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15624
6090 172ND ST SW
STREET FILE
CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Application:
o eo Q s- --A
6900 - 172nd Street S.W. -4--
DEPARTMENT
C*MMEN-TS
DATE
IM P 10010'' www-Y 9- TVA
UMMM - "bli 77—
BUILDING
DEPARTMENT COMMENTS
I
BOLLDING DEPARTMENT Applicant Fill
USE PERMIT
ZONE NUMBER JAN 3 0 1976
PERMIT APPLICATION Inside Heavy Lines
JOB —
ADDRES9'. J�7 AC �Vv
NAME (OR NAME OF BUSINESS)
Merle Steinman
LEGAL LOT
El YES 11 NO
LOT AR,EA
I I
SUBDIVISION NO.
W
MAILING ADDRESS
Z
3:
0
4731 L2th Ave. Ne.
VARIANCE OR
COND. USE NO.
I
ADB NO.
CITY
98105
Wash
TELEPHONE NUMBER
522-1899
PROPOSED YARDS
Sl EAR
FRONT DE R
HEIGHT
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Nl@-ttle,
A I-
ALLOWABLE PROPOSED
SIGN AREA SIGN
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—
AREA
J
Merlp Steinman
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ADDRESS
4731 12th Ave. NE.
OTHER
REQUIREMENTS
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CITY TELEPHONE- NUMBER
Seattle, Wash. 522-1809
PLANNING DEPT. APPROVAL DATE
NAME
STREET R/W
0
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F.
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M ph r 1 p .0, t e i n m a n
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W FT. FT.
ADDRESS
4731 12th Ave. 'NE
CITY
Seattle, Washington
TELEPHONE NUMBER
522-1809
REMARKS
.W
Z
i
STATE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
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own e r
Legal Description of Property (Show Below or Attach Four Copies)
STREET AND/OR UTILITY YES
Z
W
Tract 126 Meadowdale Beach Tracts
WORK REQ'D NO
UNDERGROUND DYES
less East 200.00 Ft.
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WIRING REQ'D NO
TYPE CONNECTION
VERIFIED BY
W
.J
El YES
SEPTIC SYSTEM
APPVD BY CITY ENG.
1-1 NO
BER
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it
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REMARKS
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14ETER SIZE
SIZE
BY
ISERVICE
ICLEARANCE
ICHECKED
W
REMARKS
7 NEW RESIDENTIAL GAS
1:1 LINE
FIRE ZONE
TYPE OF CONSTRUCTION
ElADD NON-RESIDENT.ALI SIGN
DEMOLISH RETAINING
WALL
EXCAVATE FENCE
ALTER OR FILL X—FT)
r
REPAIR PRE -MOVE swim
El INSP. POOL
ICODE
I
SPECIAL INSPECTOR
REQUIRED
1-1 YES 0 N
REA
JOCCUPANCY
GROUP
OCCUPANT
LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31,04,
M
REMARKS
NUMBER OF STORIES
1 + Bsmt
NUMBER OF
DWELLING
UNITS
J
NATURE OF WORK TO BE DONE
Construct new residence
Z
0
PLAN CHECK
NO.
VALUATION
FEE
PROPOSED USE
singl family residence
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(mrqDmeAT-e�-motNe--3e-ri3A------F,'61--,k
ABUTTING STREETS)
BUILDING
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PLUMBING
HEAT GAS LINE
FENCE
1014 Sl�
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SIGN
RETAINING WALL
SWIMMING POOL