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710434.pdfr c ' BUILDING DEPARTMENT PERMIT APPLICATION NAM ( ll Howard McNicol J fl MAILING ADDRESS o Box 422 CITY Kenmore �FI I NAME U �eaee z 8 M I Co. NEW ADD ALTER REPAIR Applicant FM Inside Heavy IAnes or Attach Four RESIDENTIAL OAS LINE NON-RESIDENTIAL ❑ SIGN RETAINING DEMOLISH WALL EXCAVATE OR FILL FENCE (.......... x.......... Ft.) I I PRE -MOVE INSP. ( SWIM POOL DWELLING UNITS 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 - [led agent of the owner. I agree to comply with city and slate laws regu- lating construction; and In doing the work authorised 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 Your (Except DEMOLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted In six months.) Y- /3- 7 / NOTE: Appl cant PA'A-j c! ' Plan Check Fee This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveway., marquees, etc.) will require separate permission. PERMIT NUMBER Talbot Road, Edmonds ❑ YES ❑ NO EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............FT. ............FT. REMARKS ❑ YES ❑ NO REMARKS Plan Check No........ BUILDING PLUMBING HEAT A 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 PH 6.1107 ❑ YES ❑ NO EtOUP i i i S Ily I Gay/ l 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 ac- knowledged in space provided. , -hLa I I l -, °� t � ... + t ).i. tr�un�'� ,Lf3 *6i {j/..�r �'+�Y r, r". t k +>�. �:1 � 1 � -r. . � ar,.�: 4-<...r+`.�%;a.lrt..1 a `.r 1 1 ) ;� ,.�C t �7j{y-�T�. 7){�, { � t ,l cr { i f i�;. Y^. 1 N." • y y q.1i. , � s V7`' `.t;5 .: ii 'f'r i) P+ ttr'.'.? a'pcl ;r�.;c t � � t y , :Y }1 G.cy ,��� � t { '�4 tAT+' '; S �A r 1ws ✓ 4+! i� 1 4 .vArv- ,,y.^�tt $}ll ..y^ t i .SLlit(1 ' ( k t d.l� i Y yyr`°4(.h 1', lG � Y"^"'+'�. 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