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'PERMIT APPLICATION
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Applicant M
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NUMBER
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STATE LICENSE NUMBER CITY LICENUN NUMMIS&
Legal Description of Property (Show Below or Attach Your
Copies)
RESIDENTIAL
GAS
LINE
NEW
NON-RESIDENTIAL
'D
SIGN
DADD
RETAINING
WALL
DEMOLISH
ALTER
D EXCAVATE
OR FILL
F
PENCE
Ft.)
REPAIR
PRE -MOVE
M INSP.
F-1
SWIM
POOL
� I
DWELLING
UNITS
PROPOSED USE
PLOT PLAN (Indicate B
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-
latlog 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 Limb One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
Pleted In mix months.)
15/,2
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curb@, sidewalks, driveways,
marquees, etc.) will require sepemte permission.
C:
ID ON KROLL MAP NO.:
PERMIT
NUMBER
1
0
Al 70024
DDREBS
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YAR
'y SETBACK
STREW 8ww"AUS6
T-B,
ZONE
D
LArF A—REA
I
T SITE
rTES 13 NO
EN38TING STREET R/W ............ FT.
COUP. PLAN ST. R/W ............ FT.
I
13 YES 13 NO
REMARKS
Plan Check No....
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
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
PH 6-1107
DEFICIENCY THIS PROPERTY
13 YES 13 NO
Fee
#1 A Ot) 1 (5-W
Owl
APPLICATION APPROVAL
This application Is not a permit unt
signed by the Building Official or his Dej
uty; and fees are paid, and receipt is a,
knowIedged in space provided.
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