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PERMIT EXPIRES
USE PERMIT
ZONE R. S 11
CITY OF EDMONDS NUMBER 7,
CONSTRUCTION PERMIT APPLICATION '�OBDRESS 01,Ymp4c Avc., SUITEIAPT#
,TME 0EUSINE11 PIT NAME1SL..I1ISK3N No I LOT NO, LID NO.
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIORAINAGE 5E
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Description
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Description
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BEODONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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3 0 MAIN (CURBS. SIDEWAUKS,DRIVEWAYS, MAR
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PE MITAPPLICATION: INDAYS
PERMIT LIMIr. I YEAR � PROVIDED WORK IS STARTED WITHIN 160 DAYS
En g' tria P n-
-70-0
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
—
'APPLICANT, ON BEHAL OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESORS
'TO
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
IDMOIIII WASHINGTON IT 0 1ICIALI, EMPLOYEES, IND AGENTS MOM ANY AND
act
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R.D.Jpt #
ALL CLAIMii FOR DAMAGE'S OSF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
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Total Amt. Du
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
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Recording Fee
Aaaio*
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT TH INFORMATION
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APPLICATION APPROVAL
GIVEN IS CORRECT, A D THAT I AM THE OWNER. on THE DULY AUTHORIZED AGENT OF
applies len 1, n. a pasint.rill signed by Me
LAWS R
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE EGULATING CONSTRUC
TION: AND IN DOING THE WO K AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
LL
CALL
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ding Officiale, "a", Cirri and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION —.00".rk ... hidged In space P—IdOd
WORKMENIS FOMPENSATION INSURANCE AND RCW H1.27.
DATE
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIG NAL - MILE - YELLOW - INSPECW
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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ATTACHMEt4T 17
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