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PLANNING DEPT. APPROVAL .DATE:
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PERMIT NUMBER
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BUILDING DE7718TREET
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PLANNING DEPT. APPROVAL .DATE:
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EXISTING STREET R/W ............FT.
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DEFICIENCY THIS PROPERTY
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1 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-
Ized agent of the owner. I agree to comply with city and State lawn ngu-
ATTENTION
APPLICATION APPROVAL
lsting construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workman's Compensation Iesurance.
AUTHORIZES
signed by the Building Official or his Dep-
I
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TitR'ORli E
NOTED
uty; and fees are aid, and receipt is Be�r—
__
Shall be completed In ninety dnye; MOVED -IN BUILDINGS shall be com•
knowledged in space provided.
plated in I. months.)
SIGNATURE ( NER Olt A T)
DATE elONED
DEPARTMENTPECTIO
Dl OR'S IONATU rt
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CITY OF
EDMONDS
DAT IC
TE: A(iOiicant Subject to Plan Check Fee
`2
775-4525
This 1'emSt rnvero work to be done on private properly ONLY.
Any ra net rueUnn nn it.. public domain (curb,, ld-1k., drh'ewa)e'
FILE
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