740433.pdfLegal Description of Property (Snow Below or Attach Four Caples)
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I hereby acknowledge that I have read this application; that the In.
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formation given Is correct; and that I am the owner, or the duly author•
Ired agent of the owner. I agree to comply with city and stale laws regu•
ATTENTION
APPLICATION APPROVAL
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lating 1111t11111; ad In data, the work aulhorlxed thereby, no person
will be employed In Violation of the Labor Code of the slate Of Washington
TIRE PERMIT
This application is not a permit until
relating to Workmen'a Compensation Insurance,
RIREZEa
AUTHOT
signed by the Building official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY
WORK NOTED
uty; and fees are paid, and receipt Is ac -
.hall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
knowledged In space provided.
pitted In six months.)
SIGNATURE (OWNER OR AGENT)
DATE 61GNED
INSPECTION
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DEPARTMENT
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CITY OF
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EDMOND3
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NOTE: Applicant Subject to Plan Check Fee
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775-2525
This Perinll r work la Iw done on pIllale properly ONLY.
Any construction on the public domain (curbs, sidewalks, drl-ways,
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marquees, etc.) will require separate permission.
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PERMIT APPLICATION
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NAME (OR NAME OF BUSINESS)
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MAILING ADDREFS OFOdED HEIGHT O
PERMISSIBLE HEIGHT r R, t I Z
O ONH NUMDEft ACTUAL LOT AREA. 'IOTA L 6. AtEAI x
CITY
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REMARKS,!
SHOULDULD
CITY
TELEPHONE NUMBER
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NAME
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