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THIS PERMIT
This application is not a permit until
METER SIZE SERVICE SIZE
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NOTE' Permit Limit One Year (Except DEMOLITION8 which
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STATE LICENSE NUMBER
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Legal Description of Property (Snow Below
or Attach Four Copies)
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Any roost rncl inn nn the public domain (eurbs, nlAewnike, driveways,
#8-Blk #2 Westgate Park Div. #2
TYPE CONNECTION
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I hereby acknowledge that I have rend 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 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 Washlogton
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Imarance.
AUTDORIZEB
signed by the Building Official or his Dep -
NOTE' Permit Limit One Year (Except DEMOLITION8 which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac
shall be completed in ninety days; 31OVED-IN BUILDINGS shall be cam•
hnowledged in space provided.
pleted In six months.)
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INSPECTION
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DEPARTMENT
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CITY OF
EDMONDS
DATE _
NOTE hplicant Subject to Plan Check Fee
775-2525
This Permit covenWork to be done an private property ONLY.
Any roost rncl inn nn the public domain (eurbs, nlAewnike, driveways,
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