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PLANNING DEPT. APPROVAL DATE:
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EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
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PLANNING DEPT. APPROVAL DATE:
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EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT.
RESIDENTIAL
❑ NON-RESIDENTIAL
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REMARKS
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DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby nek.owledge that I have road this application; that the In.
1 y—
formation given Is correct; and that I am, the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no person
_
will be employed in vlolall.n o1 the Labor Code of the State of Washington
THIN PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is aC-----
ehall be completed In ninety days; MOVED -IN BUILDINGS shelf be com•
Imowledged in space provided.
pieled In six months.)
SIONATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTO ION U
DEPARTMENT
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CITY OF
EDDSOND3
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Applicant Subject to Plan Check Fee
9- • 7
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775-2525
This Permit covers work to be done on private property ONLY.
Any construction nn the public domain (curbs, sidewalks, driveways,
FILE
mnrqueen, rte.) wilt rrgolre .eparste perml.sion.
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