750399.pdfI'
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BUILDING DEPARTMENT
AppllCRRtFID
zo""r F"lie, ItsG Nu BER 750399
PERMIT APPLICATION
Insldo Heavy Lines
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ADDRESS 8505 ➢ocofloin t'!8`J
NAME (OR NAME OF BUSINESS)
City of Edmonds Fire Department
PER BE
LOT COVER AGI?
ACTUAL /
LAT COVERAGE N I
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MAILING ADDRESS
250 5th Avenue North
PERMISSIBLE 41OXT
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PROPOSED HEIGHT
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CITY
TEL.EPHONE NUMBER
AC'(ljA/i LOT R A
._
TOTALk7, . AREA
NROPOSED
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Edmonds 93020
7752525
—tlif REQUIRED YARDS YARDS
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NAME
FRONT SIDE
REAR FRyO.NT BIDE REAR
WADDRESS
PEAS, LOT VARIANCE OR CONDITION
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[:INO PERMIT N MBER M � �I O �
Vt� T
V
O EPT. A
AL DATE:
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CITY TELEPHONE NUMBER
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STILE ETA V
8TR]tEN6 REET R/W
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.tV . DEFICIE C THIS PROPERTY
NAME
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COMP. PLAN ST. R/W
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9APT. /.
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REMARKS
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ADDRESS
Driveway slopes not to exceed those
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indicated on Standard Dwe. No.
03
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CHECKEp BY
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CITY f�
TELEPHONE NUMBER
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METER 81'LE
BEKVICE BtZE CLEARANCE
CHECKED rBY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
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Legal Description of Property (Show Below or Attach Four Copies)
REMARKS
L X i 5 i
E.1001 of lot 18, blk. 5, Alderwood Manor
TYPE CONNECTION
VERIFIED BY
2
I'Io. 9, acc. to the Plat thereof recorded
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in Vol. 10 of plats, P.6, Sno. County
PERC. TEST
PERa[IT NUMBER
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W
OW
I(EMARKS
N
except the N. 4.92.37. feet thereof.
m
.il
FIRE ZONE TYPE CONSTRUCTION STREET IMPROVED
1
YES [3 NO
SPECIAL INSPECTOR REQUIREDOCCUPANCY ROUP
RESIDENTIAL
GAS
F]❑
❑ YE8 �)�NO
I r. -Z
❑ NEW
LINE
❑
i,AN C C D BY
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
❑ ADO
SRI,
"PING
SHOULD BE CODED 3104.
RET..=
11 DEMOLISH ❑ W ' LL •
RElfARK9
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V IJ\ —1
P� f ' K, I q 7 5
ALTER ❑ ORCFILL E I J `ENCx........,.Ft.)
1
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❑ REPAIR ❑ PRD_INSPMOVF. swim
❑ POOL
NUMBER OF STORIES NUMBER WI
11 DWELL114G
L_ UNITP
NATURE OF WORK TO DE DONE
Valuation
Fee
Receipt No.
Remodel the rear 113 of bldg, including
•
Plan Check No .....................
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raisin£; IOOf aprror. 31 t0 allow placing
BUILDING
3� U•q0/
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PROPOSED USE partitions, etc.
Fire Station.
PLUMBING
J/CC11��
PLT
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PLOT PLAN (lament. Building setback., abutting streets)
HEAT & GAS LINE
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See attached plans—
FENCE
SIGN
_
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
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I hereby acknawledgo that t have road this application; that the In.
formntlon given Is correct; and that 1 am ills owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state law. regu-
ATTENTION
APPLICATION
Inting conateuctlo.: and In doing the Work authorized thereby, no parson
APPROVAL
Will be employed In violation of the Lab., Code of the Slate of Washington
THIS PERMIT
This application !s not R permit until
'
relating to Workmen'. Compensation Insurance.
AUTHORIZER
ONLY TILE
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOIdT10NS which
uty; and fees are and receipt is IIC-
shall be completed In ninety day.; MOVED -IN BUILDINGS shall be com•
WORK NOTED
paid,
knowledged in space provided.
Dleted In six month..)
81 ATUIL (OW R OIL• NE AGENT) DATE S1G
INSPECTION
DIRECTO '8 81GNAT
DEPARTMENT
—
OITY OF
EDMONDS
DAT /
NOTE: Ahplicafft -ect to Plan Check Fee
-
775-2525
This I•ermll co re work Ea be done on private property ONLY.
Any eons...... Inn. nn (hr public d. .1. (rn rhs. sldr'T,., drlt'mrnye,
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