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2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS MOM ANY AND
ALL CLAIMS FDA DAMAGES OFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS ERMIT SHALL NOT B:
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Recording Fee
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1 HEREBY ACKNOWLE BE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION '_Jpt Is acknolodged 1-p— pmided.
WORKME" COMPENS�I�CE AND HOW 18.27,
OFFICIALS SIGNATURE DATE
DATE SIGNED (425) 4k,� q-IS-02-
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ATTENTION EXT 1333
IT IS UNLAWFUL TO US A BUILDING OR STRUCTURE UNTIL �74
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OFRONAL-FILE YELLOW
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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