750481.pdfI
TOTAL AMOUNT DUE
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lating conetructlon; and In doing the work authorised thenby, no Dereon
inside Heavy Lines
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NAME (OR NAME OF BUSINESS) ADDRESS
1224 - 8th Avenue South
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775-2525
PROPOSED YARDS / HEIGy1T/
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t hereby ecknowtedge that I have read this application; that the In-
TOTAL AMOUNT DUE
formntlon given Ie correct; and that I am the owner, or the duly authmr
(zed agent o[ the owner. I agree to Comply with Illy and slate laws ngu-
I VV NEW
lating conetructlon; and In doing the work authorised thenby, no Dereon
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NVMBER OF STORIES
NUMBER OF
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R A K
marquees, etc.) will require separate permission,
2
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NATURE OF WORK
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SIGN
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SWIMMING POOL
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t hereby ecknowtedge that I have read this application; that the In-
TOTAL AMOUNT DUE
formntlon given Ie correct; and that I am the owner, or the duly authmr
(zed agent o[ the owner. I agree to Comply with Illy and slate laws ngu-
ATTENTION
lating conetructlon; and In doing the work authorised thenby, no Dereon
Will be employed In vlolatlan or the Labor Code or the Stale or Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
shall be completed In ninety days; MOVED -IN BUILDINGS shell be coon.
WORK NOTED
pleted In six months,)
(OWNER OR AGENT) DATE SIGNED,
INSPECTION
OEPA FITMENT
L�TURE
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CITY OF
EDMONDS
NOTIi: Applkvnt .Subjeet to Plan Check Fee
775-2525
This Permit covers work to be rione on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission,
t OCCUPANCY OCCUPANT
GROU�Pj7 'r LOAD
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
VALUATION I FEE
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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 apace provided.
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NUMBER OF STORIES NUMBER OF
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TOTAL AMOUNT DUE
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1 hereby acknowledge that I have read this applleatlon; that the to'
formation given 1. correct; and that I em the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and stale laws ngu-
ATTENTION
APPLICATION APPROVAL
leling eonetructloa: and 1. doing the work authorized thereby, on person
and
will be employed In of the Labor Code of the State of Washlagtoo
THIS PERMIT
This application Is not a permit until
relating to Workmen's Compeneetlon Ipanranre.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY HE
NOTED
uty; and fees are paid, and receipt is ac-
ahall be completed In ninety days; MOVED -IN BDILDINGS shall be win-
WORK
knowledged in apace provided.
plated In .1. month..)
INSPECTION
SIGNATURE (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
pIRECTOR'S SIGNATURE -
..
CITY OF
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EDMONDS
DATE
ti
NOTE: Applicant Subject to Plml L71eck Eee
775-2525
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This Permit covers work to be done on privateproperty ONLY.
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ORIGINAL •File YELLOW nslmelor
Any construction on the public domain (curbs, sidewalks, driveways,
PINK -Owner GOLD . sser
marquees, etc.) will require separate permission.