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PERMITEXPIRES
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PLUMBING
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THIS PERMIT AUTHO IZES ONLY THE WORK NOTED. TH S PERMIT COVERS WORK TO
BE DONE ON AIVATE PROPERTY ONLt ANY CONSTRUCTION ON THE PUBLIC
MA IIUEES,ETC.) WILL REOUIRE
GRADINGIFILL
:i DOMAIN (CURBS.SIDEWALKS, DHIVEWAY"'
L SEPARATE PERMISSION.
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STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
A 'APPLICAN ONBEHALr F HIS OR HER SPOUSE, HEIRS ASSI.NS AND SUCCESORS
ENG INSPECT ION FEE
IN NTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD FIASMLKE I S THE CITY OF
m EDMDNDS.WA HINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENT S OIM ANY AND
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ALLCL IMS FOR DAMAGESOF WHATEVER NATURE, AFISING DIRECTLY OR INDIRECTLY
,
FROM THE ISSUANCE OF THIS PERMIT SS ANCE 01 "I'S PERMIT SHALL r E
D EM5DTO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANICITIORD�I`AIBF
PLAN CHECK DEPOSIT
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NOR LIMIT IN ANY WAY THE CRWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION
TOTAL AMOUNT DUE
HERED ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION TH- NFoRmATION
GIVEN IS CORRECT. AND THAT AMTHE.WNEE,.NTNEOUIYAUIlI�,, �'IDACINI.F
APPLICATION APPROVAL
THEO NER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUI A) ING CONsTRUC
CALL w- �Im,
T iON AND IN DOING TH E WORK AUTHORIZE D THE RE By. NO PE BEGIN Wh I. BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE ATING TO
FOR INSPECTION
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(425) -F I 'ATU
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771-0220
LEASED D�
ATTENTION
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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-
ORIGINAL FlLr YF;�OYJ INSFIECIOL
CATE OF OCCUPANCY HAS BEEN GRANTED, USC SECTION 109
PINK OWNER GOLO �ESSOF,
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