750092.pdfREPAIR ❑ INSP. U POOL
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THIS PERMIT
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DEPT. APPROVAL DATE:
relating to Workmen's Compensation Insurance.
AUTHORIZES
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shall be completed In ninety day.; MOVED -IN BUILDINGS shall be eom-
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iATURE OF WORK TO BE DONE
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formation given Is correct; and that I am the owner, or the duly oulhor-
ized agent of the owner. I agree to comply with city and elate laws regu-
ATTENTION
APPLICATION APPROVAL
Is Ing construction; and In doing the work authorized thereby, no person
Wil l be employed In violation of the Labor Code of the Slate of Washington
THIS 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 TILE—.
WORK NOTED
uty; and fees are paid, and receipt is ac.
----I
shall be completed In ninety day.; MOVED -IN BUILDINGS shall be eom-
knowledged In space provided.
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This Permit -Vers work to be done on private property ONLY.
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Iced agent of the owner. I agree to comply with city and elate laws regu-
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lating construction; and In doing the work authorized thereby, no person
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❑
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relating to Workmen's Compensation Insurance.
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signed by the Building Official or his IN
NOTE: Permit limit One Year (Except DEMOLITIONS which
REPAIR
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NUMBER OF STORIES
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NOTE: Applicant abject to Plan Check Fee
775-2525
DWELLING
This Permit eu"ers work le be don n p"l"ate property ONLY.
Any construction on the public domain (curb.• sidewalks, dril.."a,
FILE
UNITS
NATURE OF WORK TO BE DONE
Vnivatlen Fec Recei
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Plan Check No .....................
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SIGN
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DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DDE
I hereby acknowledge that I have read this application; that the In-
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formation given Is correct; and that I s , the owner, or the duly author.
Iced 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
will be employed In Violation of the Labor Code of the slate of Waahlogton
THIS PERMIT
This application is not a permit un
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his IN
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is I
shell be completed In nlowly day.; MOVED -IN BUILDINGS shall be eons-
Imowledged in space provided.
DATE 816NEll
INSPECTION
DI OR's f�6NATU E
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DEPARTMENT
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CITY OF
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EDDIONDS
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NOTE: Applicant abject to Plan Check Fee
775-2525
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Any construction on the public domain (curb.• sidewalks, dril.."a,
FILE
mnrgaere, Mr.) will rrqulre separate permleelon.
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LINE
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NUMBER 750092
BUILDING DEPARTMENT
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QUIRED OCCUPANCY GROUP
THIS SITE IS LOCATED IN THE CITY
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SHOULD BE CODED 31.04.
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7 Valuation Fce Receipt
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Plan Check No .....................
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PERMIT NU\fHER -
CONSTRUCTION STREET IMPROVED
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QUIRED OCCUPANCY GROUP
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX .
SHOULD BE CODED 31.04.
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7 Valuation Fce Receipt
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Plan Check No .....................
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ped agent of the owner. I agree to comply with city and elate Tawe regu.
ATTENTION
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Will be employed In violation of the Labor Code of the Stale of Washlogton
BUILDING
PROPOSED UBE
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
PLUMBING
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,.-pleled In six month..) !,
aPLOT PLAN (Indicate
Building setbacks. lring streets)
INSPECTION
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\. 1, ! c'•. r:Lr.:/:
S— 6 ,/ J
OITY OF
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ED3IONDS
FENCE
775.2525
This Permit covers work to be done on private properly ONLY.
SIGN
,oareo.'r.. e11.1 "Ill mgalm nrirn rolr pennleslnn.
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I` 4'. 6-(
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
INSPECTOR
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
tormntlon Riven Is correct; and that I am the owner, or the duly author-
ped agent of the owner. I agree to comply with city and elate Tawe regu.
ATTENTION
toting conetrucllon; and In doing the work authorized thereby, no person
Will be employed In violation of the Labor Code of the Stale of Washlogton
Tins PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
aball be completed In ninety days; MOVED -IN BUILDINGS shall be com.
,.-pleled In six month..) !,
SIGNATURE (OWNER OR AGENT)
DATE SIGNEll
INSPECTION
/ -
/ /rte
Y
DEPARTMENT
\. 1, ! c'•. r:Lr.:/:
S— 6 ,/ J
OITY OF
NOTE: Applicant`S)Ehject to Plan Check Fee
ED3IONDS
775.2525
This Permit covers work to be done on private properly ONLY.
Any construction an Ilia public domain (curb., sidewalk., driveways,
,oareo.'r.. e11.1 "Ill mgalm nrirn rolr pennleslnn.
I` 4'. 6-(
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
INSPECTOR