20000758.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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THIS PERMIT AUTHOfi ONLY THE WORK NOTED. THIS PEP., - --
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION
PERMIT APPLICATION: I.B DAY.
PERMIT LIMIT'. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. AEIRS. ASSIGNS AND SUCCESORS
THE CITY OF
IN INTEREST. AGREES TO INDEMNIFY�LGEFEND ANEESIAO DD=LESS
ALIN
,. EPLO TS FROM ANY AND
T�WFFAIT(EVER
2 EDMOND' AIIINIT"
FOR CAAi H NATURE. ARISING DIRECTLY OR INDIRECTLY
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ISS
FROM THE ISSUANCE 0 THIS PERMIT LANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAN ANY REQUIREMENT OF ANY CITY ORDINANCE
EORREDi
THE CIi ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
NOR LIMIT IN ANYWAY
T�AHA.VTE�RE.AOTHS.APPTLIHCEATI�.N:T�ATT��INIO�.ATI.N
I HEREBY ACKNOWLEDGE THAT E WN. OR D LY AUTHORIZED AGENT OF
GIVEN IS CORRECT. AND THA.
THE I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTFUC-
OWNER.
TION, AND IN DOING THE WORK AUT RIZ E EMPLOYED
ED THE MY. NO PERSON 'ILL LATING TO
RE
IN VIOLATION OF TW60 01 THE STATE OF WASHINGTON
18.27
NC
WORKMENS C.i G S ANCEANDA
SIGNATUR (0
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FIND, INSPECT ON FEE
LANDSCAPING
INSPECTION FEE
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
CALL
FOR INSPECTII
(425)
771-0220
ATTEqii ' 6/ r_ A If 0 .3 a
IT IS UNLAWFUL TO USE OR OCCUPY ABU 11-DiNG OR STRUCTURE UNTIL
A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221
CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX
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FINAL APPROVAL FOR
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CITY OF EDMONDS
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'REMARKS
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jvESTEl DATE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GAAD�INGIFILL
WAY
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MARGE
P RMITAPPLICATI N: 180DAYS
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A. PERMIT LIMIT'. I YEAS, PROVIDED WORK IS STARTED WITHIN 180DAYS
NG. JEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
ENO. INSPECTION FEE
;APPLICANT
N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
AND
LANDSCAPING
2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY
ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
INSPECTION FEE
RECEIPT
m FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT, SHALL NOT BE
PLAN CHECK DEPOSIT
c DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT 05 ANY C TV ORDINANCE
TO ENFORCE ANY ORDINA
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0 OR LIMIT IN ANY WAY THE CITY'S ABILITY
TOTAL AMOUNT DUE
I E.E.Y ACKNOWLEDGE THAT � HAVE READ THIS APPLICATION: THAT THE IN ORMATION
olt
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT AM THE OWNER. OR THE DULY AUTHORIZE AGENTOF
CIA
Tt,'� p"l-- i. .1 . F—it .61 �"— " ".
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CC-STRUC'
CALL
0,1,, D.,uly: -dF— — P.Id. -d
TION; AND IN DOING THE WORK AUlM'MIlED THEREBY. NO PERSON WILL BE EMPLOYED
F .1 WAS.IN TON RELATING TO
FOR INSPECTION
.-pt is acknowledgod in spaca Plo,d-
IN VIOLATION OF THE OR ' THE STATE
WORKMEN S COMPENS N S. CE AN. FCW I. Z'
OFFICIALS SIGNATURE DATE
DZIL(425)
771-0220
8ELE AS ED 8� DATE
EXT 1333
ATTENtI&N
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
HAS BEEN MADE AND APPROVAL OR,A CERTIFl-
ORIGINAL FILE - YELLOW- INSPECTOR
A FINAL INSPECTION
CATE OF OCCUPANCY HAS BEEN GRANTED. USCSECTION, 09
FAX
PINK - OWNER GOLD - ASSESSOR
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