740125.pdfRrRES3DENTIAL
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BUILDING DEPARTMENT Applicant 11 'HE yds - NUMBER 740123
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RrRES3DENTIAL
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BUILDING DEPARTMENT Applicant 11 'HE yds - NUMBER 740123
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APPLICATION Inside Heavy Lines JOB
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O L^o Lj4S S /LE9�1-
BUILDING
PERMIT ADDRESS / OO
THIS SITE IS LOCATED IN THE CITY
NAME (OR NAME OF BUSIANESS)
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SIGN,
N� �^ 4Z/0_V_1 LOT PERSCOVERAOE LO OVAAOE
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C
T' MAILING ADDRE80
PERMISSIBLE HEIGHTPROPOBED HEIGHT
1007 vE _41 P
2/
WALL
WALL
R ARKS
O CIT TELE7PHONE NUMHhR ACTUAL LOT AREA TOTAL BLDG. AREA
( — REQUIRED YARDS PROPOSED YARDS
FRONT BIDE REAR / FRONT BIDE HEAR
DEMOLISH
NAME
q -u S
/>z/I Oi/si c'idcr:ded
Pe'P� d.6 e, 1,9/d
VARIANCE OR CONDITIONAL USE
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14 LE AL LOT
ADDRESS RSf1T NUMBER
F NO PE
pLANN EPI. A i VAL D T
C CITY TELEPHONE. NUMBER
BT ET N/
EXISTING REET R/W ............FTS DEFICIENCY THIS PROPERTY
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COMP. PLAN 8T. R/W ............FT. ............FT.
INSP.
,4Sc,vnE �oA.� -REMARKS
IOat ADDRESS ^y' /
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U �8y/ /'r /tD/LOgfiE /ted CHECKED BY
C3/Ty
TILjEPHONE NUMBER
UNITS
ILIA
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V y
/�Z �� GJV METER BILE SERVICE SIZE CLEARANCE
C 9CCKE'D/ Y
STATE LICENSE NUMBER CITY LICENSE NUMBER
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ZZ �— Q r S �� 02, G I REMARKS
141 SC 3 41 C i&-rz aI "? r- -
Legal Deecrlptioon of Property (Show Below or Attach Four Copies)
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CIF gS "1- T T CONNECTION VERIFIED BY
PRE -MOVE INSPECTION
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pEA0. TEST
PERMIT NUSIH
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W'U'/rN T%'f'C WfoJ III //2- OF
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REMARKS
FIRE ZONE I TYPE OF CONBTRUCTIOP I STREET IMPROVED
RrRES3DENTIAL
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Plan Check No.
A.
LINE
L] YES pyla
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NEW
O L^o Lj4S S /LE9�1-
BUILDING
PLAN HECK B
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
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SIGN,
OF EDMONDS. LOCAL SALES TAX
ADD
El
o
WALL
WALL
R ARKS
t
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DEMOLISH
FENCE
/>z/I Oi/si c'idcr:ded
Pe'P� d.6 e, 1,9/d
HEAT Q OAS LINE•
ALTER EXCAVATE
OR FILL
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(..........z..........Ft.)
21 /77ko
REPAIR PRE -MOVE
swim
FENCE
INSP.
POOL
SIGN
NUMBER OF STORIES NUMBER OF
/ DWELLING
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RETAINING WALL
UNITS
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NATURE OF WORK TO BE DONE
SWIMMING POOL
Valuation
Fee Receipt No.
141 SC 3 41 C i&-rz aI "? r- -
�.5 rrL
DEMOLITION
/
Plan Check No.
1
O L^o Lj4S S /LE9�1-
BUILDING
S /�-7'YI-
PROPOSED USE 1111
PLUMBING
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PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT Q OAS LINE•
21 /77ko
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
I
PRE -MOVE INSPECTION
EXCAVATION OR FILL
AMOUNT DUE
now
I hereby ackledge that I have read thiseDDllentlan; that Lhe fn-
formation given Is correct; and that I am the owner, or the duly author.
tred agent of the owner. I agree to comply with city and state laws rogu_
ATTENTION
APPLICATION APPROVAL
Toting construction; and In doing the work authorized thereby, no person
will be employed In violation of the labor Code of the State of Washington
THIS PERMIT
This application Is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit limit One Year (Ezcept DEMOLITIONS which
ONLY OTE D
WORN NOT
uty; and fees are paid, and receipt is ae-
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shall be completed to ninety days; MOVED-gN HD11.D1N08 .kart he cam-
]Inowledged in apace provided.
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pleted In elz months.)
SIGNATURE (OWNER OR GENT) DATE B ONE D
INSPECTION
DEPARTMENT
gIDAZTE
CITY OFEDMONDS
NOTE: Applicant Subject to Flan Check Fee
PR 8-1107
This Permit Coven work to be time On private property ONLY.
Any eenstrnctlan nn if,, public domain (curbs, nldewalke, drlveways,
FILE
urYucce, elc.) 11111 I.Care sen-.tc perndeelon.
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