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formation given Is correct; and that I am the owner, or the duly such or-
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lat,ng construction: end In doing the work authorized thereby, an person
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Any construction On the public domain (curb., sidewalks, driveways,
PLANNING EPT. APPROVAL OATOIJ
marquees, etc.) will require separate permission.
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I hereby acknowledge that I have read this application; that the In.
formation given Is correct; and that I am the owner, or the duly such or-
Ized agent of the owner. I agree to comply with city end state laws MN-
lat,ng construction: end In doing the work authorized thereby, an person
ATTENTION
APPLICATION APPROVAL
will be employed in yWatlan of the Labor Code of the State of Washington
Compensation Insurance.
THIS PERMIT
This application is not a permit until
relating to Workmen's
AUTHORIZES
Signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (E:ecpt DEMOLITIONS which
ONLY THE
Btyi and fees are paid, and receipt is ac-
shall be completed In ninety days; MOVED -1N BUILDINGS shall be cum-
WORK NOTED
Neted m six month..)
INSPECTION
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SIGNATURE (OWNE OR AGENT) SIGNED
DEPARTMENT
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757-
CITY OF
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NOT(:: Applicant Subject to Plait Check Fee
775-2525
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This Permit covers work to be done on private property ONLY.
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ORIGINAL -file YELLOW • Iiisl�ecior
marquees, etc.) will require separate permission.
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NOTE: Permit limit One Year (Except DEMOLITIONS which
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formation given Is correct; and that I am the owner, or the duly author-
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lating conetmetlon; and In doing the work authorised pardon
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relating to Workmene. Compineatlon Insurance.
RE A S
signed by the Building Official or his Dep -
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
THE
alty; and fees Are paid, and receipt is aC-
.hall be completed In ninety day-; MOVED -IN BUILDINGS 11011 be com-
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lcnowledged In apnea provided.
pleted In .lx months.)
INSPECTION
SIGNATURE (OWNER.OR AGENT) DATE SIGNED
DEPARTMENT
DIRECTOR'S SIGNATURE
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REMARKSAS
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NUMBER OF STORIES
NUMBER OF
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NATURE OF WORK TO BE DONE
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NO.
VALUATION FEE
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formation given Is correct; and that I am the owner, or the duly author-
LANI ABICATE UTTING SIUEDING TREETS)SETBACKS, BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
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' SWIMMING POOL
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ATTENTION
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lating conetmetlon; and In doing the work authorised pardon
will be employed In violation of Ne Labor Code of the Stale Of Washington.
THIS PERMIT
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I Hereby acknowledge that I have reed this application; that the In-
TOTAL AMDUE
formation given Is correct; and that I am the owner, or the duly author-
tsetl agent of the owner. I agree to comply with city and elate law- -so-
thereby, no
ATTENTION
APPLICATION APPROVAL
lating conetmetlon; and In doing the work authorised pardon
will be employed In violation of Ne Labor Code of the Stale Of Washington.
THIS PERMIT
This application is not a permit until
relating to Workmene. Compineatlon Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
THE
alty; and fees Are paid, and receipt is aC-
.hall be completed In ninety day-; MOVED -IN BUILDINGS 11011 be com-
WORK
lcnowledged In apnea provided.
pleted In .lx months.)
INSPECTION
SIGNATURE (OWNER.OR AGENT) DATE SIGNED
DEPARTMENT
DIRECTOR'S SIGNATURE
7� i r'+._
CITY OF
EDMONDS
GATE
NOM Applicant Subject to Plan Check Fee
775-2525
This Permit covets work to he done on private property ONLY.
pawalks,
ORIGINAL 'Fde YELLOW •Inspector
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Any construction on the public domain (curbs, si drlvewaye,
marquees, etc.) will require separate permission.
PINK - Owner GOLD - Assessor