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ACTUAL LOT AREA TOTAL. SLIM. ARTA
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EXISTING STREET R/W ............FT. DF,F[CIENCY TTNB PROPERTY
NAME
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td ADDRESS
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(UMBER OF STORIES
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THIS PER51IT
This application is not a permit until
relating to Workmen'a Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
DWELL NO
ONLY THE
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uty; and fees are paid, and receipt is ac -
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NATURE OF WORK TO HE DONE
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BUILDING
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TOTAL AMOUNT DUE
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I hereby acknowledge that I have read tilde application; that the In.
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given 1s correct; and that I = the owner, or the duly author -
,red agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL
lating constructlon; and m doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State Of Waahington
THIS PER51IT
This application is not a permit until
relating to Workmen'a Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (E ... pt DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
.hall be completed In nlnely days; MOVED -IN DUILDINGS .hall be coin-
knowledged in apace provided.
plated In ala months.)
SIGNATURE (OW R OR ENT) DATE SIGNED
INSPECTION
C R' IGNATUI
DEPARTMENT
CITY OF
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EDMONDB
DATE
NOTE: AQplicaN! Subject to PlanCheck Fee
PR 0.1107
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This Permit coven work to be done on private property ONLY.
Any eon.truetlon ob the imbue domala (corba, sldawelk., drlreway ,
FIEF
marqure., Sia.) will require .costate pernd..loo.
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PLANNING DEPT, APPROVAL DATE:
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STREET R/W
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EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NON-RESIDENTIAL❑
AUTHORIZES
SIGN
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WORK NOToxeD
!
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NAME
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FRONT BID£ REAR
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NAME
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V STATE LICENSE
Leggaall` _Description
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LEGAL LOT VARIANCE OR CONDITIONAL USE
TOTAL AMOUNT DUE
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LINE
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PLANNING DEPT, APPROVAL DATE:
_ SPECIAL INSPECTOR REQUIRED
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STREET R/W
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EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
NON-RESIDENTIAL❑
AUTHORIZES
SIGN
ONLY E
WORK NOToxeD
!
COMP. PLAN ST. R/W ............FT. ............PT.
Cate Building setbacks, abutting ...beta)
ElADD
REMARKS
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REMARKS
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LINE
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FIRE ZONETYPE OF CONSTRUCTION STREET IMPROVEDi
0 YES [] NO
_ SPECIAL INSPECTOR REQUIRED
(OCCUPANCY GROUP
.....................
BUILDING
IK TO BE DONE
TOTAL AMOUNT DUE
RESIDENTIAL
Valuation
LINE
❑PLANSCHECKEI❑O
BY
IN THE CITY
ATTENTION
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BUILDING
NEW
THIS PERMIT
NON-RESIDENTIAL❑
AUTHORIZES
SIGN
ONLY E
WORK NOToxeD
THIS SITE IS LOCATED
OF EDMONDS. LOCAL SALES
BE 31.04,.
TAX
Cate Building setbacks, abutting ...beta)
ElADD
816 ATURE lOW1yER.OR ENT)
ODEMOLISH
INSPECTION
DEPARTMENT
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RETAINING
WAIT'
REMARKS
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REPAIR
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Swim
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IUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
I
IK TO BE DONE
TOTAL AMOUNT DUE
Plan Cited, No
Valuation
Fee
Receipt Na.
Ised agent of the owner. I agree to comply with city and state law. regu-
ATTENTION
r,�....•l-) �-1�.. �,/.��� 1/
.....................
BUILDING
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workman's Compensation Insurance.
AUTHORIZES
PLUMBING
ONLY E
WORK NOToxeD
shall 6e completed Ip ninety days; MOVED•IN BUILDINGS shall be com-
Cate Building setbacks, abutting ...beta)
HEAT d: CAS LINE
FENCE
SIGN
RETAINING WALL
eWIMMIN6 POOL
DEMOLITION
PRE•MOVF. INSPECTION
EXCAVATION OR FILL
816 ATURE lOW1yER.OR ENT)
DAT SIGNED
INSPECTION
DEPARTMENT
r
f
"s
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CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
rR Soley
This Permit coven work to be done an private property ONLY.
APPLICATION APPROVAL r
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.
DIRECTORIB SIGNATURE
DATE
INSPECTOR
TOTAL AMOUNT DUE
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-
Ised agent of the owner. I agree to comply with city and state law. regu-
ATTENTION
I.... construction; and in doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workman's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY E
WORK NOToxeD
shall 6e completed Ip ninety days; MOVED•IN BUILDINGS shall be com-
pleted In six: months.)
816 ATURE lOW1yER.OR ENT)
DAT SIGNED
INSPECTION
DEPARTMENT
r
f
"s
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CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
rR Soley
This Permit coven work to be done an private property ONLY.
Any construction on the PubUa domain (curb., sidewalk., driveways,
marquees, etc./ .111 require separate p"Cal.,lan.
APPLICATION APPROVAL r
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.
DIRECTORIB SIGNATURE
DATE
INSPECTOR
,
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a:
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RECOR OFINSPE TIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough)
Frame 1
Furnace & Fuel Lines ;
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Final
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