660528.pdfNAME (OR NAME OF BUSINESS)
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BUILDING
VALUATION
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WORK TO BID DONE
2
2
3
3
BUILDING PERMIT
FEE
PLUMBING
PERMITFEE
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5
6
BEAT & GAS LINE
PERMIT FEE
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DEE021SR
ION
FENCE
NUMBER OF STORIES
SIGN PERMIT
FEE
DEMOLITION
PERMIT FEE
ALTER
REPAIR
RESIDENTIAL
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NON-RESID AL
NUMBER OF
DWELLING
I UNITS
7
PLAN CHECK
FEE
8
1 AMOUNT DUE
I hereby acknowledge that I have read this application; that the In- AT=NTXOlq
formation given in 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- TIUS PERMIT
forms
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LjaUng construction; mid In doing the work authorized thereby. no person AUTHORIZES
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ill be employed in violation of the Labor Code of the State of Washington ONLY THE
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relating to Workmen's Compensation Insurance. WORK NOTED
lemolitions which shall
r days.)
NOTE: Permit Limit One Year be ompleted In ninety
INSPECTION
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SIGN6WYRE (OWNER R AGENT) VAWZ bluv�w DEPARTMENT
W03e CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Chcck Fce PR 6-1107
_ihl, Permit covers work to be dome on private property ONLY.
Any construction on the public domain (curbs, sidewalkso drivewaymp
marquees, etc.) will require separate permission.
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PERMIT 660528
NUMBER
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13 YES
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REM IMPRO
YES ' 13 NO
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APPLICATION APPROVAL
This application is not a pernift until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is aclmowledged in space provided.
FILE
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TUr
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At,
nd To Bloc k and that portion of Tract 90 and
4including the following described tracts Beginning
0heast corner of Lot 5ep Block 9?& running thence.East
I , 169 between Lot 4 and 5 of said Block 97# extending
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a Wast6rly line of the 8ounty Road as now established thence
Wentatly along said Goun ty Road to the East line of Block
thence North m10 nq said Ea at line of Block 97 to the point
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b 'ginningl TOGETHER WITH that portion of vacated Seaside Avg*
adjacent West of said Lots 5a 6v and 7* encompass ad by the plat
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. I I I I I I I I I
M dalis to the plot thoreof recorded in-
f sadow
Volume 5 of.Piata an page 33# rocarda of said Countyl situate
in the County of Pnohomish# $tat* of Washingt0he
�RECORD OP INSPECTIONS""
It 11,
Date
rpun(kitio n
Plumbing (Partial)
Mough)
S2
fra
furnace & Fuel Und§
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'Final