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750497.pdfUSE PERMIT BUILDING DEPARTMENT ZONE NUMBER Applicant Fill PERMIT APPLICATION Inside Heavy Lines IDB ADDRESS / h NAME (OR NAME OF BUSINESS) CTC/ Mariner Associates LEGAL LOT LOT AREA SUBDIVISION NO. if W ❑ YES ❑ NO MAILING ADDRESS y�C ` 3 SSgS P.O. BOX 1171 // f�J VARIANCE OR All NO. GOND. USE NO. O CIT, TELEPHONE NUMBER Z Lynnwood, Wa 98036 77L1—O20� PROPOSED YARDS HEIGHT NAME FRONT SIDE REAR Z Z ALLOWABLE PROPOSED -1 !- U SIGN AREA SIGN AREA a' W t ADDRESS OTHER I REQUIREMENTS U a; CITY TELEPHONE NUMBER Q PLANNING OEPT. APPROVAL DATE NAME �� STREET R/W a: EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY O F u ADDRESS COMP• PLAN ST. R/W FT. FT. R CITY TELEPHONE NUMBER REMARKS l INt Z I- Z a O U STATE LICENSE NUMBER CITY LICENSE NUM BEH CHECKED BY W Z Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY ❑ YES W ul WORK REO'D ❑ NO UNDERGROUND ❑ YES Z o WIRING REO'D ❑ NO Lots 10, 11, and 12, Block 8, I. a TYPE CONNECTION VERIFIED BY Plat of Edmonds rc N ❑ YES PERMIT NUMBER al W SEPTIC SYSTEM 3 D APPVD BY CITY ENG. ❑ NO W J Q REMARKS W W U1 �.(v MGIv S METER SIZE SERVICE SIZE CLEARANCE CHECKED BY W REMARKS r.J t Cynr=�l I, `� r / W W F 3 ^� �r��yll �PE ❑ NEW 1 1 r RESIDENTIAL LINE FIRE OFftUCT ON CODE JTY ENTIAt SIGN RETAINING SPECIAL INSPECTOR AREA UPANCY OCCUPANT F]ADD DEMOLISH ❑ RE REOU GROCCC P LOAD ❑ ALTER EXCAVATE FENCE ❑ YES O OR FILL ❑ (_ x_Fr) pLAN CHCC ED B, THIS SITE IS LOCATE D OC TED IN THE CITY H w ❑F EDMONDS. LOCAL SALES TAX REPAIR E] PR. -..V. swim D O 10 POOLBE OINSP. POOL NUh�ER F 5'W$�ES EM AR S ^J DWELLING I 1,� R�� UNITSF L ,UnC'"-1^}` Y�V YeNc. N�IRE O WORK O BE DONE, �[ C� Arc e� (�Zr 97V Z VALUATION FEE PROPOSED USE PLAN CHECK -'-- D NO. y PLOT PLAN INDICATE BUILDING SETBACKS. ABUTTING STREETS) BUILDING U W PLUMBING G _ tD HEAT & GAS LINE O FENCE SIGN RETAINING WALL SWIMMING POOL �xrJl�T� aitJ 2 e ©o !hereby neknawiedRe that I have rand this .DDI fflon; that the tn- TOTAL AMOUNT DUE OQ form.11an Riven Is correct; and that I nm thea ser, ar the duty Im or. f:ed .gent orenc owner. t .gree to comply with city and .tate law. rogu• ATTENTION lacing eonntruenon; and In doing the work authorized thereby, .o person APPLICATION APPROVAL will be employed In Violation of the Labor Code of the state of Washington THIS PERMIT relating to workmen'. Compensation Insurance. AUTHORIZES This application is not a permit until NOTE: Permit limit One Year (Except DEMOLITION& which ONLY THE signed by the Building Official or his Dep. shall be completed In ninety days: MOVED -IN BUILDINGS shall be com. WORK NOTED uty; and fees are paid, and receipt is ac - Dieted In six months.)knowledged in space provided. INSPECTION SiGNATURFx110�1NE ^ o sec" la es by GATE SIGNED DEPARTMENT DIREC S G TU 1, �. Sept.12, 19 CITY OF EDMONDS DATE / NOTE: Applicant Subject to PIG. Check Fee 775-2525 This Permit covers work to be done on private property ONLY. Any construction on the public domain Icurbs, sidewalks, driveways, ORIGINAL - Filc YELLOW - InspcUur marquees, etc.) will require separate permission. PINK - O --r COLD - I. � - - los�ew��sea�o�rlass�tseg�lorsssa��llr®ssoowlgn®®anr�lsssa