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REQUIREMENT
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I hereby acknowledge that I have read this application; that the In-
formation given In correct; and that I am the owner, or the duly author•
Ized agent of the owner. I agree to comply with city and state laws "Su-
the thereby, no
ATTENTION
APPLICATION APPROVAL
lating aetructlon; and In doing work authorized person
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will be employed In violation of the Labor Code of the State of Washlbliton
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 THE
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shell 6e Completed In ninety days; MOVED -IN 8O1LD1NO8 shall b0 Som-
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INSPECTION
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CITY OF
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NOTE: Applicant Subject to Plait Check Fee
775-2525
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Permit covers Work to be done on private proparty ONLY,
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PERMIT APPLICATION Inside Heavy Linos ADDRESS
NAME (OR NAME OF. BUSINESS)
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ent Of the owner. I comply with city anaws Milo•
❑ NON-RESIDENTIAL
❑ SIGN
❑ ADD
In violationLabor Code of the Elashington
THIS PERMIT
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❑ DEMOLISH
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NOTE: Applicant Subjectto Plan C Teck Fee
DWELLING
UNITS
This Permit covers work to be done on private property ONLY.
NATURE OF WORK TO BE DONE
DICATE BUILDING
\BUTTING STREETS
REMARKS
FIRE ZONE TYPE OF CONST
SP EG IAL INSPECTOR AREA
REQUIRED
❑ YES ❑ NO
PLAN CHECKED BY TH
OF
REMARKS.
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777
ON CODE
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IS LOCATED IN THE CITY O
INDS. LOCAL SALES TAX
3E CODED 31,04,B
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APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
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knowledged in space provided.
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ORIGINAL - hIc YELLOW - ImPL-clof j
PINK - Owner GOLD - Assessor
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TOTAL AMOUNT DUE
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have rand this npDllcajbyon
on given le correct; t I tun the owner, ory 7thar-
ent Of the owner. I comply with city anaws Milo•
ATTENTION
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In violationLabor Code of the Elashington
THIS PERMIT
to Workmen's Comn Insurance.AUTHORIZES
rhereby
E: Permit Limitear (EXcept DEMNS which
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ONLY THE
e completed In moetMOVED•IN BUILDIl he nom•In
wORK NOTED
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DEPARTMENT
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OF
EDMONDS
NOTE: Applicant Subjectto Plan C Teck Fee
775-2525
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
1-
777
ON CODE
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IS LOCATED IN THE CITY O
INDS. LOCAL SALES TAX
3E CODED 31,04,B
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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 space provided.
MRECTOR'S SIGNATURE/
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ORIGINAL - hIc YELLOW - ImPL-clof j
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1'St,t,t 1J11 of. OIL !;o1a.11 1:.110 Ot. 01:4) No t h 264 TL•_1; j i
u;. Tract 21, Plat of Vent ow"lu Leach, according Lu tlur- pl It t.lwreof
):,ri.or.tl, tl
in `'t)t,L: 5 of i s :S, lt,t, 38, rucirtl9 of tI11t A-..t:litor oY. the !
Cmmty of • and tau 1;•. r line of _ �
rnohi)r1.i:;}t, St•tt: oL' I•„t:,l:i,l•,;,nn, :� said
Tract 21;thunc.t: V-t.,t pion; thu Sa1:O line of tate l';ll: E Z64 feet of said
,Tract :?1, :1 tlistcUtcr o :!UO fCv[ CO tll': true POillt Pt; l,,'t,ln;lii?::; thCRCn
ccat:.:1110 Hast al1:a), tho :.-Ith lino. of tl:u %:Orth !264 ,ii:'•t of said Tract
21., a Mstanco of 12:),26 f1:ut to tht: lE'l:•,t lint: of tb,1 • Wast half of said ,
Tract 21; thence, So11 11 al.oug the (East line of thrs lle : Imif of said -, 1
Tract 21, t; dist:)nc=„ of. 100 feet; thence Wa st, paralla 1 to t1tC, Souttl
line of the North 264 fcot of said ')'tact 21, a distanhe .o£ 12625 Go +'
to a point lying; HU feet Southurly of the true Point a:c beginning; w� 1
thenc a North parr a.l to the Last line of the lest ha1r.' of t'x ac C :21, ? '
b
a distance of 100 fact to the t►ua Point of beginning.
PARCEL C: -
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