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'APPLICANT. ON "HAII OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
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Description
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-APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRSL ASSIGNS AN. SUCCESORS
IN INTERESt. AGREES TO INDEMNIFY DEFEND AND HOW HARMLESS THE CITY OF
AGENTS MO. ANY AND
Fre Inspection
Receipt #
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND
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Recording Fee
Receipt #
I HERESY ACKoWLEG`E THAT HAVE Blue THIS APPLICATION; THAT THE INFORMATION
PPLICATION APPROVAL
GIVEN CORRECT. Me THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
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THE OWNER' I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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OF WASHINGTON RELATING TO
FOR INSPECTION PH,
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WORXW@��,SATIONI INSURANCE AND
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771-0220
DATE
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
YELLOW-SPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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