690335.pdfBUILDING DEPARTMENT I Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
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ALTER
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RESIDENTIAL
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NON-RESIDENTIAL I
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PENCE
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I hereby acknowledge that 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 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 Umit One Year (Except DE51OLITIONS which
shall be completed In ninety dpLyn; MOVED -IN BUILDINGS shall be mm-
pleted In mix months.)
NOTE: Applicant Subject to Plan Check Fee
This Permit CovrrB work to be done on private property ONZY.
Any construction on the public domain (curbs, sidewalks, driveways,
Marquees, etc.) w:U require separate permission.
C
.0
P NO.:
I
PERMIT
NUMBER
0/
�F_
ISTREET R/W ............ FT.
PLAN ST. R/W ............ IT.
[:I YES
Plan Check No ............
BUILDING 51%.
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
Pit 6-1107
690335
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L YARD SETH;
- 1 ;71
[3 YE13 M_60�
DEFICIENCY THIS PROPERTY
............
C] NO.
Valuation
1:3 Cro , ro
APPLICATION APPROVAL
No.
This application Is not a pernilt 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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