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CITY of EDMON DS --- PUBLIC WORKS DEPARTMENT
1
Routing of Building Permit Applications �.
Proposed Property Address of Application: 203 Bell Street
DEPARTMENT
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COMMENTS
DATE
W A T E R
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BUILDING DEPARTMENT
Applicant Fill
NUMBER
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PERMIT APPLICATION
Inside Heavy LinesJOB
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NAME )OR NAME OF BUSINESS)
ADDRESS /'� r�
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Mariner Associates
LEGAL LOT
LOT AREA
SUBDIVISION NO.
W MAILING ADDRESS
-775 �5415
❑YES El NO
P.O.Box 1171
VARIANCE OR
ADS NO.
0
COND. USE NO.
,
CITY
TELEPHONE NUMBER
0
Lynnwood, Fla 98036
774-0205
PROPOSED YARDS
HEIGHT Z
NAME
FRONT
SIDE
REAR Z
Q
'
ALLOWABLE
PROPOSED J
U
SIGN AREA
SIGN AREA
a
W ADDRESS
f
OTHER
_
REQUIREMENTS
U
E CITY
TELEPHONE NUMBER
Q
PLANNING DEPT. APPROVAL
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DATE
NAME
STREET R/W
E
EXISTING STREET R/W
FT. DEFICIENCY THIS PROPERTY
0 ADDRESS
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COMP. PLAN 5T. R/W
FT.
FT.
U
Q
ICITY
TELEPHONE NUMBER
REMARKS
l7
Z
-
H
01
U STATE LICENSE NUMBER
CITY LICENSE NUMBER
W
CHECKED BY W
Legal Description of Property (Show Below or Attach Four Copies)
STREET AND/OR UTILITY ❑ YES W
WORK REQ'D ❑ NO
UNDERGROUND ❑ YES
Z
0
Lots 10, 11, and 12,
Block 81
WIRING REQ'D ❑ NO
I-
TYPE CONNECTION VERIFIED BY
a
U
Plat of Edmonds
0
YES PERMIT NUMBER W
W
SEPTIC SYSTEM
D
APPVD BY CITY ENG, ❑ NO W
J
Q
1!1
REMARKS
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W
1'13z1aQUI (z �♦.�" S
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METER SIZE SIZE CLEARANCE CHECKED BY
JSERVICE
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W
F
REMARKS \ ACM J=V 1, , 1♦ 3
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NEW RESIDENTIAL
❑
❑ GAS
LINE
FIRE TYPE O�NSTRUCTION CODE .
NON-RESIDENTIAL
❑ ADD
SIGN
DEMOLISH
Lbz
RETAINING
WALL
SPECIAL INSPECTOR OCCUPANCY OCCUPANT
REQUIRED GRO P LOAD
❑ ALTER ❑ ORFILL
❑ FENCE X—�)
JAREA
YES
PLAN ED BY
CHECKED THIS SITE IS LOC TEN THE CITY W
❑ PRE -MOVE
REPAIR
INSP.
SWIM
Q POOL
OF EDMONDS. LOCAL SALES TAX 0
SHOULD BE CODED 31,04,t7
NUZ_
ER FSTOE $NUMBER OF//��-�
DWELLING
I V
REMARKS �,�:.I
J
�D,vY CJ 1�--' L.aV��. �� 0
UNITS
7
N RE O WORK O BE DONE-
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W,
PROPOSED USE
VALUATION FEE
Z
PLAN CHECK --
0
NO.
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PLOT PLAN INDICATE BUILDING SETBACKS, .
ABUTTING STREETS)
BUILDING
U
0
W
PLUMBING
0
m
0
HEAT & GAS LINE
�o
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
APPLICATION
The Cityof Edmonds for
SIDE SEWER PERMIT
NEW CONSTRUCTION C] REPAIRS E] EASEMENT No ...........................................
113-02400
owNER..........Robert..Bex_rJ/--------------------------------------------------------------------
ADDRESS .....21U Znd... Aye .e...N.'.............................................................
0
CONTRACTOR.................................................................................................. PERMIT No..................
LEGAL DESCRIPTION: LOT No ............................................... BLOCK No.............................................
NAMEOF ADDITION.............................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By......................................................................