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PERMIT APPLICATI N: 18. DAYS
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'APPLICANT. ON BEHALF .1 HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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BAR13ARA FAHEY
CITY OF EDMONDS
MAYOR
121 STH AVENUE NORTH -EDIVIONDS, WA 98020 (425)771-0220 -FAX (425)771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
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'APPLICANT, ON lEIIALl OF HIS OR HER SPOUSE, "EIII, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES To INDEMNIFY DEFEND AND HOLO,HARMLESS THE CITY OF
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TO MODIFY WAIVE 0 REDUCE ANY REOUIREMENTOF
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I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APFLICATI..; TH. THE INFORMATION
APPLICATION APPROVAL
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THE OWSER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONISTRLJC�
CALL
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LA�ISO, TH LA I 2DE OF THE STATE OF WASHINGTON RELATING TO
F -0 R iNsPECTION
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771-0221
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CATE OFIOCCURANCY HAS BEEN GRANTED, UBC SECTION 109
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