22014 98TH PL W.pdfPOSTED ON KROLL MAP NO-'- PERMIT
BUILDING DEPARTMENT Applicant Fill NUMBER 690113
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U'L D I NG
FPERMIT I APPLICATION
NAME (OR NAME OF BUSINESS)
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LING ADDRESS
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MAILI 4 C;L
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C LTY T"LAPHONE NUMBER YE13 0
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NAME
PLOT P ROVED
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JUD-RESS
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rTRTTNCI STREET R/W ........... FT. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. RIW ............ FT. ... ........ 3".
0
CITY TE—LEPHONE N U M R R
REMARKS
NAME
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X-D-DRESS
V�HNICXIR BY
CITY
TELEPHONE NUMBER
METER 8
CE
CHECKED BY
STATE LICENSE NUMBER
CITY LICENSE RUWBER
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REMARKS
Legal Description of Property (Show Below or AttacV, F our Copies)
4/07— 9
TYPE CONNECTION
VERIFIED BY
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PERC. TEST
PE RMIT NUMBER
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REMARKS
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FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
[3 YES E3 NO
SPECIAL INSPECTOR REQUIRED
OCCUPANCY GROUP
13 YES 0 NO
Ej GAS
RESIDENTU LINE
R NEW NON -RESIDE TIAL SIGN
RETAINING
ElDEMOLISH WALL
ElALTER EXCAVATE FENCE
F-1 OR FILL D ( .......... x .......... Ft.)
PLAN CHECKED BY
REMARKS
REPAIR PRE -MOVE swim
INSP. POOL
NUMBER OF
DWELLING
UNITS
-WA-TURE OF WORK TO BE DONE
R,0�t -rl 0 CO gV,!;:-A=_
Valuation
Fee
Receipt No.
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Plan Check No ..................
Uns;
BUILDING
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A
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PLOT PLAN (Indl
'Ito
a Building setbacks, abutting streets)
to I
Its
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4
HEAT & GAS LINE
PENCE
1
SIGN
RETAINING WALL
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SWIMMING POOL
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DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
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I hereby acknowledge that I have read this application; that the In-
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-
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
ATTENTION
THIS PERMIT
APPLICATION APPR
This application Is not a pern'dt until
relating to Workmen'o Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed in ninety days; MOVED -IN BUILDINGS almll be com-
AUTHORIZES
ONLY THE
WORK NOTED
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
pleted in six months.)
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-ILI07
DIRECTOR-S BIG ATURE
DATE
.7
SIGN URE (OWNER OR AG
7T T)
DATE IUNED
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (carbe, sidewalks, driveways,
marquees, etc.) will require separate Permission -
FILE
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