6 LT VARIANCE OR CONDITIONAL USE
8 o NO PERMIT NUMBER
PItAI D �T. PP O AL T
IE NUMBER _
B ET V /� ,,,,//
EXIST STREET R/{C9y&Q. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/I1L].i/ ... ��...PT.
REMARKS O.K. to connect into sanitary sewers
but with no larger line than 2".
I
IE NUMBER BY
4.SG SI
Plan Check No .....................
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EBUILDING
FIRE yD3PE I 5W / pN9T//F;{00 � STREET IMOV YES
NO
PROPOSED
SPECIAL INSPECTOR REQUIRED IOCCUPANC� G....
❑ _AN rBY /L
❑
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NEW
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ADD
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ALTER
REPAIR ❑
RESIDENTIAL
NON-RE9IDENTIAL1:1
DEMOLISH
EXCAVATE
OR FILL
PRE -MOVE
IN
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LINE
LIN
SIGN
RETAINING
WALL
FENCE
(..........>:.......... Fl.)
SWITI
POOL
PLAN CHECKED ux THIS SITE IS LOCATED IN THE CITY
IS
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
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AP
NUMBER-OF STORIES
OF
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UNITS
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NATURE
WORK TO
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R�F/� ONE
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I Valuation
Foe Rcocll
Plan Check No .....................
7,
EBUILDING
PROPOSED
V
PLUMBING
PLOT PLnN (Indlcato Eulldln6 actb¢eka, abutting sheets)
HEAT k GAB LINE
4
J
FENCE
SIGN
tRETAINING
WALL
SWIMMING POOLQ�
•,
OV
�JOe D�
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
io
—I
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
formation given iscorrect; and that I am the owner, or the duly author-
Ieed agent at the owner. I n tcomply with Sitz and elate lana rogue
nting canetru
Iellpp; end to doing t the work authorised therebthereby.ehy, an perwn
ATTENTION
APPLICATION APPROVAL
wall be
rel¢tl¢employed In violation of the Labor Code of the State of Washington
g to Workmen's Compensation I¢s irsnce.
TIDE PER511T
This application is not a permit until
AUTHORIZES
ONLY THE
Signed by the Building Official or his Dep-
---
NOTE: Permit Limit One Year (Except DEMOLITIONS which
WORK NOTED
Uty; and fees are paid, and receipt is Be.
_
t ''
shall be completed In nlaely days; MOVED -IN BUILDINGS shall be cam-
P e menthe.)
knowledged In space provided.
IGNATU (OW R OR AOEt1 DATE BION
INSPECTION
DIRECTO a BIO E
A
DEPARTMENT
CITY OF
EDMOND9
DATE
NOTE: Applfc Subject to Plan Check Fee
775-2525
_
This Petntlt ravers nark to be don n Prirote property ONLY.
Any eanslrurllon on IIIc Public domain (curb-, sidewalks, drWe."Il.
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n,arqure-, A,.) ,III n•nuln• -rpa ntr Prnnl„I m�•
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