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A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
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STATE SURCHARGE
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:T41NFORMATI
STORM DRAINAGE FEES
PLICANT. ON BEHALF OF HIS OR HER SPOUSE HEIRS� ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
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N NT5RESF AGREES TO INDEMNIFY. DCFEND AND HOLD HARMLESS THE CITY 01
EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FRO. AHY AND
A LCI-MMS FOR DAMAGES OF WHATEVER NATURE� ARISING DIFECTLY.R INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMITISHALL NOT BEE
PLAN CHECK DEPOSIT
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REGUIREMENT o ANY C TYORDINANC
m NOR LIMIT IN ANY WAY THE CITI'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION, -
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT N
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLo D
OF WASHINGTON RELATINGYTEO
FOR INSPECTR
IN VIOLATION OF THE LABOR CODE OF THA ST;�
WO�KMJN S COMPENSAT JAqCE AN R 8,27.
DATE Ell ED
(425)
771-0220
AtTiffIftION
IT IS UNLAWFUL TO USE OR OCCU A BUILDING OR STRUCTURE UNTIL
�DE
A FINAL INSPECTION HAS BEEN AND APPROVAL OR A CERTIFk
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CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
APPLICATION APPROVAL
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