660544.pdfBUILDING DEPARTMENT AppHeant Fill
PERMIT APPLICATION Inside Heavy Lines
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NUMBER OF
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REPAIR NON-RESIDENTIAL I UNITS
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YARD SETSACK STRE
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BUILDING
PERMIT 660544
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X'Il!ES 13140
HEIGHT BUILD9FG1 AREA VARIANCE NUMBER
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LID PLAN A�fROYD
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I hereby acknowledge that I have read this appllcatlon� that the in-
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 lawn 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
relsting to Workmen-s Compensation Insurance.
(Except Demolitions which shall
NOTE: Permit Cimit One Your be completed In ninety days.)
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NOFE: APP11cant Sitbject to Platt Check Fee
_FhIs Permit coven work to be done on private Property ONLY -
Any construction on the public domain (curbs, sidewalks, driveways,
marquess, etc.) will require separate permission.
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BUILDING
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
SWIN' PERMIT
5
FEE
DEMOLITION
6
PERMIT FEE
PLAN CHECK
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FEE _;a=/
8 1 AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
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13 YES Er'�90
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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.
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