670071.pdfPOSTED ON KROLL MAP Noe: I NUMBPZBMIT
67007
BUILDING. DEPARTMENT Applicant Fill
nil nIT ADDI WATMU Inside Heavy Linos ,qg ADDRESS w I -
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RESIDENTIAL F1 LINE
❑ NEW NON-RESIDENTIAL SIGN
ADD RETDEMOLISH ❑ W�ADPIN6
ALTER ❑ OR EXCAVATE
C1 (�NCE s...... ;..Pt.)
REPAIR O INPMOVE O �L
QUMBER OF STORIES I NUMBER OF
DWELLING
UNITS
EXISTING STREET R/W .......-...BT.
COMP. PLAN STe R/W ............Flee
Plan Check Noe_.ee.._._._._
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PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
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1 hereby acknowledge that I have rend this application; that the In- 1 of ' v
formation given Is 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 rogu- ATTENTION APPLICATION APPROVAL +
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Tabor Code of the Stale of Washington THIS PERMIT 7T" application is not a permit until `
relating to Workmen'■ Compensation Iasurnace. AUTHORIZES Sighed by the Building Official or his Dep- -
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which {PORK NOTED llty; and fees are paid, and receipt is nc- ;
shall be completed In ninety days; 31OVED•IN BUILDINGS shall be corn• knowledged in space provided. - - I
pleted n six months.) INSPECTION
S36N URE (OWNER OR AGE T) I DATE SIGNED D CTOR IONAT RE #
DEPARTMENT �—
t CITY OF ATE
EDMONDS
NOTE: Applicant Subject to Platt Check Fee PR 6•1107
This Permit coven work to be done on Private property ONLY.
Any eonst�uess, etc'the ) will requiublic re separate permisslmdHrewtiy■.
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