Lot 53 Talbot Park Street file11111111111111
14513
17527 TALBOT RD
CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT .; --I*
Routing Routing of Building Permit Applications
Proposed Property Address of Application: 17527 Talbot Road
DEPARTMENT
COMMENTS
DATE
H A T E R
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STREET
S E W E R
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BUILDING
DEPARTMENT COMMENTS .
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B V I L WI-N 6 DEPARTMENT Appueant Fill
PERMIT APPLICATION =I>e><de Heavy >�
UeE ERMIT
ZONE NUMBER
ADDRESS
GB / 75- 7
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NAME (OR NAME OF BUSINESS)
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PERMISSIBLE % ACTUAL qq
LOT COVERAGE LOT COVERAGE
PERMISSIBLE HEIGHT PROPOSED HEIGHT
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CITY
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ACTUAL LOT AREA TOTAL BLDG. AREA
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REQUIRED YARDS PROPOSED YARDS -
FRONT BIDE REAR FRONT BIDE REAR
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NAN 0
LEGAL LOT VARIANCE OR CONDITIONAL USE
❑ YES ❑ NO PERMIT NUMBER
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PLANNING DEPT. APPROVAL DATE:
CITY
TELEPHONE NUMBER
STREET B/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ......._...FT. ........ FT
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NAM E
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REMARKS
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,RESS
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I CHECKED BY
CIT" �/ /' .
. GO�eyor , GU
TELEPHONE NUMBER
NUMEJ(R
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METER SIZE
I
SERVICE SIZE
CLEARANCE,
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CHECKED BY
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
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Legal Description of Property (Show Below or Attach Four' Copies)
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TYPE CONNECTION
VERIFIED BY
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PERC. TEST
PERMIT NUMBER
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REMARKS
-
—
FIRE ZONE
TYPE OF CONSTRUCTION
STREET IMPROVED
I ❑ YES ❑ NO
-
SPECIAL INSPECTOR REQUIRED
❑ YES ❑ NO
(OCCUPANCY GROUP
C
ty�
a
GAS
RESIDENTIAL El LINE
�� NEW �
NON-RESIDENTIAL SIGN
[] ADD RETAINING
ElDEMOLISH WALL
' ] ALTER • ❑ EXCAVATE FENCE
OR FILL ..........Ft.)
C] REPAIRRE-swim
Q INSPMOVE Q POOL
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
NUl\;BER OF STORIES
2
I NUMBER OF
DWELLING
/
UNITS
NATURE OF WORK TO BE DONE `
Plan Check No .....................
Valuation
Fee
RecelPt No.
-
BUILDING_
PLUMBING
HEAT.A GAB LINE
PLOC PLAN (ndlcate Building setbacks, abutting streets)
RECEI 71 t
• PI
AUG v 19r4 I
"
FENCE
-
SIGN
RETAINING WALL
-
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL