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Description
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Building Permit
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lumbing
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS MAROU EES,ETC�t WILL REQUIRE
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Engr. Review
PE MITAPPLICATION: INDAYS
PERMIT LIMIT I YEAR - FRONT ED WORK IS STARTED WITHIN ISO DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
IPPLICANT. ON BEHALF F HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
[Fire
Flan Chk, Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
WASHINGTON, ITS OFFICIALS, EMPLOYEES,
jEDMONDS, AND AGENTS FROM ANY AND
ALL CLAI S FOR DAMAGES OF WHATEVER NATURE ARISING DIRECTLY 08 INDIRECTLY
Inspection
Receipt #
FROM TI E ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDU E ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total Amt, Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt #
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I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATI?*IN�URANCE AND RCVY 18,27,
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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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
OFI.INAL.1LE 1151LOW-INSIECT.11
PINK -OWNER GOLD -ASSESSOR
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