700508.pdfI
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BUILDING DEPARTMENT Applicant FILI / 0, (9
Inside Heavy Line,; —j-0
PERMIT APPLICATION II AfjDREss
NAMEZ NAME OF BUSINESS) / 91 Ae< 11100
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EXCAVATE
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REPAIR
PRE -MOVE
INSP.
SWIM
POOL
;UMBER OF STORILS
NUMBER OF
DWELLING
UNITS
99S
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G%TING 13TREET R/W
COMP. PLAN ST. R/W
PERMIT
NUMBER 700508
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TBACK REAR YARD SETIJAUK
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KREA 7�t'RIA 46'9- NUMBER N
DEFICIENCY THIS PROPERTY
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175-
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SPEULAL, MbeZUTUJI. llNWUAnZ" V�UUr1%TU-%VV*
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Plan Check No .....................
BUILDING
PLUMBING
IIEAi & GAS LINE i5h
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I hereby acknowledge that I have read this application; that the In-
formation given Is correct; and that I ana the owner, or the duty author-
lzed agent of the owner. I agree to comply with city and state lawn regu-
Millar construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Coda of the State of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
L_AafiEan� Subjed��cck_Eix,
Title Permit coven work to be done on prlvnte property ONLY.
Any construction oil the public domain (curbs, sidewalks, drlvowuYs,
marquees, etc.) will require separate permission.
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORIE NOTED
INSPECTION
DEPARTMENT
CITY OF
ED51ONDS
pit 0-11017
Valuation
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Fee
1/0.3
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APPLICATION APPROVAL 11-0
This application is not a permit 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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