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CITY OF EDMONDS
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TOTAL AMOUNT D
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APPLICATION APPROVAL'.
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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Thts applica'" i� '.I. P` ` !I .'
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
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TION NO IN DON HE AU HORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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STATE 01 WASHINGTON RELATING To
- - INSPECTION
FOR
IN ",.AT,oN OF THE LABOR CODE .1 THE
INSURANCE RON 18,27.
WOR . COMPEN=N AND
(425)
OFFICIA S GNATU
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771-0220
MELE AllC.Y
EXT1333
IT I`S'�LAVVFLJL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-022
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YFIjCW-UiSPEdTOR
ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK OWNER GOLD -