680451.pdfpoST D ON KROLL MAP NO.:
PERMIT
NUMB 680451
BUILDING DEPARTMENT
Applicant Fin
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PERMIT APPLICATION
Inside Ifeavy Lines
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NA14P (Olf NAM19 Or iiUSIMESS)
BIDE YARD Big STREET SETBACK REAR 'YARr) SETBACK
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LING ADDRESS
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VACANT HIWN
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NAME
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ADDRESS
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DEFIC IENCY THIS PROPERTY
CITY
TELEpHONE NUMB
E JIT//BTREET
COMP. PLAN ST. R
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NA.M.E
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indicelatd on Standard
Drawing #103.
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CHECli BY
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TELEPHONZ —NUMBER
CITY
ER SIZE I CLEARANCE
OWED BY
STATE �LIOENSE NUMBER
OIT CENSE NUMBER
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REMARKS
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Legal Descriptionpt Noperty (allow B low
P#yel
TYPE CONNECTION
VE Y
Z yr
Jw
PERC. TESV
PERM N
BER
NEW
ADD
ALTER
L\A RESIDENTIAL
1:1 NON-RESIDENTIAL
—
MDEMOLISH
EXCAVATE
OR FILL
SIGN
RETAMNG
WALL
FENCE
( ......... X . ........ Ft.)
REPAIR
PRE'MOVE
INSP.
swim
POOL
4UM13ER 6F STORIES
NUMBER OF
DWELLING
UNITS
I
11114
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^' S
I hereby acknowledge that I have read this application; that the In-
formauon 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 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
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DE51OLITIONS which
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
NOTE: Applicant Subject to Plats Check- Fee
This permit covers work to � d0oc, on private property ONLY -
Amy constractloa on the public domain (curbs, sidewalks, driveways.
marqueest etc,) will require separate permiseloa*
[] YES
Plan Ch'Kk NO ............
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
pRE.MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
TIUS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
cxTY OF
EDMONDS
PR 6-1107
Valuation
0 No
ON
APPLICATION APPROVAL
This application is not a permit until
signed by the Building official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
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