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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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Bonds associated with the project may be released
FINAL PROJECT APPROVAL
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CITY OF EDMONDS NUMBER 07
CONSTRUCTION PERMIT APPLICATION '�`D`DRESS SUITEIAPT#
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PLAN CHECK NO: VESTED DATE
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I: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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:I SEPARATE PERMISSION.
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PERMITAPPLICATIoN 180DAY S
YEAR P RK IS STA TED WITHIN 160 DAYS
PERMIT LIMIT.- I � RoVIDED Wo R
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORS INFORMATION
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CITY
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OR INDIRECTLY
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SHALL NOT BE
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FROM T�ESSUA . THIS PERMIT. ISSUANCE OF THIS PERMIT
DEEMEDT MOOIFY.WAIVE0 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
ol PROVISION.*
PLAN CHECK DEPOSIT
0 NOR LIMIT N ANY WAY THE CITY'S ABILITY TO ENFORCE ANY OR DINANCE
TOTAL AMOUNT DUE
REC 1:�17 —clo
THAT I HAVTEHREADWTHIRS APPLICATION; THAT THE INFO RM lION
CATION APPROVAL
I HEREBY ACKNOWLEDGE
GIVEN E NE OR THE DULY AUTHORIZED AGENT 01
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THEOWN I AGREE TO COMPLY I"' CITY AND STATE .� REG.11ING CONSTRUC
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AUTH RIZED THEREBY. NO PERSON WILL BE LEMPL.Y
TION; AND DOING THE WORK o
WASHINGTON RE ATING TO
FOR INSPECTION1
p—,d.,I.
IN VIOLATIIN
ON OF THE LABOR ODE OF TH E STATE OF
WORKMEN�S COMPENSATION INSURANCE AND RCW IB.21.
_7ATE
(425)
SIGN.
SIG;UE(OWNEloRAG-INT),
771-0220
EASEDBY
EXT 333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
I
8
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE YELLOW - INSPECT
OWNER GOLD -ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
FAX
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