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16169
8200 240TH ST SW
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW
COVENANTS(RECORDED)FOR:
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMADSTsTonnAStreet File Checklist doc
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CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications Z
Proposed Property Address of Application: 8200 2406' St. S.W. ('Doces)
DEPARTMENT
COMMENTS
DATE
WATER
STREET
S E W E R
-/Z T
N 0 T E S
I
BUILDING
DEPARTMENT COMMENTS
-BUILDING DEPARTMENT
PERMIT APPLICATION
1521-6th
Seattle
NAME
FADDRESS
�j CITY
F
x
S
USE
Applicant P111 ZONE ma
Inside Heavy Lines JOB /
ADDRESS V i(Q A
i � r
Legal Description of Property (Show Below or Attach Four Copies)
X.
O
A
.I
O
PERMISSIBLE %, ACTUAL %
LOT COVERAGE LOT COVERAGE
.AERMIHHIBLE HEI(AfT PROPOSED HEIGHT 0
I
ACTUAL LOT AREA TOTAL BLDG. AREA .70� p z
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
LEGAL LOT VARIANCE OR CONDITIONAL USE
YES ❑ NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET' R/ W
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST R/W ... ...FT. ............FT. ki
REMARKS I
ZW
METER SIZE
SERVICE SIZE
I CLEARANCE
I CHECKED BY
0
JJ77
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REMARKS
IRE �QNE I TYPE
BY
1
IMBER
I
1
I STREET IMPROVED
❑YES
Cy. GROUP
RESIDENTIAL
D
GAS
LINE
❑ YES )Q NO
I T- ^ (,.
NEW
PLAN CHECK D BY
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
SIGN
,
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04,
ADD
❑
DEMOLISH
RETAINING
WALL
11,EG
REMARKS �, �^q�
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EXCAVATE
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FENCE
REPAIR
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INSP.
V-7O
DWELLING
UNITS
NATURE OF WORK TO BE DONE
VPLA i(ATr_ l S1' R WC-r
RECEIVED
Plan Check No....
BUILDING
PROPOSED USE
Off^` I /+-L�
fBuilding �setbacks,
AUG 15 1973
PLUMBING
HEAT & GAS LINE
PLOT PLAN (Indicate abutting streets)
LIT ?
A-
N
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FC
T�,Lny �+Q
�E 30
C
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
Valuation I Fee Recelpt No.
1_ -A
f 1/,,�,} ' 4 - � �°i r'� :.. �S •fi3 1 t �, rr 114 _
'jri N! (�.�'�'j,1,X� / IL�.ti--L_+7\ •rim, �„u,o , ,t" 1 rl ifN,, , } +p, .iiJ f J 1 ,y ll
POSTED ON KROLL MAP NO.: PERMIT %(•
GUI,LDIN'G+ DEPARTMENT NUMBER'
AppHea,nt Fill
Inside Heavy Lines JOB ADDRESS(
PERMIT ' APPLICATIONr -
NAM (OR NAME OF BUSINESS)
SIDE YARD SETBACK STREET SETBACK REAR YAND SETBACK %J
AIWG AD RE88 0 [ J t., f. •�� n
USE ZONE LOT AREA VACANT SITE ?
CITY > TELEPHONE NUMBER ( �� I ❑ YES .Er —NO'.
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�;7 •1,.� 7: ��j . (' ��f ,fir �Y• 'rv!i,�^ i� �3 HEIGHT I BUILDING ARE' I VARIANCEt NUMBER 0.
mooI
• •NAME
>WA ; r� i_'.,�,:�z �;';r �r ;'c,,� �, tt ;?: r� {.� E�• . PI . {U �. I / PLOT PLAN APPROVED
ADDRESS':
q
i f? �tr _. rr *' / ;'S 1' J "' STREET'R/W , r '
1 EXISTING STREET R/W :t� !'. kT.� DEFICIENCY. IS PROPERTY �t
,l _ TELEPHONE NUMBER +- 's
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CITY �'�•1 .S i4 - n :'ii''� ry '',� rI f• (") C� COMP. PLAN 8T. R/W ' .-..'....FT. L•' FT. '
t i
REMARKS
NAME
4 i 4J �'�'. ��a1t;" t.1., �f•� (..: !� R1 p'f ` u'•, =1f: a t �:) Ci :..� r..a �
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ADDRESS 'd E
6 METER SIZE SERVICE SIZE CLEARANCE CH BY
CITY ` I TELEPHONE NUMBER Y t I J I I Fe
O REMARKS C
STATE LICENSE NUMBER CITY LICENSE NUMBER
TYPE CONNECTION VERIFI P
Legal Description of Property (Show Below or Attach Four Copies) ry r (• W ... I G ,...-:�� °"
PERC. TEST I PERMIT NUMBER pi
REMARKS i
p f:
QFIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
O
YES
SPECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP
❑ YES 2�O .b '
PLAN CHECKED BY
RESIDENTIAL GAS
✓ '/'
NEW LINE REM
AIi a
.NON-RESIDENTIAL SIGN l l
ADD RETAINING
DEMOLISH WALL
ALTER ❑ EXCAVATE
FENCE
OR FILL � .......... Ft.)
❑ REPAIR PRE-INSPMOVE SWIM
ElPOOL
p
NUMBER OF STORIES I NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
RECEIVED
Valuation Fee Receipt No. '
x AUG 1 7 1973 Plan Check No ........ '
A POSED USZ.
OXi ` � , BUILDING Q 57 , ,J 7 —0
O PLAN ( fc a ,Bulldln8 setbacks, abutting streets) PLUMBING
r J•�
4 4 C, t c)
b �•-T- �� HEAT 8c GAS LINE T.
{ I �..�..�,.� �..�..-.. .. FENCE a
SIGN
`^� �^ ►'� I RETAINING WALL —
SWIMMING POOL —
/ - -•,� DEMOLITION
PRE -MOVE: INSPECTION .—I