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BUILDING DEPARTMENT Applicant FM
PERMIT APPLICATION Inside Ileavy Lines
F NAME
rc �A NO ADDREBB
Or 11!31,
CITY
"w14a' �r3F.r0nld'r
yynn;
NAME
itEBB
o I.1
G7 Yx- O 111
.'E LICENSE NUMBER
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n
I GAS
RESIDENTIAL ❑ LINE
NEW ❑ NON-RESIDENTIAL ❑
SIGIq
ADD ❑ DEMOLISH RETAINING
WALL
ALTER ❑. EXCAVATE
E ❑ `
PENCE
ORFILL 5.......... Ft')
El REPAIR ^ PRE -MOVE swim
I I INSP. POOL
DWELLING
UNITS
Y NOA
16 Oil. v ' [/;
1
710046
.;0IGiyE
REAR YARD BETS
VACANT BITE
[3 YES i7 NO
EXISTING STREET n/W ............FT, DEFICIENCY THIS PROPERTY
COMP, PLAN ST. R/W ............FT. I
............FIT
REMARKS
CRECKED BY
DETER SIZE SERVICE SIZE '•CLEARANCE CHECKED BY
REMARKS
TYPE CONNECTION I VERIFIED BY
PERC. TEST I PERMIT NUMBER
REMARKS
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVE]
I0YES DNO
SPECIAL INSPECTOR REQUIRED (OCCUPANCY GROUP,
O YES NO
PLAN CHECKED BY 0 IF
Plan Check No, ........... .......
— 1 r _hue,
PLUMBING
HEAT R GAS LINE
FENCE
SIGN
RETAINING WALL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
Valuation I Fee
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TOTAL AMOUNT DUE t �d �� SV�
[NOTE9
hereby acknowledge that I have reed this application; that the In- V eCC
r on given to correct; and that I am the owner, or the duly anlhor-
ent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL
construction; and In doing the work authorized thereby, no person
employed In violation of the Labor Code of the Stale of Washington THIS PERMIT This application is not a permit until
to workmen's Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep-
ONLY THE
: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
completed In ninety days; BIOVED-IN BUILDINGS Shall be com- knowledged in space provided,
n SIX months.)
URE (OWNER OR AGENT) DRAT I BIG ED INSPECTION D OR'B 810NATU$E
./ P DEPARTMENT P _
/ ' IR
Y;Ih
4 LCiu�x.th'tf/ CITY OF
EDMOND$ DATE
NOTE: Applicant Subject to Plan Check Fee
Pa 6-1107 -�
This Permit coven work to be done on private properly ONLY.
Any construction on the public domain (curbs, sidewalks, drlvewsye, FILE
marquees, etc.) will require Separate permlulon,
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