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POSTED ON WROLL MAP NO.: PERMIT
680496
BUILDING
DEPARTMENT
Applicant Fill
/Yff zor NUMBER
MIT
APPLICATION
Inside Heavy Luues
JOB A
(OR NAME OF BIJ NEBO)
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SIDE YARD SETBACK
STREET SETBACK
AR YARD SETM
WADDREBS
VAUA11" SITM
USE ZONE
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LOT PA
TELEPHONE NUMBN9
n NO
BUILDING AREA
VARIANCE NUMUZ
HEIGHT
PL40T PLAN APPROVED
13T R/W
TELEPHONE NUMBER
F M%RT, IWN G STREET R/W .�.FT. DEFICIENCY
THIS PROPERTY
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COUP. PLAN ST. R/W,5.Gv.
REMARKS
E LICENSE NO
Legal Description of
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Driveway slopes not to exceed those
indicated in Standard Drawing #103.
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PERO. TEST PERMI`3�NX�MBER
aa a- REMARKS I — I
Septic tank design approved 9/27/68
by C. Burull
GAS
RESIDENTIAL LINE
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NEW
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NON-RESIDENTIAL
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RETAn-aNG
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DEMOLISH
WALL
EXCAVATE
FENCE
ALTER
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OR FILL
( x Ft.)
El
REPAIR
R
PRE -MOVE
INSP.
........ . ..........
SWIM
POOL
NUMBER 017-STORIES
NUMBER OF
DWELLING
UNITS
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a INSPECTOR REQUIRED OCCUPANCY GROUP
0 YES WATU_�
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Plan Check Nti ..................
BUILDING
PLUMBING
It
N
HEAT & GAS LINE
FENCE
SIGN
RETAINING 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-
formation given to correct; and that I am the owner, or the duly author-
izp.d agent of the owner. I agree to comply with city and state laws regu- ATTENTION
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 THIS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DE31OLITIONS which WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS shall be oDm-
plated In mix months.) i
ATU R AGENT) DATE SIGNED INSPECTION
�_ 5; DEPARTMENT
Qiftmi� CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check. Fee PH 6-1107
This Permit covers work to be done on private property ONLY.
Any oonstruction an the public domain (curbs, sidewalks, driveways,
marquees, ate.) will require separate permission.
Fee
6 1 9"��
APPLICATION, APPROVAL
This application is not a permit until
signed by the Building Official or Ms Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
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