750098.pdfValuation Fee Receipt No.
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BUILDING
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PLUMBING
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Appneant FW
ER 750098
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HEAT & GAS LINE
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I hereby acknowledge that I have read this application; that the in.
FRONT BIDE REAR FRONT DE REAR
formatlon given le correct; and that I are the owner, or the duly author-
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Ized agent of the owner. I agree to comply with city and stale law. regu.
ATTENTION
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lating construction; and in doing the work authorized thereby, no person
LEGAL LOT VARIANCE OR CONDITIONA U N-
is YES NO PERMIT NUMBER
will be employed In violation of the Labor Code of the Stale of Washington
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This application is not a permit until
PLANNG D T. R9VAjq _ DA�E:
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AUTHORIZES
signed by the Building Official or his Dep-
CITY
NOTE: Permit Limit One Year (Except DEMOLITIONS which
TELEPHONE NUMBER
uty; and fees are paid, and receipt Is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be coin-
knowledged In space provided.
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EDMONDS
NOTE: Applicant Suhje t to Plan Check Fee
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Valuation Fee Receipt No.
r.QAAJ L f-
Pin. Check N. .....................
BUILDING
[Oy
L PROPOSED USE
a�0n,
W
PLUMBING
—1
PLOT PLAN (7ndlento Bulldln6 .clbneks, abutting
O street.)
HEAT & GAS LINE
fJ•�1�•
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FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
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TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the in.
formatlon given le correct; and that I are the owner, or the duly author-
{.
Ized agent of the owner. I agree to comply with city and stale law. 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 Stale of Washington
TIDE PERMIT
This application is not a permit until
relating to Workmen'. Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TH
WORK NOTED
uty; and fees are paid, and receipt Is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be coin-
knowledged In space provided.
pleted In nix months.)
el (OWN'R OR E )
INSPECTION
IR CTO B UREDEPARTMENT�
K/yD
CITY OF
EDMONDS
NOTE: Applicant Suhje t to Plan Check Fee
775-2525
Thle Permit coven work to be dans on privnte property ONLY.
Any mnnlructlnn nn lhr nnblir dmm�ln /curb., nldrwnike, driveway.,
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1IRECORD OF INSPECTIONS .,
Date Passed
Foundation
Plumbing (Partial)
(Rough)
Frame -S�;:�-7J
Furnace & Fuel Lines_s_sj=7S
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Final