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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL REGUIRE
SEPARATE PERMISSION.
URCHARGE
PERMIT APPLICATION:, 100 DAYS
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PERMIT LIMIT, I AR- PROVIDED WORK S STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'AP LICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
ENG INSPECTION FEE
IN PTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRE
INSPECTION FEE
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PLAN CHECK DEPOSIT
DEEMED M MODIFY, WAIVE OR REDUC ANY REOUIREMENTOF ANYCITY ORDINANCE
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
TOTAL AMOUNT DUE
REC
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I HEREBY ACKNOWLEDGE THAT I HAVE READ, THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN 15 CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
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THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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IN VIOLATION OF THI LABOR CODE OF THE STATE
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771-0221
A FINAL I NSPECTION BEEN MADE AND APPROVAL 08 A CERTIFI-
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was conducted to determine compliance with approved plans. Final approval denotes that.
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there are no objections from the above signed Department
ribed work
____r_Final approval of the desr
___-Yerformance Bonds associated with the project may be released
GRANT FINAL PROJECT APPROVAL
—GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
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PERMIT EXPIRES
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CITY OF EDMONDS
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I HIS PEOMIT AUTIO IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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PERM T APPLICATION: l8DDAYs
A, PERMIT LIMIT,'l YEAR - PROVIDED WORIK 11 STARTED WITHIN "10-1
ENG , REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
E�G. INSPECTION FEE
;APPLICANT,
CITY OF
13 N NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THEANY
LANDSCAP NO
AND
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ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY ORIN RECTLY
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x FROM THE ISSUANCE OF THIS PERMT. ISSUANCE OF THIS PERMIT SHALL NOT :
PLAN CHECK DEPOSIT
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IHERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
T EDWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
TION AND IN DOING THE WORK AUTHORIZ ED THEREBY, NO PERSON WILL BE EMPLOYED
B.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27.
OFF
SIGN;TUe, lOWNER 01 ADEN
(425)
771-0220
E�
ATTENTION
EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221 —
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
.ICATION APPROVAL
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