750208.pdfE Valuation Fee R.e.1pt No,
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BUILDING DEPARTMENT
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SWIMMING POOL
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SHOULD BE CODED 3104.
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indicated on Standard Dwg.
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TYPE CONNECTION
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E Valuation Fee R.e.1pt No,
Plan Check No .....................
I
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W
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4 PROPOSED USE
PLUMBING
7 PLOT PLAN (Indicate Building setbacks, abutting street.)
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M
REMARKS
I'
SIGN
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RETAINING WALL
14
SWIMMING POOL
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DEMOLITION
PRE -MOVE INSPECTION
FIRE Z I TYPE OF�.I1NiTRUC'j'lON I STREET 1h1PROVED
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EXCAVATION OR FILL
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YES ❑ NO
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I heresy 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.
SPECIAL INSPECTOR
ZMQUIRED OCCrNCY GR
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ATTENTION
APPLICATION APPROVAL
NEW
® RESIDENTIAL
NON-RESIDENTIAL
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OAS
LINE
BION
❑ YES NO
PLAN CHECKS BY
THIS SITE IS LOCATED IN THE CITY
Of EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 3104.
THIS PERMIT
;
rebs Ing to Workmen'. Compensation Insurance.
ADD
ALTER
❑
DEMOLISH
❑
RETAININGI
FEN
REMARKS
shall be completed In ninety days; MOVED -IN BUILDINGS shall be nom.
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knowledged in space provided.
1 ed 1n six regains.)
F1OR
FILL
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INSPECTION
DIREC" R'S SIGNATURE
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DEPARTMENT
REPAIR
❑
IN Pe[OVE
❑
POOL
D
CITY OF
NOTE: Applicant Subject to Plan Check Fee
EDhIONDS
DAT
NUMBER OF STORIES NUMBER OF
775-2525
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DWELLING
Any ".......flim on ,lir I bllc damn!. (curb., .Idrwnik., drlveway.,
r,Jin rl'.I .till cnnlrr repor,Jl.• }n,l.0.n.
FILE.
NATURE
OF WORK
TO
UNITS
BE DON
E Valuation Fee R.e.1pt No,
Plan Check No .....................
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BUILDING
(,�//
4 PROPOSED USE
PLUMBING
7 PLOT PLAN (Indicate Building setbacks, abutting street.)
HEAT h GAS LINE
M
FENCE
I'
SIGN
RETAINING WALL
14
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
Oe Y
t
I heresy acknowledge that I have read this application; that the In.
t�
'
formation given Is correct; and that I am the owner• or the duly author.
Iced agent of the owner. I after 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 Washington
THIS PERMIT
This application is not a permit until
rebs Ing to Workmen'. Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
i
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORE NOTED
Uty; and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be nom.
knowledged in space provided.
1 ed 1n six regains.)
BIG ATURE W O ENT) DATE SIGNED
INSPECTION
DIREC" R'S SIGNATURE
^
DEPARTMENT
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t
D
CITY OF
NOTE: Applicant Subject to Plan Check Fee
EDhIONDS
DAT
�±
775-2525
/
Thl. Permit c tyre work la be don n private property ONLY.
Any ".......flim on ,lir I bllc damn!. (curb., .Idrwnik., drlveway.,
r,Jin rl'.I .till cnnlrr repor,Jl.• }n,l.0.n.
FILE.