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'APPLICANI, ON BEHALF 0 HIS 01 HER SPOUIE, NEWS, ASSIGNS AND IUCCEIORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
Inspection Receipt #
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EDMONDS. WASHINGTON. as OFFICIALS. EMPLOYEES, AND AGENTS OM ANY AND
ALL C-MS FOR DAMAGES .1 WHATEVER NATURE. A� 11N. DIRECTLY OR INDIRECTLY
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FRO. THE ESLA CE OF THIS PERMIT SSUANCE OF THIS PERMIT SHALL NOT BE
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NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE A ORDINANCE
N
R ... Bing Fee Receipt
I HEREBY ACKNOY&EDGE THAT I RAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
NO PERSON WILL BE EMPLOYED
CALL a uIlding O'k'a' f his/he, Dep,,Iy: wd Feet 910 Psdd� she,
TION; AND IN DOING TH KC%T�IIORIZID THEREEi
OF THE;CR a THE STATE OF WASHINGTON RELATING TO
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IN VIOLATION
WORKMEN NSURANCE AND RCW 18,27.
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Receipt III K
CA B TI N
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN 13 CORRECT. AND THAT I AM THE OWNER. OR THE DUCY.AUTHORIMED AGENT OF
IsapemIWiQnNby
, AN , F
THE OWNER. I AGREE TO CO PLY WTTH CITY AND STATE LAWS EGULAflNG CONSTRUC
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jpIjknn�adgadIpwX�ded.
FOR INSPECTION
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WORKMEN OMPEN NSURANCE AND RCW IS 27.
S C N
10 E TE
DATE SIGNED
(425)
1/1
ATTENTION
EXT 1333 ';D
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPE CTI ON HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAI_:FILE YEI-LOW 1��PECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK OWNER GOLD -ASSESSOR
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