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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
t 8 GONE ON PRIVATE PROPER" ONLY. ANY CONSTRUCTION ON'THE PUBLIC
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PERMITAPPUCATI it: INDAYS
T PERMIT LIMIT. I YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMITPOR MORE INFORMATION
ON 111HAII, OF HIS OR HER i SPOUSE, HIIIIS, AISIGNS AND IUCC111111 Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY. DLFEND AND HOLD HARMLESS THE CITY OF
EDMONDS' WASHINGTON. ITS OFFICIALS" EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
OF THIS PERMIT. ISSUANCE OF PERMIT SHALL NOT BE
FROM THE ISSUANCE I HIS
DEEMED To MODIFY' WAIVE OR REDUCE ANY REQUIREMENT OF NY CITY ORDINANCE Landscapeinsp. [Total, Ll
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee Race[
I HERESY 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
This application Is not a thurnit,atil slit-d by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL
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TION: Alto IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED "A' 016.1., hsibin Donny: and F plIkL.Ad
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION —1p, 1. a.knowladand th.p.. p,.Idad,
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFF B—ATU- DATE
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I 771-0220
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ATTENTION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� 04IGIN�AL-FILE YTLLOW.INSP�
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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