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BUILDING DEPARTMENT
Applicant Fill
USE PERMIT 750483
ZONE C' _ f'1 /J) NUMBER
PERMIT APPLICATION Inside
Heavy Lines
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ADDRESS
NAME (OR NAME OF BUSINESS)
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LOT AREA SUBDIVISION NO.
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TELEPHONE NUMBER
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PLANNING APPROVAL DATE
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STREET AND/OR UTILITY ❑ YES W
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1 hereby eckaowledg. 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 "'theOwner. I agree to comply with city and state laws resu-
the thereby, no
ATTENTION
APPLICATION APPROVAL
lather construction; and In doing work authorized person
will beemPlOI in violation of the Labor Code of the Stale Of Washington
THIS PERMIT
This application Is not a permit until
relating to Workmen's Compensation Iasursace.
AUTHORIZES
Signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
V
ONLTHE
shallbe cd In Neely days; MOVED -IN BUILDINGS shall be mm-
ltnowledged in space provided.
plcled In six months.)
INSPECTION
SIGNATURE (OWNER OR AGENT)
DATE SIGNED
DEPARTMENT pE T 'S ICN TURF
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CITY OF
NOTE: Applicant Subject to Platt Cbeck Fee 9 %�
ED MONDS DATE !�
%S� 775-2525
This Permit covers work to be done on private property ONLY.
Any on the public domain (curbs, sidewalks, driveways,
ORIGINAL - Fllo YELLOW - Impeclor I
construction
marquees, etc.) will require separate permission.
PINK • Owner GOLD - !,.assn,
750433
CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Application: 8500 Talbot Road
DEPARTMENT
COMMENTS
DATE
W A T E R
S T R E E T
S E W E R
-/S- 7,
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N 0 T E S Lrr "-"") , I I S
BUILDING
DEPARTMENT COMMENTS
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BUILDING DEPARTMENT
Applicant Fill
ZONE !r%<.y ^� NUMBER
SE j PERMIT 750q$3
PERMIT APPLICATION inside Heavy Lines
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NAME (OR NAME OF BUSINESS)
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ADDRESS ~� ';'n; '}/J•!�/(.=
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LEGAL LOT LOT AREA SUBDIVISION NO.
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MAILING ADDRESS
[I YES ❑ NO ^�r�,,Cl(�[)-1-.�
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VARIANCE OR NO.
0 CITY ELEPHONE NUMBER
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ALLOWABLE PROPOSED
SIGN AREA
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OTHER
REQUIREMENTS
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PLANNING DEPT. APPROVAL DATE,
NAME
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,J _! DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W.'. -!G FT. FT.
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REMARKS
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STREET AND/OR UTILITY ❑ YES I
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WORK REQ'D ❑ NO r
UNDERGROUND 0 YES
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WIRING REQ'D 0 NO
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TYPE CONNECTION VEIi1F1ED BY.
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SEPTIC SYSTEM ) ❑ YES PER NUMBER
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❑ NO
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REMARKS
METER SIZE SERVICE SIZE CLEARANCE CHECKED BY
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REMARKS ; -
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NEW ❑" RESIDENTIAL �1 LINE
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FIRE ZONE TYPE,OP' CONSTRUCTIONr CODE
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❑ DEMOLISH I� RETAINING
WALL
SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUP. \ '
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ALTER EXCAVATE FENCE
LOAD
❑ YES ENO 1
❑ OR FILL (_ x_Frl
PLAN CHECKED BY THIS
O PRE-MOVE
SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES
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REPAIR
.1 INSP. POOL
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NUMBER OF STORIES NUMBER OF
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REMARKS'
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DWELLING
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UNITS
NATURE OF WORK TO BE GONE
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PROPOSED USE
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VALUATION FEE
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PLAN CHECK
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6 PLOT PLAN IN OICATE BUILDING SETBACKS,
NO,
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ABUTTING STREETS)
BUILDING
PLUMBING / ,J
m
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HEAT & GAS LINE I,
FENCE
SIGN
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RETAINING WALL
I
SWIMMING POOL
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1 hereby acknowledge thathave read this application; that the In-
that
TOTAL AMOUNT DUE
,1
tarm¢ll¢n given le correct; and that I am the owner• or the author-
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ized agent of the owner, I agree to comply With city and stale laws re[u-
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latln[ construction; and In doing the Work authorized thereby, no person
Wul ba employed In
ATTENTION
APPLICATION APPROVAL
j
violation of the Labor Code of the State of Wasbingtor,
relatlag to Workman's. Compsnsatl¢a IeatiNnes.
THIS PERMIT
AUTHORIZES This appllcatlon Is not a permit until
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TME elgned by the Building Official or his Dep-
shall be compleled'In nicely days; MOVED-IN BDILDINOS shall be conn-
WORK NOTED uty; and fees are paid, and receipt Is ac-
pleled In six months.)
knoWledged In space provided.
SIGNATURE (OWNER OR AGENT) SIGNED
INSPECTION
DEPARTMENT
JDATE
DIRECTOR'S SIGNATURE I
l
CITY.OF "
EDMONDS I 1 '� l-'4 % } -!' '-• -
NOTE.' Applicant Subject to Plan Check Fee
DATE
`
775-2525
This Permit covers work to 6e done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
ORIGINAL - File YELLOW - Inspector
marquees, ate.) will require separate permission.
-27-'7.
PINK - Owner COLD - 4lssesser
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