750380.pdfPERM
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BUILDING DEPARTMENT I A acantP'm
PERMIT APPLICATION Insldo Heavy Lines JO
NAME (OR NAME OF BUSINESS)
ERM1SSIBLF ^ ACTUAL
P ° �O OT COVERAGE Ol _ L
LOT COVERAGE ((J
A D i'8H 11 PERMISSIBLE HEIGHT v.-2 PROP HED HEIGH
$ OTA B/.n0..
NUMBER CTUAL LOT AR zl• I 3 I
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LE LOT VAIt1ANCE 011 CON 1' O AL USE
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1411 4th Ave. Bulldin�ELEPHGNE
A NI ' EP A YIIOVAL ATE.
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CITY
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Seattle. Wash 624 4488
EXISTING STREET R/�.(OQ.FT. DEFICIENCY THIS PROPERTY
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NAME
COMP. PLAN 9T. R/1KR///'if///
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REMARKS
not to exceed those
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Driveway slopes
Standa�r1d^ Dw>?. Nyo�103eHEICy1K
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indicated on
BY
FCITY
TELEPHONE NUMBER
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Illtlll p�I,41
METER 812E SERVIC SIZE CLEARANCE
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O HTA7'E LICENSE NUhIDER
LICENSE NUMB It
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223 01 10531
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REMARKS UI pTO(L-
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r ACITY
Legal Description of Properly (Show Below ottach Four Coplea)
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TYPE CONNECTION HY
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Section 26 Township¢ 27 11 Range 3E
IVERIFIE
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corner of Block 2, dity Park Addit
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WREMARKS
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' Th. W
5th 3t. a distance of 0�;
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of 4th St; Thence lE 80 g; Thence E
FIRE ZONE TY�P'E/yO�F CON9/TAjU/C/TlnON STREET IMPROVED
I .J� ( r I Z YES ❑ No
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SPECIAL INSPECTOR REQUIRED
OCCU�NCY O COUP
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RESIDENTIAL ❑ LINE
❑ YES
LOCATED IN THE CITY
NEW
-
NON-RESIDENTIAL ❑ SIGN
PLAN CHECKS BY THIS SITE IS
OF EDMONDS. LOCAL SALES TAX
BE CODED 31.04.
ADD ❑ DEMOLISH O RATL.LAIINII.G
SHOULD
REMARKS 1
sr)op iMP2o��M�l
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ALTER ❑ EXCAVATE ❑ FENCE
OR FILL (..................... Ft.)
REPAIR ❑ PRE-MOVEEl 91VIhI
INHP, POOL
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NUh1B8R OF STORIES I NUhtBER OF
DWELLING
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Three UNITS Seven
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NATURE OF WORK TO BE DONE
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Awr,et„„nt �t
•rJt Valuation
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Plan Oa..T'.:.. 5
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Rccclpt Na.
BUILDING 49T,g9-0, 0"
330, S'a
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PROPOSED USE
PLUMBING
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Rent
PLOT PLAN (Indicate Bulldln actbacks, labs tf3ng a reel5g�
Ni
HEAT A GAS LINE
I C
PENCE
SIGN
tRETAINING
WALL
J
SWIMMING POOL
DEMOLITION
TPRE -MOVE INSPECTION
EXCAVATION OR FILL
ll
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
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formation given le correct; And that I sm the owner, or the duly author-
,e,d agent of the owner. I agree to comply with city and slate laws regu. ATTENTION APPLICATION APPROVAL
lilting construction; and In doing the work sutherl..d thereby, no person
Will be employed In vTeithm of the Labor Code of the State of Washington THIS PERMIT This application is not a permit until
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relnting to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official Or his Dep -
ONLY TH
NOTE: Permit Limit One Year (Except DEMOLITIONS Which WORK NOTED uty; and fees are paid, and receipt Is Be
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
]mowledged in space provided.
pleled In .1. mpnlha.)
81 (OW Elf OA AGENT D E 820NEU
INSPECTION IR R' H10:V��
DEPARTMENT `T
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CITY or
EllhiOND9 DTE
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NOTE: Applicant Subi to Platt Check Fee
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775.2525
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Thin Penult covers work to Ins done on privnle property ONLY.
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Any eonstructlun on the public domain (curbs, sidewalks, driveways,
FILE
mnrauees,. rlc.l will reply, separate permission.
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BUILDING DEPARTMENT Applicant Fill
USEt, I PERMIT - -
ZONE • �.� _t NUMBER
PERMIT APPLICAT101 "'le Heavy Linea
JOB
ADDRESS
NAME (OR NAME OF HUe1NE86)(yt
V 4 ACf AL
PEIUd ISela E % / tl;
IAT COVERAOF, fF� 4)'''J,� LOT COVERAGE �, '�
MAILING A DRESS`
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PEriIf ISSIBLE IiElOI1T / PROPOSED ISESOH ti S �
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CITY
TELEPHONE NUMHr:x
ACTUAL LOT AREA"T$)TAL BLDG. AnFA i 7 t) z
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R�'�UIRED YARDS jl MOP BED YARDS
FRONT SIDE REAR FRONT( REAR
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NAME
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ADDRESS
LF.CAL LOT VARIANCE OR COND] O A Ua
'[]'YES [3 NO PERMIT NUMBER .. •�. U.'l;�-(.
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': ;_xi ,-, • •S l �`- : .P.LANNI DEPT+ APPROVAL c], t ^ �-JATE•
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TELEPHONE NUMBER
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STREET
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EXISTING STHIS E
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NAME
COMP. PLAN ST.
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REMARKS -
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CITY
TELEPHONE NUMBER
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1CHEC{{KED
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METER 81LE SERVICE SIZECLEARANCE
CHECKED BY
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STATE LICENSE NUMBER
I CITY LICENSE NUMBEli
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Legal De. criptlon of Property (Show Below or Attach Four Copies)
TYPE CONNECTION VERIFIED "BY
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FIRE ZONE TYPE QF CONSTRUCTION STREET IMPROVED
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YES ONO
SPECIAL INSPECTOR REQUIRED OCCU1—CY GROUP
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E], RESIDENTIAL E] LINE
❑ YES O-NO
BY IS IN THE CITY
El NEW
PLAN CHECKED THIS SITE LOCATED
1 i,. S. SALES TAX
❑' NON_RESIDENTIAL .ICN
.. -LOCAL
�-i1 i•� ; SHOULD 8E CODED 31.04.
SHOULD BE
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-
ADD ❑ ❑ RETAINTNO
DEMOLISH WALL
REMARKS
'EXCAVATE
1 ALTER FENCE ❑
t � :... .. OR FILL � (........ -x.......... Ft. l
... '" "" '• • '
-I PRE-MOVE ❑ SWIM
REPAIR
' ! f .+a l.i•C, i n •, .. -
(� -_.. (
,
E] INBP. POOL
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NUMBER OF STORIES NUMBER OF
-1 1,-•-±.�:�'i Ill..- 1 :.
DWELLING
.UNITS.
( i^-:.1 a�.%�i ..
1
NATURE OF WORK TO BE DONE
Vnluatlon
Fee Receipt No.
i
.Plan
,
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CJU
Check No..,........._....
c•t//�
BUILDING
a
PROPOSED USE
PLUMBING-
t�
PLOT PLAN (Indica d e acks ¢buttln streets)
HEAT & OAS LINE
i
FENCE
f_...�.._-�...-1-
1__
SIGN
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RETAINING WALL
1
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)
SWIMMING POOL
DEMOLITION
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PRE-MOVE INSPECTION
EXCAVATION OR FILL
i
TOTAL AMOUNT DUET
I hereby acknowledge that I have read this application; that the In.
-
formation given Is correct; and that I am, the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state lawn regu-
ATTENTION
APPLICATION APPROVAL
lating eonatNetlon; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Waahlagton
THIS PERMIT
This application is not a permit until
'Slat,.. to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official Or his Dep-
,
NOTE: Permit Limit One Year (Except nE\IOLITIIINS whleh
ONLV TIIE
WORK NOTED
Uty, and tees are paid, and receipt is ac-
shall be completed In ninety days; MOVED-IN BUILDINGS shall be com-
knowledged in space provided.
In Hix menthe
-
.
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S10NAT 1tE (OWNER) OR AGENT) DATE elONED
INSPECTION
lit CT01t'S SIGNATURE)
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DEPARTMENT
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. .. -
CITY OF
v.
EDMONDB
DATE
NOTE: Applicant Subject to Plan Check Fce-
775-2525
This 1'ermlt c wIlk to be done on .'hale property ONLY.
Any canetructlun a¢ tho public dam¢In I_tu. eld-alk., driveway.,
INSPECTOR
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nwraueee, etc.) will 'caul'. separate permisslen.
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X100 ffu,ve i40
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Foundation `7 o—? Jjiz —_
61 N Plumbing (Partial)
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2 / (Rough) �%✓ , I
i Frame Ifo 4
Furnace & Fuel Line EL(;G 3 !3
Final S' 3D •-76 Fi
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RECORD OF INSPECTIONS
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Date Passed
Foundation `7 o—? Jjiz —_
61 N Plumbing (Partial)
2�
2 / (Rough) �%✓ , I
i Frame Ifo 4
Furnace & Fuel Line EL(;G 3 !3
Final S' 3D •-76 Fi
Cg
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