750405.pdf_ -
BUILDING DEPARTMENT Applicant Fill NE "Ma A 750405
PERMIT APPLMATIOPI Inside Heavy Lines
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Legal Doseriptfon of Property (Show Below
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LEGAL LOT
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❑ ORCFI LL AVATE
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ADB NO.
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NUMBER OF STORIES
PROPOSED YARDSHEIGHT
FRONT SIDE REAR
ALLOWABLE
PROPOSED
SIGN AREA
SIGN AREA
OTHER
REQUIREMENTS
PLANNING DEPT. APPROVAL DATE
STREET R/W
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W FT. FT.
REMARKS
CHECKED BY
STREET AND/OR UTILITY ❑ YES
WORK REQ•D ❑ NO
UNDERGROUND ❑ YES
WIRING REQ'D ❑ NO
TYPE CONNECTION VERIFIED BY
SEPTIC SYSTEM ❑ YESPERMIT
NUMBER
APPVD BY CITY ENG. ❑ NO
REMARKS
METER SIZE
SERVICE SIZE CLEARANCE
CHECKED BY
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NUMBER OF STORIES
NUMBER OF
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REMARKS
DWELLING
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NATURE OF WOR7
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tormagiven Is correct; and that I am the owner, or the duly author- V
Uld agent of the owner. I agree to comply with city andatl'tat' law' tag"- ATTENTION
lating conetructlon; and In doing the work aatborl'ed thereby, ne per.an APPLICATION APPROVAL
will be employed In Ylolon of the Leber Code of lh' state of Waahlagton THIS PERMIT
ralatlog to Wotkman'e Compensation Ia'utmu. AUTHORIZES This application is not a permit until
NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE signed by the Building Official or his Dep- _...
shall be Completed In ninety days; MOVED -IN BUILDINC18 shall be core. WORK NOTED uty; and fees are paid, and receipt is ac-
Purled In auc months.) knowledged in space provided.
SIGNATURE (OWNER OR AGENT)�A]OgTE SIGNE❑ INSPECTION
DEPARTMENT
S S CITY OF
EDMONDS
DATE
NOTE.- Applicant Subject to Plan Check Fee 775-2525
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways, ORIGINAL - Filc YELLOW - In;peCIer
marquees, etc.) will require separate permission. _ PINK - nh% , COLD - !
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BUILDING DEPARTMENT Applicant Fill
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NU BIER 750405
SWIMMING POOL
PERMIT APPLICATION Inside Heavy Lines
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formation given 1. Cc...Ct; and that I am the owner, or the duly sutkor-
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ADDRESS
ATTENTION
APPLICATION APPROVAL
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Will be employed In violation of Me Labor Code of the Stale of Washington
THIS PERMIT
NAME (OR NA m.q OF B�NES )12
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AUTHORIZES
This application is not a permit until
LEGAL LOT
LOT AREA
5UBDIVISION NO,
NOTE: Permit Limit One Year (Eac.Pt DEMOLITIONS which
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pj MAfLINq A ORES
El YES ❑ NO
.hall be completed In ninety days; alOVED-IN BUILDINGS shall be mm-
If In elx months.)
WORK
INSPECTION
knowledged in apace provided.
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SIGNATURE (OWNER OR AGENT) GATE SIGNED
DEPARTMENT
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VARIANCE OR
GOND. USE NO.
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ADB NO,
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ELEPHONE NUMBER
DATE
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775-2525
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PROPOSED YARDS
HEIGHT
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FRONT
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marquees, etc.) will require separate permission.
PINK - Owner GOLD - Assessor
ALLOWABLE
PROPOSED
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SIGN AREA
SIGN AREA
F ADDRESS
OTHER
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REQUIREMENTS
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E CITY
TELEPHONE NUMBER
PLANNING DEPT. APPROVAL
DATE
NAME
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EXISTING STREET R/W
FT. DEFICIENCY THIS PROPERTY
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Legal Description of Property (Show Below
or Attach Four Copies)
STREET ANO/OR UTILITY
❑ YES
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WORK RED.0
❑ NO
UNDERGROUND
❑ YES
WIRING REQ'D
❑ NO
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SEPTIC SYSTEM
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REMARKS
METER SIZE
SERVICE SIZE CLEARANCE
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REMARKS
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NEW
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FIRE ZONE PE OF CONSTRUCTION CODE
NON-RESIDENTIAL
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IT
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SPECIA L INSPECTOR
REQUIRED
AREA
OCCUPANCY OCCUPANT
GROUP LOAD
❑ ALTER ❑ EXCAVATE FENCE
OR FILL a (- X_FT)
❑ YES ❑ NO
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PLAN CHECKED By
THIS SITE IS LOCATED IN THE CITY
PRE -MOVE
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REPAIR ❑swim
INSP. POOL
SHOULDBE
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NUMBER OF STORIES
NUMBER OF
REMARKS
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DWELLING
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UNITS
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NATURE OF WOF�'TQ E ONE
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VALUATION FEE
PROPOSED USE
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NO,
y PLOT PLAN INDICATE BUILDING SETBACKS.
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BUILDING
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W
PLUMBING
670
Ot
0
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
I hereby acknowledge that I have read this application; that the In-
TOTAL AMOUNT DUE
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formation given 1. Cc...Ct; and that I am the owner, or the duly sutkor-
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lied agent of the owner. I agree to Comply with city and atate laws Mgu-
luting construction; and in doing the work authorised thereby, no person
ATTENTION
APPLICATION APPROVAL
'
Will be employed In violation of Me Labor Code of the Stale of Washington
THIS PERMIT
relating to Workmen'. Compensation Imuran
AUTHORIZES
This application is not a permit until
ONLY THE
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Eac.Pt DEMOLITIONS which
NOTED
uty; and fees are paid, and receipt is ac -
.hall be completed In ninety days; alOVED-IN BUILDINGS shall be mm-
If In elx months.)
WORK
INSPECTION
knowledged in apace provided.
1-7'
SIGNATURE (OWNER OR AGENT) GATE SIGNED
DEPARTMENT
�-
DIR 5 AT E ....
S S
CITY OF
,r
r
EDMONDS
DATE
'
NOTE: Applicant Sub/act to Plan Check Fee
775-2525
C_
This Permit covers work to be done an private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
ORIGINAL -File YELLOW - Inspector
marquees, etc.) will require separate permission.
PINK - Owner GOLD - Assessor
USE PERMIT -- 1
BUILDING DEPARTMENT Applicant Fill ZONE NUMBER `)
PERMIT APPLICATION Inside Heavy Lines Joe
ADDRESS
NAME IOR NAME OF OUSINE551 I
LEGAL LOT LOT AREA SUBDIVISION NO,
❑ YES ❑ NO
W MAILING A ORE5S.-.. i
/ ` VARIANCE OR ADB NO.
GOND. USE NO.
ELEPHONE NUMBER U
/ PROPOSED YARDS HEIGHT Z
NAME FRONT SIDE REAR
ALLOWABLE PROPOSED 'I
U SIGN AREA SIGN AREA a
F ADDRESS
OTHER
= REQUIREMENTS
C CITY TELEPHONE NUMBER
Q PLANNING DEPT. APPROVAL DATE
NAME
STREET R/W
a, = EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
O ADDRESS
I I. COMP. PLAN ST. R/W FT. FT. -
U - 1
Q U
E CITY TELEPHONE NUMBER REMARKS
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Z
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O W
U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BV j ` l
Legal Description Property (Show Below Or Attach Four Copies) STREET AND/OR UTILITY F-1YES W j
WORK REQ'D ❑ NO 1
UNDERGROUND ❑ YES i
Z WIRING REQ'D ❑ NO j
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F, TYPE E ON VERIFIED BY ):
N 5 PERMIT NUMBER W i_
W SEPP N T D O W
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Q REMARKS N I'
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❑ NEW
RESIDENTIAL
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TYPE OF CONSTRUCTION
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DEMOLISH WALL
ED
GROUPRETAINING
EXCAVATE FENCE
ORFILL (XFT)
❑ NO
THIS SITE
IS LOCATED IN THE CITY aW
HECKED BY
PA E -MOVE swim
❑
OF EDMONDS. LOCAL SALES TAX D
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REPAIR INSP. ❑ POOL
REMARKS
SHOULD RE DE =
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NUMB
NUMBER OF STORIESER OF
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J
DWELLING
UNITS
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NATURE OF WORKTO BE DONE
IS
VALUATION FEE
PROPOSED USE
PLAN CHECK
NO.
PLOT PLAN JINOI ETBACHS,
ABy f y6
BUILDING
II
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
--
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TOTAL AMOUNT DUE
I hereby acknowledge that I be ve read this application; that the In-
lormotlon given le Correct; end Chet I am the owner, or the duly wthor-�
-
Ized agent of the owner.. I agree to comply with city and *tate laws rogu-
lating construction; and In dotes the work authorised thereby, no person
ATTENTION
APPLICATION APPROVAL
will be employed In violation or the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen'* Compensation Iosuraece.
AUTHORIZES
This application Is not a permit until
signed by the Building Official or his Dep-
NOTE- Permit Limit One Year (Egeept DEMOLITIONS which
ONLY THE
fees is
_ -
nholl be completed In ninety days: MOVED -IN BUILDINGS shall be core.
WORK NOTED
uty; and are paid, and receipt ac-
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In etx Me the.)
knowledged In space provided.
pl.
INSPECTION
IGNATUftE (OWNER OR AGENT) SIGNED
DEPARTMENT
DIR OTO R'S GNAT
'
JATE
CITY OF
" -
EDMONDS
I
NOTE., Applicant Subject to Plait Check Fee
775-2525
DATE
ThisPermit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
ORIGINAL - Filc YELLOW - Inspeclorer
marquees, etc.) will requite separate permission.
PINK. OwnGOLD •Assessor
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