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PAOP08ED HEIGHT
ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
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FRONT SIDE REAR
NAME
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TELEPHONE NUMBER
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DEFICIENCY THIS PROPERTY
;UMBER OF STORIES
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formatlon given to correct: and that I am the owner, or the duly author-
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YERMIT NUMBER pi
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OCCUPANCY GROUP
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;UMBER OF STORIES
NUMBER OF
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OCCUPANCY GROUP
BUILDING
THIS SITE 15 LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
PROPOSED UBE
PLUMBING
Valuation Fec i Receipt No.
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Plan Check N. .....................
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Plan Check N. .....................
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BUILDING
PROPOSED UBE
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PLOT PLAN (Indlcalo Building setback., abutting streets)
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TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
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formatlon given to correct: and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and elate laws regu.
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby no person
w•111 be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not B permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS whiell
ONLY TH
WORK NOTED
uty; and fees are paid, and receipt is Be-
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shall be completed In ninety days; MOVED -IN BUILDINGS shall be cam.
knowledged in space provided.
pleled in six months.)
(
HGNATUIi WNER R A T)
D E 816000 D
INSPECTION
DIRECTO
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DEPARTMENT
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CITY OF
Fee
D11fOND9
E DMOND
DAT Q
NOTE: Applicant SBhje t to Plan Check
This i'rrmll ro work la ba done an private property ONLY.
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FILE
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Date Passed
Foundation
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Plumbing (Partial)
(Rough)
Frame
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Furnace & Fuel Lines i
Final
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