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710084.pdf1 1 BUILDING DE PERMIT APP i NAME t021-M1dt�01!`� MAILING AD RE en r�I Ila CITY NAME 1y � U I l ADDRESS 1 CITY 9W NAM ©wNErz ADDRESS F CITY r STATE LICENBH NUMF aa:3-oi-� Legal Description of Pea PARTMENT LICATION i76W, N� S+ 1 10 1 0 Wt. ,w or W, Applicant Fill Inside Heavy Lines Al aJ 5V 3 10 trhy EXISTING STREET R/W C NO.: PERMIT NUMBER c S�1,din'-, I ASi E NUMBER I r,I j ' DEFICIENCY THIS PROPERTY �iveway slopes not to exceed those indicated on Standard Drawing #103. ` REBIDENTIAL ❑ LINE GAS ❑ YES AN EW ELI PLAN NON-REBIDENTIAL ❑ SIGN ADD ❑ DEMOLISH ❑ RETAININGAREMA] ALTER R ORFILL EXCAVATE (.ENCE j.1...x..........Ft.) REPAIR wim ❑ IN P. POOL DWELLING UNITS 0 i as 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 stale laws regu. 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 relating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DE51OLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be cam. pleted In six months.) rAMLW NOTE: Applica# Suhjec., to Plan Check Fee This Permit coven work to be done an private property ONLY. Any construction an the public domain (curbs, eldewalks, driveways, marquees, etc.) will require separate permission. 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 PR a-II0I Valuation 660, ko ❑ YES ❑ NO IOLUP T ti T V � 1 Fee W APPLICATION APPROVAL This application is not a permit un' aigned by the Building Official or his De uty; and fees are paid, and receipt is a knowledged in space provided. FILE DWELLING UNITS 0 i as 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 stale laws regu. 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 relating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DE51OLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be cam. pleted In six months.) rAMLW NOTE: Applica# Suhjec., to Plan Check Fee This Permit coven work to be done an private property ONLY. Any construction an the public domain (curbs, eldewalks, driveways, marquees, etc.) will require separate permission. 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 PR a-II0I Valuation 660, ko ❑ YES ❑ NO IOLUP T ti T V � 1 Fee W APPLICATION APPROVAL This application is not a permit un' aigned by the Building Official or his De uty; and fees are paid, and receipt is a knowledged in space provided. FILE as 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 stale laws regu. 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 relating to Workmen's Compensation Insurance. NOTE: Permit Limit One Year (Except DE51OLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be cam. pleted In six months.) rAMLW NOTE: Applica# Suhjec., to Plan Check Fee This Permit coven work to be done an private property ONLY. Any construction an the public domain (curbs, eldewalks, driveways, marquees, etc.) will require separate permission. 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 PR a-II0I Valuation 660, ko ❑ YES ❑ NO IOLUP T ti T V � 1 Fee W APPLICATION APPROVAL This application is not a permit un' aigned by the Building Official or his De uty; and fees are paid, and receipt is a knowledged in space provided. FILE I7 S f 1 11 I III ` r' ' t r r ;i, r 7IIALI'IIII I_II / , T 'II . � 6r II Iv TL L d II-LII I.I I . INII I I1I.r I IAI, N(.I I T � .IrIII_: iII I . 1�II I.eI IAA�-II­� . ,I_. I T­..-NN,�I4 , +I-IIII I T.i PI. : "L r III T-II .I�TIPI AII NfN. � L ;Ib.V IT. II-�II I-I II lI ' jAI -IV,IAII IIA ' l IA,III I fI'A.I 'IIN 'II� IIII) IIi - �.I IA.N.� I IfINT-I I MI IAI, NAfrI I , - I , PIIIr N '!II NIII':'-PTM�NII INo,4I .AII ,cINI .IL I .T I. -LI I.IAII"'- -I� .LIAAI� I lII-V-I I A . IT I; . .' I,' lI� . 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