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THIS PERMIT AUTHORIMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS MARQUEES, M.) WILL REQUIRE
SEPARATE PERMISSION.
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PERAITTAPPUCATI N; -DAYS
Engr. Review
PERMIT LIMIM I YEAR 0 WORK Is STARTED WITHIN INDAYS
Enqr. Inspection
SEE BACKOiABNONTERMIT FOR MORE INFORMATION
*APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
PlanChk.Depos
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
ISSUANCE OF THIS PERMIT SHALL NOT BE
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FROM THE ISSUANCE OF THIS PERMIT
DEEMED TO MODIFY. WA VE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total And Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
I HEREBY ACKNOWLED E THAT I HAVE READ THIS APPLICATION; THAT HE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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WORKMINTS COMPENSATION INSURANCE AND RCW 18.27.
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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-
OR GINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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