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I HEREBY ACKNOWLEDGE THAT � AVC READ THIS APPLICATION: THAT THE INFORMATION
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THEOWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING
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No. INBPECTION
IN REST. AGREES TO INDEMNIFY. DEFEND AND HOLD RMLESS THE CITY OF
INTE ANYAND
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EDMONDS.
ALLCLAIMS FOR DAMAGES OF WKATEVER NATURE. ARISING D RECTLY — - -
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
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011MED OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE
MIT 01NMOD'W�yA. YWTAH'VE'CITI 'S AIN LI TY TO, E N FO PIC E AN Y OR 01 NAN C E P ROV 1 $1 ON.*
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
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THE OWNEW I AGREE TO COMPLY
TIM; AND IN DOING THE WORK AUTHORIZED THEREBY. ERSON WILL BE EMPLOYED
OF THE LAoQaxQPE OF THE STATE ONFOWPASHINGTON RELATING TO
FOR INSPECTION
iN,VIOLATION
WOq KMEN'S COIMP�NSATJ"SUNCE AND ROW 16.27.
OFFICL�LS SIqNATURE
AGINI��
DATE SIGN
(425)
R/
WN,16
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771-0220
REL SEDBY A.
EXT1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL-RLE YELLOW. INSPECTOR
AS SESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK - OWNER GOLD -
.