20000292.pdfPERMIT EX IRES
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ASSESS."
A FINAL
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PINK OWNER GOLD
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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SEPARATE PERMISSION,
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT, I YEAR - PROVIDED WORK'S STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
ON BEHALF OF HIS OR FISH SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS FERMI $HALL NOT BE
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NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I H.� RIAO THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
T [A REETO PLY WITH CITYAND ST E LAWS REGULATING CONSTRUC
THE OWNE 0 WILLBEEMPLOYED
ION,AKD11 0 INGTH ORK AUTHORIZED THEREBY. No PERS N
ABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
CALL T 11 111, '�' I III III.
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIJ OA)GINAL-FILE * YELIOW INSPECTOn
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER - GOLD, ASSESSOR