690056.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
NAME tow xxxic or BUSINESS)
MADAING ADDREW
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NAME
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Applicant I=
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PERMIT
NUMBER
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DEFICIENCY THIS PROPERTr
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RESIDENTIAL
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13 YES W-??T
NON-RESIDENTML
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PLAN CHECKED BY,
Guest House —A dWached structge, being an
dwell mol
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accessory to one —family g with not
El
RETAINING
WALL
mumAltK%han two bedroomss having no kitchen
iservants
D
DEMOTUGH
EXCAVATE
FENCE
facilities, and which shall be used and/or
OR FILL
......... Ft.
designed for use primarily by guest and/or
F-1
PRE -MOVE
INSP.
swim
POOL
primarily for sleeping quarters.
DWELLING
UNrI!S
I hereby acknowledge that I have read Min application; that the in-
formation given to correct; and that I am the owner, or the duty author.
Ited 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 Workman's Compensation Insurance.
NOTE: Permit Umit One Your (Except DEMOLITIONS which
shall be completed in ninety days; MOVYM-IN BUILDINGS shall be com-
pleted in six months.)
NOTE: Applicant Subject to Plan Check Fee
This Permit coven Work to be done an Priv248 PrOPOrtY ONLY.
A" eonstructles, an the public domal, (curb@, ddOWAlks, drivOWAY8,
marquess, etc.) will require separate permission.
Fee
Plan check NO .......
BUILDING
3 F
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
711
AIVENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPART113NT
CITY OF
EDMONDS
PR 6-1107
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.
-157-6
FILE
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