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7023 173RD ST SW
STREET FILE
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CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications 17— 7 7
Proposed Property Ad . dress of Application: -7203 - 173rd S.W. 703-z
DEPARTMENT
COMMENTS
DATE
W A T E R
S T R E E T
S E W E R
1,41
N 0 T E S ';;�2 L"
BUILDING
DEPARTMENT COMMENTS
.Z
-_ 49 PERMIT . RECEIVFn
USE
ZONE . NUMBER OCT 141976
BUILDING DEPARTMENT Applicant Fill
1�nside
Heavy Lines
PiRMIT APPLICATION
JOB
ADDRESS
73 c.-N0c works ue�-
NAME JOR NAME OF BUSINESS)
G�2 Lpn-c�aa COTII�SL
VARIANCE OR COND. USE NO�
ADB NO.
HEIGHT
W
MAILING ADDRESS
z
PROPOSED YARDS
0
CITY NUMBER
FRONT SIDE REAR
ILOT-COVERAGE
SIGN AREA
ALLOWED PROPOSED
ENVIRONMENTAL REVIEW
COMPLETE EXEMPT
z
NAME
U
W
REMARKS
ADDRESS
PLANNING DEPT. APPROVAL DATE
U
CITY
TELEPHONE NUMBER,
0:
_7SUBDIVISION
LEGAL LOT
-AREA
NO.
D YES ONO
ILOT
E
STREET R/W
EXISTING* STREET R/W FT. DEFICIENCY THIS PROPERTY
ADDRIE55
0
COMP. PLAN ST. R/W FT. FT.
.0:
CITY
TELEPHONE NUMBER
REMARKS
z
Ed
0
S,
STATE -LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED.BY
U
X
Legal Oesc�iotion of Priperty (Show Below or'Attach Four Copies)
STREET AND/OR UTILITY WORK
REQ'D, El YES El NC
R/W PERMIT REQUIRED
D YES D NO
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UNDERGROUND
WIRING R E Q'D. DYES D NO
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FA
TYPE CONNECTION El YES
VERIFIED BY
SANITARY SEWER, El No
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V)
W
0
SEPTIC SYSTEM
APPVD BY CITY ItNG. 0 YES'
D NO
ERMIT NUMBER
1P
J
REMARKS
W
J
METEP SIZE ISERVICIE
SIZE CLEARANCE
Y
REMAIRKS
N W RESIDENTIAL GAS
E El LINE
NON-RESIDENTIAL SIGN
ADD � 1:1 . . . - El
DEMOLISH RETAINING
WALL
ElALTER EXCAVATE FENCE
OR FILL I_ X_FT)
E]
FIRE ZON.E
TYPE OF CONSTRUCTION -1c6DE
SPECIAL INSPECTOR JAREA
REQUIRED.
0 VES. El N 0
]OCCUPANCY.
GROUP
PLAN CHECKED BY THIS SITE IS LOCATED IN THE C ITY
IL
W
REPAIR PRE -MOVE swim
INSP. POOL
.. 1:1 ..
OF EDMONDS. LOCAL SALES TA�
SHOULD BE CODED 31,04,
U
REMARKS
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NAW,�
WORK TO BE DONE
VALUATION
FEE
PROPOSED USE�
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PLAN CHECK
0
NO.
PLOT PLAN (INDICATE BUILDING SETBACKS,'
ABUTTING STREETS)
BUILDING
u
In
W
PLUMBING'
HEAT & GAS LINE
m
0
FENCE
SIGN
RETAINING WALL
SWIMMING POOL