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BUILDING DEPARTMENT AppucantFtu
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THIS PERMIT
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APPLICATION Imelda Heavy Lines
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NOTE: Permit Limit One Year (Eaeept DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
PERMIT
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IIGNA it (O NE} K T) DATE g NE
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NAM • (OR NAME OF DU81CjE@B)
PERM I983DLE M ACTUAL
ED5IONDS
NOTE: Applicant Subject to Plan Check Fce
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PLAN CHECICED Y THIS SITE IS LOCATED IN THE CITY
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PRE -MOVE INSPECTION
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EXCAVATION OR FILL
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I her y scknowledgo that I have read this application; that the In-
TOTAL AMOUNT DUE
formation given Is correct; and that I she the owner, or the duly author -
lied agent of the owner. I ages to comply with city and elate laws regu-
lating eanetruetloa; and In doing the work authorised thereby, no person
ATTENTION
will be employed In violatkoa of the 1.1 Code or the State of Washington
THIS PERMIT
,.hum.to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Eaeept DEMOLITIONS which
ONLY TIME
WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In .1 antha.)
IIGNA it (O NE} K T) DATE g NE
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INSPECTION
DEPARTMENT
CITY OF
ED5IONDS
NOTE: Applicant Subject to Plan Check Fce
775-2525
This Permit 111-re
srk la be done on relvete property ONLY.
Any constructionan ilia public domain (curbs, sidewalks, driveways,
marquees, etc.) will r[gnlre eeparale parmieeion.
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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.
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Legal peaeripthm of Property lBhow Below or Attoen wour t,opicsi
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NEW
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL SIGN(
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OF EDMONDS. LOCAL SALES TAX
BE 31.04.
El ADD RETAINING
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REDIA
SHOULD CODED
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USE
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REPAIR El PRE-MOVEBWIDI
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NUMBER OF STORIESI NUMflER OF
DWELLING
PERMIT APPLICATION Inside Heavy Lines
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NATURE OF WORK TO BE DONE
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PEILvl1H9IBLE HEIGHT
PROPOSED HEIGHT
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CITY 1 I' (' I
TELEPHONE NUMBER
ACTUAL LOT AREA
TOTAL BLDG. AREA
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REQUIRED YARDS
PROPOSED YARDS
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FRONT BIDE REAR
FRONT BIDE REAR
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Legal peaeripthm of Property lBhow Below or Attoen wour t,opicsi
Cl YES �.NO
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NEW
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL SIGN(
. . r i
- I-•..
OF EDMONDS. LOCAL SALES TAX
BE 31.04.
El ADD RETAINING
: • t A _
REDIA
SHOULD CODED
DEMOLISH WALL
EJ EXCAVATE FENCE
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✓C- / i'J/ / ,"�'.:� (�/� (� / i '$)
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REPAIR El PRE-MOVEBWIDI
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INSP. POOL
r'.•,J,_:
NUMBER OF STORIESI NUMflER OF
DWELLING
UNITE
NATURE OF WORK TO BE DONE
Valuation
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Receipt No.
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YES U tvu rona„a .—or..a
PLANNING DEPT. APPROVAL 7. OTE;
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
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FIRS ZONE I TYPE OF
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SPECIAL INSPECTOR RE
NO
GA8
RESIDENTIAL ❑ LINE
Cl YES �.NO
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NEW
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL SIGN(
. . r i
- I-•..
OF EDMONDS. LOCAL SALES TAX
BE 31.04.
El ADD RETAINING
: • t A _
REDIA
SHOULD CODED
DEMOLISH WALL
EJ EXCAVATE FENCE
j -J .'•' ' . r�/%/$ % ,<�
:.
✓C- / i'J/ / ,"�'.:� (�/� (� / i '$)
ALTER ❑
OR FILL (.....................Vt.)
REPAIR El PRE-MOVEBWIDI
El
,.� ::, .-. ,-
I'd
INSP. POOL
r'.•,J,_:
NUMBER OF STORIESI NUMflER OF
DWELLING
UNITE
NATURE OF WORK TO BE DONE
Valuation
Fce
Receipt No.
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Plan Check No .....................
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BUILDINGS
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60
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4 PROPOSED USE
PLUMBING
O
aPLOT PLAN (Indicate Enlildllln_6 stbaClte,Cabutting streets) HEAT A GAS LINE
PENCE
SIGN
tRETAINING
WALL
1
SWIMMING POOL
j
DEMOLITION
- '
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PRE -MOVE INSPECTION
... A I
EXCAVATION OR FILL
1
- - I
TOTAL AMOUNT DUE
I hereby aolumnehdg, that l have read this application; that the in-
aon given le correct; and that I am the owner, or the duly author.
,_"
laed 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 violation of the Labor Code of the State of Washington
THUS PERMIT
This application is not a permit until
rotating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DE510L TIO -48 which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shalt be cam.
knowledged in space provided.
pitted In mix months.)
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DIRECTOR-B.BIONATURE;
-
DEPARTMENT
• ` -
CITY OF
DATE .i-
•/.
� ..%NOTE:
EDMONDS
Applicant Subject to Platt Check Fee
775-2525
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This Permit cet'ere Work to be dune on private property ONLY.
Any construction on Um public domain (curbs, sidewalks, drlvmars.
INSPECTOR
marquees, etc.) will retinue separate permission.