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PERMIT LIMIT. I YEAR, PROVIDED WORK 15 STARTED WITHIN 160 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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, ;A'P 'ICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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REMARKS
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I HEREBY ACKNOWLEDGE T -AT AV E READ THIS APPLICATION; THAT THE INFORMATION
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WORKMEN'S COMPENSATION INSURANCE �D POW 18.27,
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(425)
771-0220
RELFAS D BY
A17ENTION
EXT 333
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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-
� FIL YELLOW - INSPECTOR
OHIPOININA E
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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