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BUILDING DEPARTMENT Applicant FW
UItE PERMIT i
Z°hTE�G-j ' NUMBER
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PERMIT APPLICATION Insure Heavy Linos
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ADDR/al�/�'' J
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NAME (OR NAME OF BUSINESS)
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PF.Ith1ItlSIDLE na �YJ��/ ACTUAL ,y.�
IAT COVERAOF "�'�}-1 LOT COVESYAGE r% '2, ✓ /..,
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AD IIiBB ,,. ll--"
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PERA11deIIILE HE]°i`I'Tr ✓ PROP08ED IIEIOHT/\• GLJ Z
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CITY
TELEPHONE NUMBk:ROi2
ACTUAL LOT AREA o TOTS♦II,, AL $Ep,O x
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O y, PROPOId1ED YARD
REQVIRED YAItOd
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NAME
FRONT BIDE REAR FRONT WIDE RE R
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L£GAl. I.OT ARIAF: OR CO toNAL USE
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.YES NO ERhSIT NUMBER
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CITY
TELEPHONE NUMBER�'
^11yIATE.-
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8 ET R/W
R//nF�'C DEFICIENCY/`T\HIS PROPERTY Z
EXISTING STREET
NAME
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COMP. PLAN ST. R/1A... ..`.'. ....*--�••FT• W
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aEMwRKD Driveway slopes not to exceed those o
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ds
_4,eXl,faxiS�lt^ndard 11t g No i0a — w
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CHECKED BY
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CITY
NUMBER
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METER SlLE SERVICE SIZE CLEARANCE
CMECKED AY
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
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REMAlUCS 'J �
Legal Description of Property (Show Below Or Attach Four Copies)
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TYPE CONNECTION
VERIFIE/D BY
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PERC. TEST
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PEAMI NUhIBER ¢,
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REMARKS
FIRE ZONE TYPE OF CONSTRUCTION / STREET IMPROVED
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SPECIAL INSPECTORREQUIRED OCCUPANCY GROUP
YES
❑ RESIDENTIAL GAS
❑ LINE
NEW
❑NON-RESIDENTIAL
❑
PLAN CHE KE nY THIS SITE IS LOCATED IN THE CITY
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{� OF EDMUNDS. LOCAL SALES TAX
❑ dtaN
RETAINING
❑ ADDRETAINING
�i�'�j/J/J✓Lc�� SHOULD BE CODED -31.04.
'MAR
1:1 DEMOLISH ...E]
EXCAVATE FENCE
❑
�3 �� (ii/t is/,��ir G TK/J1 c—P�i/� c: 9 7, 3
ALTER
❑ OR FILL ❑ (..........x..........Ft.)
❑ REPAIR ❑ PRE -MOVE ❑ SWIM
INSP. POOL
/�/.7`J L.C-/ /// L, !/ J /i✓L_C//�%J
NUMBER OF STORIES NUMBER OF
DWELLING
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UNITS
NATURE OF WORK TO BE DONE
Vnluallan
Fee Receipt No,
Plan Check No .....................
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BUILDING
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PROPOSED
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PLUMBING
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PLOT PLAN (Indicate Building setbacks, abutting attests)
HEAT A CAB LINE
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FENCE
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SIGN
RETAINING WALL
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SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledse that I have read this application; that the In-
tormatlan given Is correct; and that I am the owner, or the duly author-
Ised ¢gent of the owner. I agree to comply with city and elate laws regu-
ATTENTION
APPLICATION APPROVAL
toting construction; and In doing the work authorised thereby, no person
x•111 be employed In violation of the Labor Code of the Slate of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
eigned by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORE NOTED
uty; and fees are paid, and receipt is ac
shall be completed In ninety days; MOVEDdN BUILDINGS shall he cons-
knowledged in space provided.
plated In six months.)
SIGNATURE (OWNER OR NTDATE DIGNED
INSPECTION
DEPARTMENT
]RF S 8 NATURE
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A ..y�c� .('4'{"7
CITY OF'�1.
EDMOND3
D TE
75
NOTE: Applicant Subject to Platt Check Fee
775-2525
—A—�
Thls Permit c rs work to be done on privala property ONLY,
Any construction on the public domain (curb., .Idewalke, drNeways,
FII
marquees, rte.) will reyulre separate permission.
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BUILDING DEPARTMENT Applicant Fill
USE r"^ PERMIT 5O
ZOOS : --' ' xu InER
Inside Heavy Linos
PERMIT APPLICATI®PI
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ADDRESS
AD n/ )�� }/y ( ///` JI
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NAME (OR NAME OF BUBINEBB)
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PERMISSIBLE ^'s •..c7 ACTUAL
IAT COVERAGE �--��/ LOT COVESTAOE `J
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PERfif IdSIBLE HEI°IIT 1 PROPOSED HEIGHT
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TELEPHONE NUMBER
TOTAL SL 6. AREA p:
ACTUAL LOT AREA "�j�
CITY
A:s�UI.A ARe D• S
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ofif DrYAROB� REAR
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NAME
FRONT BIDE REAR F/RON BIDE
EGAL LOT ' VARIAN OR CO 'DUVAONAI,
51ERMIT NUMBER 1
W ADDRESS
YE9 D,NO
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PL TiN2A OF. .APP OV R1•. ;•' ;DATE /
CITY
TELEPHONE NUMBER
R/W
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STREET ..Ii���
EXISTING STREET R/;1:.:.,.•^`,{x'r. / DEFICIENCY PROPERTY
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NAME
CHIS
COMP PLAN ST R/W'/in 1'` •'--,J•FT• _
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REMARKS Drivewav slopes not tc exceed those
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ii Sli,tii�-%rT/,nn�t n(I^n(i Tll a N 7(14
CHECKED BY
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CITY
TELEPHONE NUMBER
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METER SIZE SERVICE SIZE
CLEARANCE
CHECKED BY
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STATE LICENSE NUMBER
I CITY LICENSE NUMBER
REMARKS
Legal Description of Property (Show Below, or Attach Four Caples)
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TYPE CONNECTION VERIFIED BY
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PERC. TESTPERDSIT�NUMBER
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REMARKSw
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�V � �tl j-�-'(✓i lwYl 47: �-'N�fb r'I -1�1(••l'a ��'14
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FIRE ZONE TYPE OF CONSTTRRUCTION STREET IMPROVED
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SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
YES
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RESIDENTIALI
GA9
EJ LINE
❑ c.No-
PLAN CHECKED, BY
SITE IS LOCATED IN THE CITY
E NEw
THIS
'1 /•' OF EDMONDS. LOCAL SALES TAX
NON-RESIDENTIAL
SIGN
)%�� j{ �� / ;/ z't+� SHOULD BE CODED 31.04.
❑ ADD ❑ RETAINING
WAIT'
IjEDIARK, /
❑ DEMOLISH
FENCE
F1ALTER
/-1 i I _ %/iS/ ,F'.i/ T/✓ 'J I'�/' : l�li (� / y l t i
❑ EXCAVATE
OR FILL (........ _........... Ft.)
❑ REPAIR ❑ PRE -MOVE ❑ swIfii
INSP. POOL
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NUMBER OF STORIES NUMSER OF
D\VF.LLIN6
I
UNITS
NATURE OF WORK TO BE DONE
Valuation
Fee
Rresipt No.
Plan Check No .....................
BUILDING
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Y
PROPOSED USE
PLUMBING
V
PLOT PLAN (Indlcala HUIIJln6 eetbucks, ebutting Streets)
HEAT do GAS LINE
FENCE
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BION
RETAINING WALL
—
NI
eWIMMIN6 POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
'
TOTAL AMOUNT DUE
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I hereby flckpowledga that I have read this application; that the In.
_
formation given Is correct; and that I ana the owner, or the duly author-
tied agent of the owner, I agree to comply With city and state lawn regu-
ATTENTION
APPLICATION APPROVAL
,
lating construction; and in doing the work authorized thereby, no person
and
Will be employed In of the Labor Code of the Slate of Weshington
THIS I•EI[M1T
This application Is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZER
algned by the Building Official OT his Dep
Permit Limit One Year (Except DEMOLITIONS Which
ONLY THE
WORK NOTED
uty; and feed are paid, and receipt is ac
Shall be completed in ninety deyn; MOVED -IN BUILDINGS Shall be corn•
knowledged in space provided.
-
Dlctcd in etx months.)
SIGNATURE (OWNER OH AGE T)
DATE SIGNED
INSPECTION
DEPARTMENT
D AEC OR'B SIGNATURE
I
CITY OF
EDMONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
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775-2525
This Permit covers Wark to be done an Prlvote Property ONLY.
Any construction on the public domain (,.,be, sldewNlts, driveways,
INSPECTOR
marquree, etc.) WUl require separate permlesbn.
LEGAL DP•.SCRIYTION: I
Section 25, Tap 27 N, Iing 3 EWWy; II, Beginning at SE corner of the Nof Mp,£; I
thence !Wort 247.5 ft., thence north 105 ft; thence ;:a^t 247.5 ft; thence
South 105 ft to TIIGB; Ixcl)YP the terly 150 ft thereof (*) and LESIi the South
7.5 feet and the hast 10 feet (for streets), and also Lsyss the following I
described parcel: Co!,,!encing at the SL corner a-
id subdivision; thence West10 feet; thence North 5 fact to T',.'OB; thence continuing Ifo.rth 5 feet; thence
3Wly to 1.oint which, is 6 feet- aest from TIOB; thence -last 6 feet to TPOB. i
(*Of thio mentioned Westgrly 150 feet the Easterly 60 feet is the portion of
property which the seller is retaining and currently has listed for sale)
*�•+r•t••x• i
Seller.currencly has a uub-surface mineral lease which, if sale is concluded,;'`
will be assigned to purchasers in ins)rument of property conveyance (if this
is the manner prescribed by . Closer. and Title Company)
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LEGAL DP•.SCRIYTION: I
Section 25, Tap 27 N, Iing 3 EWWy; II, Beginning at SE corner of the Nof Mp,£; I
thence !Wort 247.5 ft., thence north 105 ft; thence ;:a^t 247.5 ft; thence
South 105 ft to TIIGB; Ixcl)YP the terly 150 ft thereof (*) and LESIi the South
7.5 feet and the hast 10 feet (for streets), and also Lsyss the following I
described parcel: Co!,,!encing at the SL corner a-
id subdivision; thence West10 feet; thence North 5 fact to T',.'OB; thence continuing Ifo.rth 5 feet; thence
3Wly to 1.oint which, is 6 feet- aest from TIOB; thence -last 6 feet to TPOB. i
(*Of thio mentioned Westgrly 150 feet the Easterly 60 feet is the portion of
property which the seller is retaining and currently has listed for sale)
*�•+r•t••x• i
Seller.currencly has a uub-surface mineral lease which, if sale is concluded,;'`
will be assigned to purchasers in ins)rument of property conveyance (if this
is the manner prescribed by . Closer. and Title Company)
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_ „� In�SPECTlO�