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BUILDING DIPARTMIN:
PERMIT APPLICATION
M"M r BUSINESS)
NAME
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1/17
#3 F 14)10
0 NEW
0 ADD
ALTER
REPAIR
Applicant Fill
Inside Heavy Lines
C
.0" MAP No-.: PERMIT
NUMBER69041
/Z/-&OC M y
,,-I`BACK I STREET IIET13ACK REAR YARE
0,
ZFB/W
SET NG STREET R/W ..forr.
COMP. PLAN ST. R1W,5_0--XT-
EMARKS
Driveway
indicated on Standard
S 6E� W e /�'
RESIDENTIAL
A" [] YES
IN� PLAN
2SIGI:
NON-RESIDENTLJLEJ
R
DEMOLISH
RETAINING
WALL
EXCAVATE
PENCE
x Ft.
OR FILL
( ........ . . ........
FPRE
_1
-MOVE
INSP.
SWIM
POOL
DWELLING
UNITS
C
N6
S2
I hereby acknowledge that I have read this application; that the In-
formation given in correct; and that I am the owner, or the duly allthor-
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 Slats Of Washington
relating to workman's Compensation Insurance.
NOTE: Permit Limit One Your (Except DEMOLITIONS which
shall be completed in ninety days; MOVED -IN BUILDINGS 011111 be OOm-
plated In six Months-)
lli� 3C
LM
NOTE: APPlicant Subject to Plan Check- Fee
NLY.
Tug Permit coven Worm
Any construction on the public domain (enrbs, sidewalks, driveways,
marquess, Oft-) Will re4ulm separate permission'
M
Plan Check No...
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE IN13PECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY TILE
WORK NOTED
INSPECTION
DEPA MENT
CITY OF
EDMONDS
PR 6-1107
YES E3 NO
DEFICIENCY THIS PROPERTY
103.
YES [3 NO
Fee
No.
APPLICATION APPROVAL
This application is not a pernift 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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