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PERMIT APPLICATION
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Applicant Fill
Inside Heavy Lines
TJC�rliurlzi NUMBLR
W1171.2
— 1-�, Is
at Property (13now Below or Attach Four Copies
d, 1),6 &,?, ze) /",
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NEW
LiRESIDENTIAL
GAS
LINE
ADD
I
NON-RESIDENTIAL
�j
SIGN
DEMOLISH
RETAINING
WALL
EXCAVATE
FENCE
ALTER
OR FILL
REPAIR
PRE -MOVE
INSP.
( ........ . x ......... Ft.)
swim
POOL
NUMBER OF
DWELLING
UNITS
I
C
Ix MAP No.; PERMIT
NUMBER
/009 /0
r,
70017%.
AW, AJ.
0 TZS El No
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COUP. PLAN ST. R/W ............ FT. ............ 1".
REMARKS
7
[3 YES '& NO
Plan Check No .....................
BUILDING
PLUMBING
BEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
&4
Valuation
I
[] YES 0 NO
�ou
2 1-�— ,
Al, so
No.
I hereby acknowledge that I have read We application; that the in-
In
TOT
TOTAL AMOUNT DUE
AMOUNT
c2b 5"0 193
-
formation given Is correct; and that I am the owner, or the duly author-
u or
Ized agent of the owner. I agree to comply with city and state laws regu-
e
r gun
ATTENTION
T"'
APPLICATION APPROVAL
lattng construction; and in doing the work authorized thereby, no person
pe 0
will be employed in violation of the Labor Coda of the State of Washington
Ington
T 8 PERM
TIMIS PERMT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
AUTHORIZI
.
signed by the Building Official or his Dep-
NOTE: Permit Limit One Your (Except DEMOLITIONS which
ONLY
ONLY TEII
THE
N I
WORK NOTED
uty; and fees are paid, and receipt is ac-
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
knowIedged in space provided.
pleted In all months.)
1IONATURE (OWNER OR AGENT) DATE BIGNEFD—
,J)
INSPECTION
D I EPARTMENT
DIRECTOR' SIGN
;L 3 -7J
CITY OF
CITY �j
-
NOTE: Applicant Subject to Plan Check Fee
EDMONDS
DATEf NJ
2, 7 6
PE 6-1107
Thin Permit covers work to be done an private property ONLY.
Any construction on the public domain (carbs, sidewalks, driveways,
RuLrquees, etc.) will reQuire separate permission.
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