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1 hereby 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.
Iced agent of the owner. I agree to comply with city and elate lawn regu-
ATTENTION
APPLICATION APPROVAL
luting 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
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official Or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONB which
ONLY THE
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uty; and fees are paid, and receipt is ac-
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knowledged in space provided.
pleted In six months.)
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417 ATUILE (OWNER Ott AGENT) DATE 810 EU
INSPECTION
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DEPARTMENT
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CITY OF
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DATE
NOTE: ApplicantwR uct to Plan Chock
775-2525
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to be doe on private propertyy ONLY.
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marquee., ete.) will require separate permission.
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REMARKS
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PRE -MOVE INSPECTION
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I hereby acknowledge that I have read tole application; that the In-
I
formation given IScorrect; and that I am the owner, or the duly author-
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Ized agent of the owner. I agree to comply with City and State laws regu-
ATTENTION
t
tail.. Construction; and In doing the work authorized thereby, no person
!
-
.Qi
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
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Uty; and fees are paid, and receipt is ac -
FIRE ZONE TYPE OF CONSTRUCTION
STREET IMPROVED
knowledged in apace provided.
YES ❑ NO
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DI CTOR'8
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❑ YES
NEW r® RESIDENTIAL LINE PLAN CHECKED 13Y THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL slax OF EDMONDS. CAL SALES TAX
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DEMOLISH WALL
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CITY OF
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NUMBER—OF STORIES NUMBER OF
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This Permit curers work to ba done an private properly ONLY.
1
Any construction on tiw public domain (curbs, sidewalks, driveway.,
UNITS
INSPECTOR
I
marquees, etc.) will require separate perntle.lon.
NATURE OF WORK'TQ BE DONE
Valuation
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.
Plan Cheek No .....................
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RETAINING WALL
SWIMMING POOL
DEMOLITION
-
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read tole application; that the In-
formation given IScorrect; and that I am the owner, or the duly author-
i
Ized agent of the owner. I agree to comply with City and State laws regu-
ATTENTION
APPLICATION APPROVAL
tail.. Construction; and In doing the work authorized thereby, no person
!
-
Will be employed In violation of the Labor Code of the State 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 -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be corn-
knowledged in apace provided.
plcted In six month..)
SIGNATUliE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DI CTOR'8
I
DEPARTMENT
t
lo
CITY OF
/ /
NOTE: Applicant Srfbject to Plan Check Fee
EDMONDS
DATE
775-2525
This Permit curers work to ba done an private properly ONLY.
1
Any construction on tiw public domain (curbs, sidewalks, driveway.,
INSPECTOR
I
marquees, etc.) will require separate perntle.lon.
,