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'APPLICANT, ON BEHALFOFHISOR HER S'POLISE, HEIRS. ASSIGNS AND SUCCESORS
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IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALLCLAIMS FOR DAMAGESOFW I ATEVER MATURE. ARISING DIRECTLY OR INDIRECTLY
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INSPECTION FEE
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FROM THE ISSUANCE OF THIS SSUANCE OF THIS PERMIC HA a
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PLAN CHECK DEPOSIT
NOR LIMIT IN ANYWAYTHE CITY'SABILITY TO ENFORCE ANYORDINANCE PROV ISION.'
TOTAL AMOUNT DUE
REJI�_7
I IISAEOY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECT., AND THAT I AM THE OWNER. OR THE DULY AUTHOR ZED AGENT OF
To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON
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OFF141ASSIGNATURE DATE
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771-0221
A FINAL INSPECTIqN HAS BEEN MADE AND APPROVAL OR A CERTIFI- .INAL-FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD - ASSESSOR
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