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750000.pdfuRESIDENTIAL CAS L] YES ErNO ❑ NEW LINE 1 THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN zz� r nDD DEMOLISH WALL ANG BUILDING DEPARTMENT USE PERMIT 750000 Applicant Flu r• PERMIT APPLICATION Inside Ileavy Lines d06 �7 / / / / n �a/C: REPAIR ❑ INSP. POOL ADDR ESS n O d'(/ ij QN S 4r� 4: �ILv- NAME (OR NAME OF BUSINESS) (l� NUMBER OF STORIES NUMBER OF --/r ��/G Jy/✓.i011 .11 LF o LOT COVERAGE (-•� ACTUAL JJ LOT COVERAGE MAILING ADDRESS D O , NATURE OF WORK TO BE DONE PEILNIISSIBLE HEIGHT PROPOSED EIGHT Valuation Fee Receipt No. SPCyc� Frog To Plan Cheek Nn............_....._ ° CITY r TELEPHONE NUMBER ACTUAL/06Q TOTALHLZDGA L PROPOSED USE l Q/ REQUIRED YARDS PROPOSED YARDS a' NAME FRONT SIDE REAR FRONT BIDE REAR PLOT PLAN (Indicate Building 9elbacks, abutting streets) HEAT & GAS LINE 0 77— WA LEGAL LOT VARIANCE O CON IONAL UBE FENCE !y D1� q YES 0 NO PERMIT NUMBER SIGN PLANNING E ., ROVAI. /� 'j ATE: C —F TELEPHONE NUMBER L D SWIMMING POOL 1/7/ STREET R/{ DEMOLITION / O EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY Z NAME C J / COMP. PLAN ST. R/W ............FT. ............FT. W (/i / AS�A�G 4v C REMARKS L C ADDRES13O APPLICATION APPROVAL lating construction; and In doing the work allthorixed thereby, no person will be employed In violation of the Lobar Code of the Stale of Washington Z This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES CHECKED BY --' NOTE: Permit Limit One Yea (Except DEMOI.ITIONN which ONLY THE µ'OMC NOTED TELEPHONE NUMBER .--� .hall be compl led In nln t bye; a OV D•IN BUILDINGS shall be com- know ged in space provided. F '•� vleled m elg antne. /7 '/l �/ -/G ^ d1GNAT t W •1 O A DATE Sl NEC O d4l / /7�I METER SIZE """VICE SIZE CLEARANCE DEPARTMENT CHECKED BY STATELICENSE N�-ULAS-D7ER CITY LICENSE UMBER I CITY OF C EDhfOND$ % 22 J Gl L J NOTE: Applicant Subject to Plan Check Fee 775-2525 l / Legal Description of Properly (Show Below or Attach Four Copies) REMARHB � (/ i p / G t p goo /, Il 0/— .J TYPE CONNECTION VERIFIED BY III r lulu .pmol.. .......... FILE 1E110. TESTPERMIT \/y NUMB � 711.3 /gG %•O a REMARKS r4 I2U. %/! u/eo / T11N/6�Y/ j7_ //.S/- //y FIRE ZONE I TYPE OF CONSTRUCT"N I STREE MPROVED I uRESIDENTIAL CAS L] YES ErNO ❑ NEW LINE 1 THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN zz� OF EDMONDS. LOCAL SALES TAX H ULD sE CODED 31.04. nDD DEMOLISH WALL ANG ALTER EXCAVATE FENCE r• OR FILL (.....................Ft.)El �7 / / / / n �a/C: REPAIR ❑ INSP. POOL i O d'(/ ij QN S 4r� 4: �ILv- NUMBER OF STORIES NUMBER OF DWELLING / / UMTS NATURE OF WORK TO BE DONE Valuation Fee Receipt No. Frog To Plan Cheek Nn............_....._ , I [°y BUILDING L PROPOSED USE O S 7 4 O PLUMBING O PLOT PLAN (Indicate Building 9elbacks, abutting streets) HEAT & GAS LINE ; 9 ° FENCE ! SIGN RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE J I hereby acknowledge, in ill have read tale applicnllonI that the In- � (O tormatlon given Is correct; and that I — the owner, or the duly author- , )zed agent of the owner. I agree to comply with city and elate laws regu. ATTENTION APPLICATION APPROVAL lating construction; and In doing the work allthorixed thereby, no person will be employed In violation of the Lobar Code of the Stale of Washington TITIN 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 Yea (Except DEMOI.ITIONN which ONLY THE µ'OMC NOTED Uty; and fees are paid, and receipt is So. .--� .hall be compl led In nln t bye; a OV D•IN BUILDINGS shall be com- know ged in space provided. vleled m elg antne. ^ d1GNAT t W •1 O A DATE Sl NEC INSPECTION D C R'8 SIGN DEPARTMENT CITY OF EDhfOND$ A �' NOTE: Applicant Subject to Plan Check Fee 775-2525 or Tail1'rnnit r k to he sone on private property ONLY. Any ro...Lrn....Un ethe public d—aln Irurbs, sidewalks, drlyea'ars, III r lulu .pmol.. .......... FILE