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CONSTRUCTION PERMIT APPLICATION 'AODRESS 20 9 2.0 '6C)71'1p L. (A/ SUITEIAPT#
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BEOONEONPRIVAYE PROPERTY ONI.MANYCONST UC1IONONTHCPUSUC
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PERMETAPPLICATION: 100 DAYS
PERMIT LIMIT I YEAR � PROVIDED WORK IS STARTEDWITHIN 18.0AYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION_
Engr. Inspection
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposh
IN INTEREST. AGREES TO INDEMNIFY:, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
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ALLCLAJMSFO DAMAGES OFWHATOVEA NATURE� ARISING DIRECTLY OR INDIRECTLY
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DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT , 4ANCE
C NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
Recording Fee
Receipt
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
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GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DUiY AUTHORIZED AGENT OF
THE OWNER. I REE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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INSPECTION tec,lpil—k—ledged
VIOLATION OF THE LASO'R CODE OF THE STATE OF WASHINGTON RELATING
WORKMENS
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DATE SIGNED
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RELEASED BY GAT
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IT IS UNLAWFUL TO USE OR OCCW f A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A GERTIFI-
US - YELLO/1-INSPE TOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
P En . GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS