20020362.pdf,--;E RECEIVED PERMIT EXPIRES
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Us, PERMIT
CITY OF EDMONDS ZONE NUMBER2-002—
IUITEIAITI
CONSTRUCTION PERMIT APPLICATION 'A'DODRESS
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.0 MAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, EM) REQUIRE
SEPARATEPERMISSION.
Engr. Review
City Surcharge
PER ITAPPLICATION: ISGDAYS
PERMIT UUM I YEAR - PROVID D WORK IS STARTED WITHIN 180 DAYS
Engr. inspection
State Surcharge
SEE BACK OF PINK PERMIT FDA MORE INFORMATION
F His OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Traffic Mitigation
PlanChkDeposlt
IN WEREIT, AGREES INDEMNIFY!, DEPEND AND HOLD HARMLESS THE CITY OF
AGENTS FROM ANY
Receipt #
ED ..... GTON, ITS OFFICIALS, EMPLOYEES, AND AND
CLAIMiWASHIN
ALL FOR DA _5"O"WHATEVER NATURE, ARISING Or'— OR 1110111—
Fire Review
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1ROMTHEI$S.=`EOFTHiSPERMrE SSUANCE OF THIS PERMIT SHALL Nor BE
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Fire Inspection
Total Amount Due
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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0 WAY THE CITY'S ABILITY TO ENFORCE ANY 08UINANCE Pnovls"N�
NOR LIMIT IN ANY
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I HERE 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
THE 'WNEIN IAGIEEOCO FLY WITH CITY AND STATE LAWS REGULATING CQASTRUC-
CALL
This app4cadonIsnot. Pfth1,,.1.,h1d lgl'
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T'O�l AND IN ORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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SIGNATU (0 DATE S
(425)
771-0220 RELEASED BY DATl
EXT 1333
IT I U I T R STRUCTURE UNTIL
771-0221
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL, FILE ��ELLOW - 11,1614CT�
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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