740200.pdfBUILDING DEPARTMENT
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PERMIT 740200
Applicant Fill
PERMIT APPLICATION
amide Heavy Lines
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NAME (OR NAME OF HUBINESS)
ADDRESS_ 819 E I m Way
iIack C. PoweI I
PERMISSIBLE
IAT COVERAGE
ACTUAL
M ILLNG ADDREBs
LOT COVERAGE
819 E 1 m Way
PERMISSIBLE HEIGHT
PROPOSED HEIGHT
CITY
T PHONE NUMBB:R
ACTUAL LOT AREA
TOTAL BLDG. AREA
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Edmonds, Washington
NAME
REQUIRED YARDS PROPOSED YARDS
FRONT BIDE
HEAR FRONT BIDE REAR
F
U
ADDRESS
VARIANCE OR CcNDITIONAL USE
YES Lam❑
[I NO PERMIT
NUMBER
01TY
TELEPHONE NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET R/W
NAME
EXISTING STREET R/W
............FT. DEFICIENCY THIS PROPERTY
q
COMP. PLAN ST. R/W
............FT. ............FT.
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ADDRESS
REMARKS
L�`1
,
W
D
CHECKEBY
ty
CITY
TELEPHONE NUMBER
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UMETER
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
eILE
SERVICE
7,213
CLEARANCE
CHECKED BY
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REMARKS
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Legal Description Of Property (Show Below or Attach Four CODIee)
TYPE CONNECTION
VERIFIED HY
Lot #5, Powell Addition
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PERO. TEST
PERMIT NUMBER
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I
a
REMARKS
Wm
a
1
14
"1
FIRE ZONE I TYPE OF CONSTRUCTION STREET ILIPROVED
YES [] NO
SPECIAL INSPECTOR REQUIRED
GROUP
NEW
RESIDENTIAL
❑ LINE
0 YES C] NO
(OCCUPANCY
No
SIGN
PLAN CRECKED BY
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
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ADD RETAINING
DEMOLISH WALL
_9E—MARKS
SHOULDB OD D at na
ElALTER EXCAVATE FENCE
❑ OR FILL ❑ f..........z..........PLO
CAMP
IANCE INSPECTION
REPAIR PRE-MOVE swi
.
❑ INSP. POOL
NUMBER OF BTORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO HE DONE
COMPLIANCE INSPECTION
Plea Check No.....................
Vnl-Alon
I
Fee
Recelpt No.
(i
BUILDING
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PROPOSE, USE
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PLUMBING
a
PLOT PLAN (Indicate Building setbacks, abutting street.)
b
HEAT d: GAS LINE
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PENCE
SIGN
RETAINING WALL
i
SWIMMING POOL
DEMOLITION
'
PRE-MOVE INSPECTION
EXCAVATION OR FILL
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COMD. InsD.
25.00
hereby acknowledge that I have read this application; that the 1n-
TOTAL AMOUNT DILE
g
25.00 �%7s7
formation
ion given Is correct; and that I am s owner, or the duly author•
W
lred agent of the owner. I agree to comply with city and stats laws "Cu.
Latins constfuctloa) and to doing the work authorized thereby,
ATTENTION
APPLICATION APPROVAL
no person
will be employed to violation of the Labor Code of the stale at Wsshlaston
militias to Workmen's Compensation Iruurmoe.
THIS PERMIT
This application is not a permit Until
Permit Limit One Yeae
AUTHORIZES
ONLY TILE
signed by the Building Official or his Dep-
.hall -IN(Ex13t LDINGSDEMOLbell which
6e completed In mnely days; MOVED-IN 17DILD[NOB shall be mm•
WORK NOTED
Uty; and fees are paid, and receipt Is ac-
Plete
Dieted In six mooch..)
knowled sed in space provided.
SIGNATURE (OWNER GR AGENT)
DATE SIGNED
INSPECTION
Commercial Mortgage Corp.
4-19-74
DEPARTMENT
D TOR'B NA T
CITY OF
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
DATE
This Permit coven work to be done on private property ONLY.
PR 4-1107
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Any eonatnlrlinn on We public domain (curbs, eldewalks, driveways,