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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIUILY, THAT TH INFORMATION'
APPLICATION APPROVAL
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OtEW[ION EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- RIGINAL - FILE YE U. INSPECTOR
- -ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 1 09 FAX PINK OWNER GOLD
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RECORD OF INSPECTIONS
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DATE APPROVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADiNGIFILL
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DOMAIN (CURBS. StDEWA LKS, DRIVEWAYS, MARQUEES. ETC.� WILL REQUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION! 130 DAYS
PERMIT LIMIM 1 YEAR - PROVIDED WORK If. STARTED WITHIN 150 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APP�ICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG, INSPECTION FEE
IN INT REST. AGREES To DEF ND AND HOLD HARMLESS 'HE ..1, .1
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ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
RECEIPT /7
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FROM THE ISSUANCE OF TH S PERMIT.
DEEMED TOMODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF -,
0
NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANYOADINANCE
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS RRECT. I OR THE DULY AUTHORIZED AGENT OF
Co AND THAT' AM THE o""'ElSIAIE
T"'. -pp""".
I SRE.ULATINGcONSTRUc
THEOWNER I AGREE 1. COMPLY WITH CITY A- vv
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AND IN DOING THE WORK AUTHORG
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LEMPLOYED
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771-0221
IT IS UNLAWFUL
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RiGINAL - FILE ( YELL& - INSPECTOR
A FINAL INSPECTION
BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD, ASSESSOR
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