670434.pdfBUILDING DEPARTMENT I Appilesint M11
PERMIT APPLICATION Inside Heavy Lines
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RESIDENTIAL
GAS
LINE
NON-RESIDENTIAL
SIGN
DEMOLISH
EXCAVATE
OR FILL
RETAINING
WALL
PENCE
( .......... x .......... Ft.)
PRE -MOVE
INSP.
Fl
SWIM
POOL
DWELLING
UNITS
NATURE OF WORK TO BE DONE
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NO.: PERMIT
NUMBER
FT —REM SETBACK
=LOT AREA VAC
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MMET MEET R/W
COMP. PLAN ST. Rlw..r
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13 YES
Plan Check No .......
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
OLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge Mat I have read this application; that the in.
formation given is correct; and that I am the owner, or the duly author.
ized agent of tile owner. I &Me to comply with city and state laws regu.
I&Ung construction; sna in doing the work authorized thereby. no person
will be employed in violation of the Labor Code of the State of Washington
r@WAng to WorkmWs COMPGOAMIOD InsuM000-
NOTE: Permit Limit One Your (Except DE51OUTIONS which
shall be completed In ninety days; BIOVED-IN BUILDINGS shall be com.
I plated In six MOUths-) I
NOTE: APPlicant Subject to Plan Check Fee
TNO P ;79 —cove" work to, be done on private property ONLY.
Any construction On the public domain (curbs, sidewalks. drhvwaye,
marquess, etc.) will require separate pemisalon.
TOTAL AMOUNT DUE
ATTFMION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
DEFICIENCY
IKI
13 No
UU—BER
— c� 7
PROPERTY
0
EP&S
Valuation Fee
I tpea 46.
NO.
I 10.�v 140111(a
APPLICATION APPROVAL
This application Is not a perralt, until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
Imowledged In space provided.
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