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ON PRIVATE PROPEGny ONLY. ANY CONSTS =OCN.)OWHITHEPOUBUC
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PENMITAPPIJCATI ": IWDAYS
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Engr, Inspection
SEEBACKOFPINK PERMIT FOR MORE INFORMATION
Plan Chk. Deposit
Fire REVIEW,
'APPLICANT. ON BEHALF OF HIS 09 HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Receipt III
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES' AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Total Amt. Due
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS,PERMIT SHALL NOT BE Landscapeinsp.
DEEMED TO MODIFY, WAIVE 0 REDUCE ANY REQUIREMENT F ANY .11 GBINANCE
r IN ANY WAY THE CITYS ABILITY TO ENI 'ORCE ANY ORDINAN- ---
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Recording Fee
Re eipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
AP I APPROVAL
GIVEN Is CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
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THE OWNER. I ACRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
WILL BE E LOYED
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TION; AND IN DOING THE WO K AUTHORIZED THEREBY, No PERSON
OF THE LA= CODE OF THE STATE OF WASHINGTON REILATING TO
FOR INSPECTION .... ]PI Is.iIk..wj.dg.d . P.P. ni.,
IN V101-ATION
WORKMEN'S COMPENSATION INSURANCE AND RM 18.27.
CIALS SI NrURE DATE
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ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INSP CTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. LED SECTION 109
PINK-OWNEn GOLD -ASSESSOR
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DESCRIPTION OF WORK TO BE INSPECTED.
A field inspection was conducted to determine flual compliance with approved plans. Final approval
denotes that. there are no objections from the above signed Department to the release of
PERFORMANCE B DS and the granting of
_LZGRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WrIH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
Q Copy of CORRECTION NOTICE given to owner/contractor by inspector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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