20020626.pdfDATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
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HEAT SOURCE GLAZING I LOT SLOPE %
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PLAN CHECK Nq: LTED DATE
Plumbing
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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PERMITAPPLICATI N: ISIDDAYS
Engf. Rev!"
PERMITUM t I YEAR � PROVIDED WORK IS STARTED WITHIN 180DAYS
spec "on
Engr. Inspection
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE. HEIRS ASSIGNS AND SUCCESORS
Fire ReNISIV
Plan Chic. Deposit
;APPLICANT,
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITYY OF
EDMONDS, WASHINGTON. ITS OFFICIAI S. EMPLOYEES, AN AGENTS FROM ANY AND
Receipt #
ALL C MS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FSOMILTHE ISSUA CE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
.MED TO MODIFY. WAIVE OR REDUCE ANY BECUIREMENT OF ANY CITY ORDINANCE
DEC
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Total Amt. Due
NOR LIMIT IN ANY WAY THE GINS ABILITY 70 ENFORCE ANY ORDINANCE PROVISION
Recording Fee
rION
Receipt #
I HEREGY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN 15 CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
Thi, application 19 not A pannit until signed by into
THE OWNER. I AGREE TO CO PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
THEREBY NO PERSON WILL BE EMPLOYED
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TION; AND IN GOIN THE WORK AUTHORIZED
IN VIOLATION OF THF "BOB CODE OF THE STATE OF WASHINGTON RELATING TO
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ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A 13UILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
OlnGWAL r1LE YELLOW � INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK OWNER GOLD -ASS SSOR
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FINAL PROJECT APPROVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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ENGINEERING DIVISION DATE--
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PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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