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PERMIT EXPIRES
CITY OF EDMONDS
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ON THE PUBLIC
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIAS. ASSIGNS AND SUCCESORS
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IN INTEREST. AGREES T INDEMNIFY. DEFEND AND HOLD HARMLE
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PROVISION.*
RECEIP
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TOTAL AMOUNT . E
I HAVE READ THIS APPLICATIO-� THAT THE INFORMATION
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RCW 18.27
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A FINAL INSPECTION HAS BEEN MADE AND
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7
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY 0 ENFORCE ANY ORDINANCE PIUVIMUl
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TOTAL AMOUNT DUE
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A!"PIL15-ATION
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OW THEREBY, NO PERIONWtLL BE EMPLOYED
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AUTHOPTZEO
TION; AND IN DOING THE ORK TON RELATING TO
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IN VIOLATION OF THE LABOR
WORK.ENIS COMPENSATION INSURANCE AND qCW 18.27.
OFFI I L E
(425) /0
RE By
EXT 333 (�ASED
ATTENTION
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_Ig4a�lly
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 771-0221 YELLOVINSPE15TOR
FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFF
ORiGINAL-RLE
ASSESSOR
A
i OF OCCUPANCY HAS BEEN GRANTED.. UBC SECTION 109
FAX PINK -OWNER GOLD
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