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TOTAL AMOUNT DUE
I herby ecknowletlgo that I have read 16111 nppllcallon; that the fn-
(.,motion given iscorrect; and that I nm the owner, or the duly nulbor-
Iz<d anent of the owner. I .nice to eomD1Y with city and stale lame raga-
ATTENTION
APPLICATION APPROVAL '
lating c—traction; and In doing the work authorized thereby, no yeraan
will ae employed In violation of the Labor Code of the State of Washington
TIUS PERMIT
This application Is not a permit until
relating to Workmen's Compensation Imuran t.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
Hty; and fees are paid, and receipt is ac -
shall be completed In ninety days; .MOVED -IN BUILDINGS shall be com-
BUILDING DEPARTMENT
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INSPECTION
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PERMIT APPLICATION
Inside Heavy Linea
JO
EDMONDS
ATELy
NOTE: Applicant Sff '1111 to Plan Check Fee
775-2525
AUDRE88 90 �`
This i'ermlt rovers lock to be done on private property ONLY.
Any construction on the public domain (curbs, Sidewalks, dri—Ays,
,
marquees, etc.) will require Separate permission.
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I herby ecknowletlgo that I have read 16111 nppllcallon; that the fn-
(.,motion given iscorrect; and that I nm the owner, or the duly nulbor-
Iz<d anent of the owner. I .nice to eomD1Y with city and stale lame raga-
ATTENTION
APPLICATION APPROVAL '
lating c—traction; and In doing the work authorized thereby, no yeraan
will ae employed In violation of the Labor Code of the State of Washington
TIUS PERMIT
This application Is not a permit until
relating to Workmen's Compensation Imuran t.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
Hty; and fees are paid, and receipt is ac -
shall be completed In ninety days; .MOVED -IN BUILDINGS shall be com-
knowledged In space provided,
pleted In six months.)
IIGNATUItE (O R OR AGENT) DATE SIGNED
INSPECTION
1 R' el NATU
/
DEPARTMENT
-
46 4
CITY OF
EDMONDS
ATELy
NOTE: Applicant Sff '1111 to Plan Check Fee
775-2525
This i'ermlt rovers lock to be done on private property ONLY.
Any construction on the public domain (curbs, Sidewalks, dri—Ays,
marquees, etc.) will require Separate permission.
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REMARKS
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PROPOSED USE
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21
FENCE
j
Ji
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
'
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE-,{
I hereby ¢eknowledg that I have recd this application; that the In-
formation given Is correct and that I onto the owner, or the or-
Ized agent of the owner.t agree to comply with city and stategu-
ATTENTION
APPLICATION APPROVAL
lating construction; and 11 doing the work authorized therebrson
will be employed In vlolatien of the Labor Cade of the State ofgton
THIS PER511T
This application is not a permit until
relating to Workmen's ca peneauon tmurance.
wuTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit LimitOne Year (Except DE51OLIThich
ONLY TLIE
WORK NOTED
uty; and fees are paid, and receipt is ac -
.hall be completed In nine y day.; MOVED -IN BUILDINGS som-
ltnowledged In space provided.
Plcled In .1. ...the.)SIGNATURE
(OWN R OR ACENT) DATE
F(
INSPECTION
DIR CTOR'8 IONATUIIE��r/fDEPARTMENT%�'F.�.•�it
CITY OF
EDDIONDS
NOTE: Appl cant Sfehjeet to Plan Check Fce
775-2525
t
This P, It torero w rk to bedonean prh'Pte property ONLY.
Any tonetruetian on till public domain (curbs, sidewalks, drhewsys,
marquete, tto) will r"mra separate Permission.
INSPECTOR
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