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TELEPHONE NUMBER
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BUILDING DEPAERMIT
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NUMBER 740517
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FRONT B[DE REAR FRONT BIDE REA
PROPOSED USE
El
s to ` was' 2S i V as
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PLpgIN 6 T. A ROVAL E:
CITY
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TELEPHONE NUMBER
601112 -
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REMARKS Driveway sZopes not to exceed those
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ADDRESS
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indicated on Standard Drawing No. Z03
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TELEPHONE NUMBER
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SWIMMING POOL
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DEMOLITION
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NATURE OF WORK TO
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THIS SITE IS LOCATED IN THE CITY
OF EDMONDS, LOCAL SALES TAX
SHOULD gE CODED 31.04.
FVL - C)6c 1173
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Valuallon Fee Receipt No.
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RESIDENTIAL
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PROPOSED USE
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NON-RESIDENTIAL
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RETAINING WALL
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NUMBER OF STORIES
NUMDER OF
SWIMMING POOL
DWELLING
DEMOLITION
UNITS
NATURE OF WORK TO
BE DONE
_
EXCAVATION OR FILL
N p YES �f.NO
'IRED I OCCUPT G7PJ-
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS, LOCAL SALES TAX
SHOULD gE CODED 31.04.
FVL - C)6c 1173
I
Valuallon Fee Receipt No.
� ALS '/ 4A It 4, %
Plan Cheek N. .....................
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BUILDING
PROPOSED USE
PLUMBING
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fi-T'TH 'T-/�F•'r+
O PLOT PLAN (InAlca[o Bulldln6 setbacks, abutting streets)
BEAT A GAS LINE
9
FENCE
SIGN
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RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
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TOTAL AMOUNT DUE
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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 are the owner, or the duly author -
Iced agent of the owner. I agree to comply with city and .tate law. read-
ATTENTION
APPLICATION APPROVAL
lating eonetructlon; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
TIDE PERMIT
This application is not a permlt until
relating to Workmen'. Compensation Ineurance.
AUTHORIZESI
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORE NOTED
uty, and fees are paid, and receipt is ac-
.hall be completed In .lofty days; MOVED -IN BUILDINGS .hall ha wm-
knowledged in apace rovlded.
pleted In .Ix month..)
SIGN URE (OWNER OR AGENT)
DATE SIGNED
INSPECTION
IRE OA'8 NATU
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DEPARTMENT
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CITY OF
ED11fOND9
DATE
NOTE: Aphlicaat Subjecd to Plan Check Fee
—
_ 775-2525
Tide Permlt rorere work to he done on private property ONLY.
Any can.l rnrt lml au 11.e public dmmaln (eurh., eldewalk.. driveways,
FILE
11311 MMI -111.1- .epnrul,. ......