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Recording Fee
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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PERMIT APPLICATION: 100 DAYS
Engr. Review
City Surcharge
PEAMITUM I YEAR -PROVIDED WORK IS STARTISID WITHIN IGODAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLI ANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO I DEMNIFY, DEFEND AND HOLD HAn.L... ..a It. I —
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AMD
Fire Review
Receipt #
IALL CLAIMS PC DAMAGES OF WHATEVER NATURE, ARISING DIFIECRY OR INDIRECTLY
FROM THE ISSUA CE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODINX WAIVE OR REDUCE ANY REOUIREMENT OF MY CITY ORDINANCE
Fire inspection
TotalAnnounlDue
0 NOR LIMIT IN ANYWAY THE CITY$ ABILITY TO ENFORCE A ORDINANCE PROVISION. -
Landscape Insp.
Receipt#
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN 19 CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I REE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTAUC.
CALL
This application Is not a permit until signed by the,
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, N PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO
ORKMENS COMPENSATION INSURANCEAND OW 10,27,
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74 11-21,11 RELEASED BY
ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221 —T, 449L,
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI�
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
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IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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GEORGE AND FAROL GOLDEN
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DECK 18401 HIGH STREET
EDMONDS WA 98020
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DRIVEWAY DECK P I H. 425-771-8036
TAX LOT NO. 5656 001018 0103
LEGAL: LOT 1 OF SHORT PLAT REC.
#18401 UNDER REC. NO. 8001170161
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PLOT PLAN
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AREA OF REVISION:
b -ADD WINDOWS AND DOORS TO OPENINGS IN
EXISTING PORCH
zor *REVISE PORCH LANDING
-REVISE PORCH STAIRS
SEMACKS*_______— NOTE: FOOTPRINT OF STRUCTURE DOES NOT ENLARGE
PPROVED BY P,
FRONT RIECMVED ALSO, LOWER LANDING MEETS 30- MAX HT. R EQ.
SIDE JAN 2 4 2002
-r7TV COPY
OTHER—-— BUILg�NG DEPT
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MEMORANDUM
Date* 3/20/03
To: Debbie Karber, Accounting Assistant
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From: Marie Harrison
Subject: REFUND
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Debbie, please prepare a refund check in the amount of $180.00. The applicant deleted portions
ofthe project creating a permit refund. The permit #2002-0216 was issued 3/25/02. Please mail
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the check to David Getts Designer, 7 S Bellflower Road, Bothell, WA 98012. 1 have enclosed a
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C opy of our receipt #19358 for your records. Thankyou.
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Sincerely,
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Marie 11 arrison
Development Services Division Manager'9C�Wature
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