750296.pdfMAKE REMITTANCES PAYABLE T(
LE V Y
' DDE RATE .'
A S S E SSE D VALUATION
LAND - BUILDINGS ` TOTAL
GENERAL SPECIAL`
a d l
1974
BE DISTRIBUTED !O THE FOLLOV,'ING TAX DISTRICTS:
REAL ESTATE TAX STATEMENT f
STATE -
COUNTY - CIIY OR ROAD.tl6 SCHOOL DISTRICT.:..
PORT DISTRICT . _ OTHER.'
; : '.
SNOHOMISH COUNTY, STATE OF WASHINGTON
- OF ALL STATE, COUNTY. MUNICIPAL
SCHOOL AND ROAD TAXES -- -
LE V Y
' DDE RATE .'
A S S E SSE D VALUATION
LAND - BUILDINGS ` TOTAL
GENERAL SPECIAL`
-AX DOLLARS WILL
BE DISTRIBUTED !O THE FOLLOV,'ING TAX DISTRICTS:
STATE -
COUNTY - CIIY OR ROAD.tl6 SCHOOL DISTRICT.:..
PORT DISTRICT . _ OTHER.'
; : '.
ARE DISTRICT
HOSPITAL
WATE0.-
SEW R
FOREST FIRE
DIKE NO.
DRAIN NO.
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BUILDING DEPARTMENTI AppllcantFlll
zolErE
PERMIT APPLICATION Inside Heavy Lines
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PING UEPT. APPROVAL DATE:
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS /
CHECKED SY
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-[ 41 / i l [U J• ° - ULl-
Plan Cheek No. ....................
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RESIDENTIAL
NON-RESIDENTIAL
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GAS
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SIGN
PLAN II
CHECK THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
H^O 6E CO/.�DE�D 31.04.
4 PROPOSED UBE
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ADD
ALTER
DEMOLISH
RFILL EXCAVATE
❑ OR
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ILD
ARKS
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SWIM
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J IN17. OF STORIES NUMBER OF
2 !.! DWELLING
UNITS
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1 TURF OF Call TO BE DONE
Valuation
Fee
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All AI f 7 h 7 Yv .� y ,�
RETAINING WALL
-[ 41 / i l [U J• ° - ULl-
Plan Cheek No. ....................
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BUILDING
4 PROPOSED UBE
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PLUMBING
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PLOT PLAN (Indicate Building setbacks, abutting streets)^r
HEAT A GAS LINE
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PENCE
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SIGN
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All AI f 7 h 7 Yv .� y ,�
RETAINING WALL
11
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IBWIMMIN6
POOL
DEMOLITION
PRF. -MOVE INSPECTION
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EXCAVATION OR FILL
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TOTAL AMOUNT DUE
1 hereby acknowledge that I have read this application; that Ne In.
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formation given Is correct; and that I am the owner. or the duly author -
Iced agent of the owner. I agree to comply with City and elate laws regu-
ATTENTION
APPLICATION APPROVAL
Is Ing construction; and In doing the work authorized thereby, no person
will 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
signed by the Building Official or his Dep-
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NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
Lx 11
.hall be completed In ninety day.; MOVED -IN BUILDINGS shall be Com-
knowledged in space provided.
pleted In Ills ...the.)
-
� DATE SIGNED
SIiNATURE (OWNER C"GENT
INSPECTION
B BIGNAT RE
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DEPARTMENT
IT
I .L Y' —� h•
CITY OF
EDMONDS
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NOTE: Applicant Subject to Plan Check Fee
775-2525
Tale Permit torero work to be tlone on private property, ONLY.
,
Any eonslracllnn on the Public domain (curbs. sidewalks. driveways.
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RECORD OF INSPECTIONS
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Plumbing (Partial)
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Frame
Furnace &Fuel Lines
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