20000807.pdfDATE RECEIVED
PERMIT EXPIRES _446 _41
PERMIT
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PERMIT APPLICATION: 180 DAYS
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Equipment ., ...............
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FIRST FLOOR FRAMING
INSULATION ...................
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CITY OF EDMONDS NUMBER _4,�o
JOB SU,
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OWNER NAMENAME OF BUS NISS
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NAME
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0 YES ONO
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ED". S.. Sg DIAIS. EMPLOYEES. AND AGENTS FROM ANY AND
ALL C�AIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF TH PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
1. DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOAU TIN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
TiOf4'FELr 4 1' f
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THAT AAE INFORM TION
GIVEN IS CORRECT. AND THAT I A THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMILMITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOI NG THE WORK AUTHO RIZE D THE RE By. NO PERSON WILL BE EMPLOYE D
CODE OF THE STATE OF WASHINGTON RELATING TO
APPLICATION
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DATE SIGNED
DATE SIGNED
(425)
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, �Ari
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771-0220
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771-0221
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORGINAL-FILE YELLOW
PINK - OWNER GOLD - ASSESSOR