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THIS PERMIT AUTHORIZES ONLYTHE WORK NOTED. THIS PERMIT COVERS WD]
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t: BE DONE ON PRIVATE PROPER" ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 Grading
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SEPARATE PERMISSION.
Engr. Review
PERMITAPPLICATION: ISO DAYS
A. PERMIT MUM I YEAR - PROVID'D WORK IS STARTED WITHIN IS.DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT ON BEHALF OF "'I OR HER 1POU16, HERB, ASSION1 AND IUCCESORS Fire Review PlanChk.Deposit
IN INTEREST, AGREES TO 11 DEMNIFY, DEFEND AND HOLD HARMLESS (HE CITY OF
EDMONII1* WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NAT URE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUA CE OF T IS PERMIT. ISSUANCE OF THIS PERMIT SMALL NOT HE
DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENT C17Y ORDINANCE Landscapensp. Total Amt. Due
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OF ANY
NOR LIMIT IN ANY WAY TH CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GWEN IS CORRECT. A D THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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THE OWN' AGREE COMPLY WIT I C AND STATE LAWS REGULATING CONSTFHJC� CALL Thi—pplication is net, pinenterfil signed by the
TION; AND DOIN T E WORK AUTH RIZED THEREBY. NO PERSON WILL BE EMPLOYED [Asking Direst of hisffid.f DsdAAY: And Fee, are paid, and
IN VIOLAT N OF TH LASO CODE F THE STATE OF WASHINGTON RELATING TO FOR INSPECTION —feelipt 11 ack-1,dood 1, space p—Ided
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WORKMEN COMPEN �14 INSURM E AND RCW 18 27.
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BUIMMU.J(OWNER GE DATE SIGNED 9
771-0220
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ATTENTION Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR GtNAL FILE VELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK-OWNEA GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SET13ACKS ..............
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Float Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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