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PERMIT APPLICATI N: ISO DAYS
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TOTAL AMOUNT DUE
RECEIPT
THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE
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FOR INSPECTION
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WORKMEN'S COMPENSATION INSURANCE AND RCW 16.27.
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AGREES TO INDEMNIFY, DEFEND AND HOLD HARM ESE 'E CITY F
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FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT SE
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08 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
DI NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORC E ANY
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HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AN. THAT I A. THE WISH, OR THE DULY A TH
U ORI— AGENI . OF
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APPLICATION APPROVAL
THEOWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REG
TION: AND IN DOING THEWORI AUTHORIZED THEREBY. NO PERSO�U TING CONSTRUC
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CALL
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OFFICIA SIGNATU I RE—
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
771-0221
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL FILE - YELLOW. INSPECTOR
1/98
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