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PERMIT NUM R tko//5
This application Is not a permit until
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signed by the Building Official Or his Dep- _
6 EPT. A
ROVAL DATE'
uty; and fees are paid, and receipt is ac- j
.hall be completed In ninety day,; MOVED -IN BUILDINGS shall be coni-
CITY
TELEPHONE NUMBER
INSPECTION
DIRECT
SIGNA HE (O T ATE SIGNED
DEPARTMENT
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CITY OF
EDMONDS
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DATE IL%
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NOT' r Applicant Subject to Plan Cbec , 7,
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y I i /Cyfl/ PM YES NO j
SPECIAL INSPECTOR REQUIREDOCCUPANCY GROUP
❑YES NO
E16
F�
GAS
ElRESIDENTIALLINE
NEW
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY „
® NON-RESIDENTIAL SIGN
OF EDMONDS. LOCAL SALES TAX t
i
❑ ADD RETAINING
REMARKS
SHOULD BE 31.04.()
DEMOLISH WALL�I"�J
\
,C1ODTED
,O i`J N lO
ALTER ❑ `ENC..........Ft.)
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❑ ORFILL
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PRE -MOVE SWIbI
REPAIR
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INSP. POOL
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NUMBER OF STORIES NUb[flER OF
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Fee Receipt No.
NATURE OF WORK TO 11 E 1,Valuation
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PROPOSED USE
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SWIMMING POOL
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PRE -MOVE INSPECTION
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TOTAL AMOUNT DUE
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[ hereby nowledgo that I have read this application; that the In-
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tormntlon given leackcorrect; and that I am the owner, or the duly author.
ized agent of the owner. I agree to comply with city and elate laws rogu.
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 State of Washington
THIS PERMIT
This application Is not a permit until
reiatlbg to workmen's Compensation Insurance.
AUTHORIZES
i
signed by the Building Official Or his Dep- _
NOTE: Permit Limit One Year (Except DEMOLITIONH Which
ONLY THE
WORE NOTED
uty; and fees are paid, and receipt is ac- j
.hall be completed In ninety day,; MOVED -IN BUILDINGS shall be coni-
knoWledged in space provided. -
pleted In .Ix m..the.)
INSPECTION
DIRECT
SIGNA HE (O T ATE SIGNED
DEPARTMENT
1
CITY OF
EDMONDS
775-2525
_ 1
DATE IL%
S _
see
NOT' r Applicant Subject to Plan Cbec , 7,
This Permit cu r. work to be done on private property ONLY.
Any const rnrllan an the public domain (enrb., eldewnik., drlyewaye'
FILE
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