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BUILDING
PERMIT
660175
BUILDING
DEP ARTMENT
Applicant M
NUMBER
PERMIT
APPLICATION
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Legal Description of Property (Show Below or Attach Four Copies)
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RESIDENTIA
NUXBE OF
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REPAIR
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DWELLI G
UNITS 46 RE.
—
I hereby acknowledge that I have read this application: that the in-
formation given to 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
relating to Workmen's Compensation Insurance.
,I,c,p, Demolitions which shall
NOTE: Permit Limit One Year be completed in ninety days.)
Fa4d
NOTE: Applicant Sitbject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction or, the public domain (curbs, sidewalks, driveways,
marquees. etc.) will require separate permission.
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BUILDING
VALUATION
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FEE
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PLUMBING
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PERMIT FEE
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HEAT & GAS LINE
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PERMIT FEE
SIGN PERMIT
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FEE
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PERMIT FEE
PLAN CHECK
FEE
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ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
IVORK 140TED
INSPECTION
DEPARTMENT
CITY OF
ED51ONDS
I-R 6-1107
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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.
FILE