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PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) Engr. Review Recording Fee
IL PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection Plan Chk. Deposi
to 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
En E CITY OF Fire Review Receipt #
LU IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS TH
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2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT TH I E INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF CALL This application is not a permit until signed Oy the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- FOR INSPECTION Building 011icial of his/her Deputy and Fees are paid. and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED ' I lsfl�nowlodged in space pi video
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 1 IRC110. PINK -OWNER GOLD - ASSESSOR
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