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650273.pdfI Permit - fi� WIN - S7 -,:I F Fill "'es PERMIT INUMBER 650273 Lines L JOB J ADD ADDRESS On/ / SIDE Y RD SET BACK REAR YARD 311al USE' ZONE MJJLP NUMBER vAUANT SITE �tBUILDING [3 YES [3 NO Ul I AREA L40T AREA rARIANCE NUMBER HEIGHT HE.IGHT ALL BUILDING SETBACKS NOTE: TO EAVE LINES Required ri YES " NEW L_j DEMOLISH EL 1 1 ADD .2 -ALTER Q__';�ESIDENTIIAIL NUMBER OF I I NON-RESIDENTIAL DWELLING UNITS 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- lzed agent of the owns.-. I agree to comply with city and state Iowa regu. lating construction; and in doing the work authorized thereby, no person will be employed in violation of the Labor Coda of the State of Washington relating to Workmens Compensation Insurance. NOTE: PERMIT LIMIT ONE YEAR PLOT PLAN CHECK & FILE [] YES [] NO BUILDING VALUATION BUILDING PERMIT 2 FEE PLUMBING 3 PERMIT FEE HEAT & GAS LINE 4 1 PERMIT FEE DEMOLITION 5 I PERMIT FEE 61 AMOUNT DUE AT=NTION THIS FE11311T AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS Pn 6-1107 33ER STREET GRADE C RA,NCE CHECKED BY VERIFIED BY PERMIT NUMBER [ON STREET IMPROVED 13 YES 13 NO OCCUPANCY GROUP M. PERIBLOG. TOTAL FKK 17 APPLICATION APPROVAL This application is not a permit until signed by the Director of Building Inspec- tion, or his deputy; and fees are paid, and receipt is acknowledged in space provided. I to w I or Aw F If of, A or itr lar 'r- I I r I -I, I 111 4, rote to- Vt A. . - I 1 0 ri, 1'- '11' 1 ire le 6. j or or A;'J Ar i�ro A ;,:,;,A, "�II. f; I III..: rt�, 1 �i it �Jkf44 A of A to 1, 1 l A I I I I AjoY.O. 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