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740453.pdfPlan Check Na ..................... 1 Z �11 t %� — .� � + D YES [I NO PROPOSED USE PLUMBING SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP NEW ADD RESIDENTIAL No DEMOLISH F]SGN LINE B RETAINING WALL ❑PLAN CHGCKEtODYO REMARKS PERMIT 740453 BUILDING DEPARTMENT Applicant Fill ZUSE ONE O REPAIR PERMIT APPLICATION Ineldo Heavy Linos JOB (UMBER OF STORIES NUMBER OF BION ADDRESS � _K/ IW RETAINING WALL DWELLING NAASE yyyBBB7RR{ NAME O BUs1N H) PERMISSIBLE 7 ACTUAL LOT COVERAGE LOT COVERAGE E p) -MAILI 6 ADDRESS ��, PEItS11ddIBLE HEIGHT PROPOSED HEfOHT C � , JATURE OF W 1 � ` BLDG. AREA O CITY Receipt 2 TELEPHONE NUMBER ACTUAL LOT AREA TOTAL EXCAVATION OR FILL REQUIRED YARDS PROPOSED YARDS NAME FRONT e1DE REAR FRONT 3IIE REAR TOTAL AMOUNT DUE C-Y� I hereby acknowledge that I have rend this application; that the In. LEGAL LOT VARIANCE OR CONDITIONAL USE �J kUj ADDAEdB YESNO PERMIT NUMBER ,zedagent of the owner. I agree to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no Dereon PLANNING DEPT. APPROVAL DATE: x•111 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'. Compensation Insurance. CITY signed by the Building Official or his Dep - NUMBER ONLY THE WORK NOTED and fees are paid, and receipt is ac - Dty; p shall be completed In nloety days: MOVED -IN BUILDINGS shall be corn. knOWledged in space provided. plated In six months.) (TELEPHONE STREET li/IV EXI8TIN6 STREET R/W ............FT. DEFICIENCY THIS PROPERTY C DIRE TOR'S JIMNATU i. -':.'.-'-" '• ( ' DEPARTMENT N COMP. PLAN ST. R/W ............FT. ............FT. EDMONDS C NOTE: Applicmti Subject to Plan Check Fee REMARKS O W ns-asas ADSH d^ O f`/'fl�nV.�/-- CHECKED BY Cc � Cl'1' Iy/�t-�/ FILE TELEPHONE NUMBER I I O ( 1 / METER SIZE SERVICE SIZE CLEARANCE CHECKED BY,I .. O STATE LICENSE NUMIDER CITY LICEN NUMBER a REMARKS � G I Legal Description 1 Property (ehow Below or Attach Four Copies) TYPE ONNECTION V FIED BY � i r PERC. TEST PERMIT NUMBE i n W w Itemnaxe m o � r, a FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED Plan Check Na ..................... 1 Z �11 t %� — .� � + D YES [I NO PROPOSED USE PLUMBING SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP NEW ADD RESIDENTIAL No DEMOLISH F]SGN LINE B RETAINING WALL ❑PLAN CHGCKEtODYO REMARKS THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. EJ ALTER ❑ EXAVAT ORCI-ILL E EliENC...........Ft.) O REPAIR ❑ INSPMSOVE ❑ PWITA OOL (UMBER OF STORIES NUMBER OF BION RETAINING WALL DWELLING N UNITS SWIMMING POOL JATURE OF W 1 DE ONE Valuation Fee Receipt 2 EXCAVATION OR FILL Plan Check Na ..................... 1 Z �11 t %� — .� � + BUILDING PROPOSED USE PLUMBING O PLOT PLAN (Indicate 8ulltlmg eelbaeka, abutting elrccla) BEAT A CAH LINE O PENCE BION RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE C-Y� I hereby acknowledge that I have rend this application; that the In. �J fonnnNm on given le correct; and that I athe owner, or the duly mthor. ,zedagent of the owner. I agree to comply with city and state law. regu- ATTENTION APPLICATION APPROVAL lating construction; and In doing the work authorized thereby, no Dereon x•111 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'. Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit Limit One Year (Except DEMOLITIUNH which ONLY THE WORK NOTED and fees are paid, and receipt is ac - Dty; p shall be completed In nloety days: MOVED -IN BUILDINGS shall be corn. knOWledged in space provided. plated In six months.) SIGNATURE (OW NEII i AGENT) DATE SIGNED INSPECTION DIRE TOR'S JIMNATU i. -':.'.-'-" '• ( ' DEPARTMENT CITY OF EDMONDS DATE NOTE: Applicmti Subject to Plan Check Fee — ns-asas This PernllLcoven work to be done on private property ONLY. Any const rust i nn on the public domain (enrbn, old—Mlin, driveways. FILE ,rl:i ••v. tv.� .,III r•ilnlrc •rparnlr prrou+cion.