710416.pdf6
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y� 1 NEW
%�❑ ADD
ALTER
REPAIR
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RESIDENTIAL
GAS
LINE
NON-RESIDENTIAL
❑.
SION
DEMOLISH
RETAINING
WALL
EXCAVATE
OR FILL
FENCE
(,.._...ac_........Ft.)
PRE -MOVE
INSP.
I `
SWIM
POOL
DWELLING
UNITS
T
N
I hereby acknowledge that I have read thin application; that the In-
formation given In 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-
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 DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
pleted In six months.)
—7 i
NOTE: Applicant Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction an the public domain (curbs, sidewalks, drlvewa7s,
marquees, etc.) will require separate perminlon.
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PERMIT
NUMBER
EXISTING STREET R/W :..�-t!.... FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W u...FT. ... e...XT.
REMARKSDriveway slopes not to exceed those i
.icated on Standard Drawing #103.
IONNECTION
S VG
❑ YES ❑ NO
Plan Check No....
BUILDING
PLUMBING
HEAT do OAS 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 6-1101
❑ YES ❑ NO
THIS SITE IS LOCATED IN T E
�ITY OF EDMONDS. LOCAL SALE,
TAX SHOULD BE CODED 31.04.
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is so-
ltnowledged In space provided.
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RECORD OF INSPECTIONS i'.
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1. Date Passed r t�rA ' .,i , rr. >, �> {
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Foundation
Plumbing (Partial) bV' 7i '
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,Frame // 25F -71, J '
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