680219.pdfr�yeUILDi1
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t ���{�t� i RESIDENTIAL LINE
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1r� _ ❑ NON-RESIDENTIAL ❑ SIGN
ADDRETAINING
DEMOLISH WALL
39
ALTER EXCAVATE PENCE
OR FILL (.........s.......... Ft')
REPAIR El INPIiOVE BWIPOOL
NUMHER OF STORIES NUMBER I UNWITB INGB
BOLL HAP No.: PERMIT 680219
NUMBER
PP
1 0 11 M . 000
EXISTING STREET R/W ...........
DEPRCIffid(IY THIS PROPERTY
COMP, PLAN ST, R/W ............I", ...........3"• L
Plan Check No....».._»_.......
BUILDING
PLUMBING
HEAT & GAS LINE
FENCI
SIGN
N
IRETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
L
tion given 1s correct; and that I am the owner, or the duly author -
gent of the owner. I agree to comply with city and state laws regu-
construction; and In doing the work authorized thereby, no person
employed In violation of the Labor Code of the State of Washington
g to Workmen's Compensation Insurance,
E: Permit Limit One Year (Except DEMOLITIONS which
be completed In ninety days; MOVED -IN BUILDINGS shall be oom-
In six months.)
TURE R OR AOE ) DATE SIONED
NOTE: Applicant S4 eet to Plan Check W.
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (cubs, sidewalks, drivewayst
marquees, etc.) will require separate Perarseton.
Valuation
EM
a•o
ATTENTION APPLICATION APPROVAL
THIS PERMIT Thin application is not a permit until
AUTHOTH
E
sighed b the Building Official or hie De
ONLY THEE y ip�
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged in space provided.
INSPECTION D O 'B BI
DEPARTMENT
OITY OF DATE '
EDMONDS vr7
PR 6.1107 ✓