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STATESURCHARGE
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END. REVIEW FEES
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1 771-0220
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ATTENTION
IT IS UNLAWFUL 70 USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
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Commercial Final
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Gas Test ...........
Gas Piping .................
Equipment .................
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EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
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Floor Insulation
Wall Insulation ...........
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B DOMAIN ICURBS. SIDEWALKS, DRIVE S, MARQUEES, ETC.) WILL REOUIRE
WAY
SEPARATE PERMISSION.
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PERMIT LIMIT: I YEAR ' PROVIDED WO
FOR MORE INFORMATION
END. REVIEW FEES
SEE BACK OF PINK PERMIT
CTI 'FEE
;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESOnS
N NTEREST, AGREES TO �NOEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
I EDMONDS. WASHINGTON. TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
ALLC IMS FOR DAMAGES oFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
FS m OR REDUCE ANY REQUIREMENTOF ANY CITY OPPINANCE
DEEMED TO MODIFY, WAIVE ORDINANCE PROVISION.-
0, NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY
LANDSCAPN
INSPECTION F E
PLAN CHECK DEPOSIT
TOTAL AM T DUE
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RE, IP
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I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION: THAT THE INFORMATIO APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I A. THE OWNER. OR THE DULY AUTHORIZED AGENT 01 t,, . .-111111 llg by th,
THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CDNSTFUC LL Bu"dlg offi,imlall hl-11 OlPltY: -d F p,d. -d
T D THEREBY, NO PERSON WILL B EMPLOYED
,ION; AND IN DOING THE WORK AUTHORIZE STATE OF WASHINGTON RELATING TO FOR IN PECTION oip.lkll.Ildgodp ,,d.d.
N VIOLATION OF THE LABOR CODE OF THE
WORKMEN'S COMPIENS�PO CE AND RCW 18.27. DF, ALS Sl NATU% L -DATE
DATE SIGNED
GNED (425) 10 -a;
Z-0 L) 771-0220 EASEDBY""
ATTENT ION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORjA CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 09
EXT1333
771-0221
FAX
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