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710346.pdf0 pU F V W F z z 0 �' U w W Q O n i' x 0 G O ti C� BUILDING DEPARTMENT I AppllcantFlll PERMIT APPLICATION Inalde Heavy Lines or {fit RESIDENTIAL © LINE NEW ADD NON-RESIDENTIAL ❑ BION DEMOLISH � RETAINING WALL ALTER ❑ ORCFILL E � FENCs•••.•.....Ft.) PRE -MOVE SWIM REPAIR INBP. � POOL DWELLING UNITS N I I hereby acknowledge that I have read this appllcatlon; that tho tn- tormatlon given le correct; and that I am tha owner, or the duly author- ized ngent of the owner. I agree to cemDlY with city and state laws rogu- Inting conetructlon; and In doing tha work authorized thereby, no parses wfll be employed 1n violation of We Labor Code of the State o! Wmhington relating to Workmen's ComDenaatloa Imurance. NO Permit Limit One Year (Excopt DEMOLITIONS which eha a completed In Wnely days; 3SOVED-IN BOILDIN68 shall bo com- DI ed elx monlhe.) NOTE: Ap�licdut Subject to Plan Check Fee zwe i'ernut covero work to tro done on Drlvate property ONLY, Aay eomtructlon on the publlo domain (curbs, sidewalks, drlvewge, marquees, etc.) will regWro separate permLdon. • IPERMIT NUMBER EXISTING STREET R/W ............FT. COMP. PLAN 8T. R/W ............F'T. ❑ YE8 ❑ NO 710346 ❑ YEH ❑ NO DEFICIENOY THIS PROPERTY ❑ YE8 THIS SITE IS LOC.4TED� IN T\i .-..� _._ TAX SHOULD BE COOED 31 Vaivatlon � Fee Plan Check Ne..................... BUILDING PLUMBING HEAT de 6A8 LJNE FENCE SION RETAINING WALL SWIMMING POOL DEMOLITION � PRE-MOVH INSPECTION EXCAVATJON OR FILL TOTAL AMODNT DUE I I �� '�� i �� r.-......�.....� ..ate- ^1..+.�sh-- r•Y i 1 i � 1 1' 1 . � ATTENTION APPLICATION APPROVAL ' � THIS PERMIT This appllcatlon is not a permit untll ` ` � { AoxTix aT� signed by the Building Official or his Dep- � • ., WORK NOTED uty; and fees are paid, and receipt is ac- ' � �� j ' knowledged in apace provided. � ' : � i INSPECTION DIRE OR'B 8I ATU I DEPARTMENT �� . '• , '-- i OITY OF � j J EDMONDS DATE j/(/ �//� '�.�..-:. �•---•"_'-"`'",.' j PA 6-1107 � `(J I / I 1 i� � 1 FILE � .t �, {}({ t } +' 3 1 I _ :vf 171 ei.t V ♦t1Yvk r,i, j + I _ _ 4'+ti, ^ 71 *1 .._ ! trti - a1 AIT.I 7 1 ,aJ. l;71t I .�:1L.. Sl, r�u't - 1 I:.. v i� ,. ii :, r� ly %d a i � t {h"} Sh I ' . per 1 I iyy� t !:F%tt'� > t t 4i ri �`yn'C LA7:, J.a,<`-:._.+.. __'� ! '�' f ,� t. 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