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BUILDING DEPARTMENT Applicant FIJI
PERMIT APPLICATION Inside ueavy Lines
NAM7(OR NAME OF BUSITSS)
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RESIDENTIAL
El
GAS
LINE
15a NEW
NON-RESIDENTIAL
SIGN
EI ADD
El
RETAINING
WALL
MDEMOLISH
ElALTER
F�
EXCAVATE
OR FILL
El
PENCE
( .......... x .......... Ft.)
0 REPAIR
1:1
PRE -MOVE
INSP.
SWIM
POOL
4UMBER OF STORIES
NUM13NIt UF
DWELLING
UNITS
PERMIT -7
NUMBER 00157
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13THNNT SETBACK
RkjU�YARD SETBACK
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I VARIANCE NUMBER
FLO
I STREET
PLAN ST.
Ci/o
PROPERTY
indicated on�Standard Drawing #103.
R
0 YES
Plan Check No.
TYPE
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
t I RETAINING WALL
N
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 is correct; and that 1 am the owner, or the duly author-
ized 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 PERMJIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
014LY THE
WORK NOTED
shall be completed In ninety.days; MOVEDAN BUILDINGS shall be com-
pleted In mix months.)
BIG 4ER OR AGENT) DATE BIG ED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
Pit 6-1107
This remit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks. driveways,
marquees, etc.) will require separate permission.
Valuation
[] YES
No
'72-
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No.
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APPLICATION APPROVAL
This application is not a pernilt until
Signed by the Building Official or Ills Dep-
uty; and fecs are paid, and receipt is ac-
Imowledged W space provided.
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1I I I FOundation V �70(4
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L I L il 1. Plumbing (Partial)
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