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Legal Desctlptlan oI Property (show Uelow or Attneh Four CUPlm1
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PERMIT APPLICATION I Inalde Heavy Linea ADDRESS
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428 - 12th Avenue North
formation given le correct; and that I son, the owner, or the duly slither.
NAME (OR NAME OF BUSINESS)
PERMISSIBLE ACTUAL q
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Ized agent of the owner. I agrea to comply with city and elate laws regu.
ATTENTION
Don Finnigan LOT COVERAGE LOT COVEIiAOE
lating conetruetlon; and In doing the work authorized thereby, no person
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THIS PrRMiT
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relating to Workmen's Compensation Insurance.
AUTHORIZES
Edmonds, Wn. 776-6920 REQUIRED YARDS PROPOSED YARDS w
NOTE: Permit Limit One Year (Except DEMOLITIONS which
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Lot 8 Emerald Hills
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PLA' DEPT. {. ROV TE'
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formation given le correct; and that I son, the owner, or the duly slither.
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ATTENTION
APPLICATION APPROVAL
lating conetruetlon; and In doing the work authorized thereby, no person
❑ NO
will be employed In violation of the Labor Code of the elate of Washington
THIS PrRMiT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official Cr his Dep -
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I hereby acknowledge that I have reed this application; that the In-
formation given le correct; and that I son, the owner, or the duly slither.
Ized agent of the owner. I agrea to comply with city and elate laws regu.
ATTENTION
APPLICATION APPROVAL
lating conetruetlon; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the elate of Washington
THIS PrRMiT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official Cr his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
knOWledged in space provided.
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pletqe'tq six months.)
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RE (OWNEK O ENT) DATE SIGNED
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DEPARTMENT
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DIRECT sf E
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