750318.pdfSHOULD BE CODED 31.04,
WSIGN
17C) ADD ❑
❑ RETAINING
`L"- WALL
REMARKS
) 2
P RMI PERMIT 750318
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BUILDING DEPARTMENT ZONE
ENT Applicant FtLL
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❑
PERMIT APPLICATION Inside Heavy Lines A �� 0 _ 88
ADDRESS
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❑ ORFILL
NAME (OR (`t\AME OF BUSINESS)
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�Q LOT COVERAGE LOT COVF.�AGE
❑ REPAIR PRE -MOVE
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PERMISSIBLE HEIGHT ItOP08ED HEIGHT
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CITY
ACTUAL LOT AREA TOTAL 111,130, AREA
T� E ONE UMBlull
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DWELLING
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CD M OMD S
REQUIRED YARDS PROPOSED YAI[UN
NATURE OF WORK TO BE PONE��j� � �
NAME FItO N' NIUE REAR FRONT HIDE REAR
Valuation
Fee _
Recelpl No.
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LEGAL CoT VAlt ANCE Olt CONDITIONAL USE
ADDRESS YES 0 NO PERMIT NUMBER
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PLANNING DEPT. APPROVAL ' ` DAT.'.: I
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CITY TELEPHONE NUMBER rJ
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STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
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PLOT PLAN (Indicate Building setback.• abutting street.)
CHECKED BY
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
SIZE
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REMARKS
SIGN
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Legal Description of Properly (8how Below or Attach Your COPles)
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TYPE CONNECTION VERIFIED BY
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PERC. TEST PERMIT NUMBER
BNIMESIN6 POOL
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DEMOLITION
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REMARKS /
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FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
YES I] NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
GAS[j YES E] NO
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RESIDENTIAL ❑ LINE PLAN CHECKED BY
El NEN THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL ❑ OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04,
WSIGN
17C) ADD ❑
❑ RETAINING
`L"- WALL
REMARKS
) 2
DEMOLISH
ALL �dtL 1�
/ V/! C t 7% /
ALTER
❑
Gev /
(ENC...........Ft.)
❑ ORFILL
❑ REPAIR PRE -MOVE
POOL
❑ POOL
INSP.
NUMBER OF STORIES NUMBEK OF
DWELLING
I
UNITS
NATURE OF WORK TO BE PONE��j� � �
Valuation
Fee _
Recelpl No.
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fN�r/�I✓� I��S(vT 1 V• 1 1
Ilan Check NO .....................
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BUILDING
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4 PROPOSED U13E
PLUMBING
PLOT PLAN (Indicate Building setback.• abutting street.)
HEAT A CAS LINE
-
FENCE
-
SIGN
RETAINING WALL
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—
BNIMESIN6 POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT UDE
I hereby acknowledge that 1 have read this application; that the m-
formation given Is correct; and that I am the owner, or the duly author.
ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL
.
lating construction; and In doing the work authorized thereby, no person
,
Will 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's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THF-,
WORK NOTED
uty: and fees are paid, and receipt Is Be -
.hall be completed In ninety days; MOVED -IN BUILDINGS ensu be coin.
knowledged in space provided.
'
pleted in .ix months.)
SIGNATURE (OWNER DATE 816NEU5'
INSPECTION
DIREC'j'ORa1G
DEPARTMENT
7
�11/y,Vt
CITY OF
NOTE: Applicant Subject Plat Check Fre
NION
EDIISOND3
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k
to
7 5
Till. Pe alit c ork to Iw done an private property ONLY.
Any construct[ a nn 111. public domain (Curb.. SideN'alks, drh'awaY.,
margaee., etc.) will require Separate Perinlsslon,
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