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THI PERMITAUTHORIZES ONLY THE WORK N6TE THIS PERMIT COVERS WORK To
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2 DOMAIN (CURDS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
A. PERMIT LIMIT: SEE ECDC 19=.005A)(6)
Engr. Review Recording Fee
— SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Eng, Inspection Plan Ch1k. Deposit
'APP ICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review R.C.ipt #
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY 08 INDIRECTLY
F ON THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMITS ALL NOT BE
Fire Inspection Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
Landscape Insp. Receipt 4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN is CORRECT; No THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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THE OWNER I A BEE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
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IN VIOLATION OF THE LA OR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN1 COMPENSATION I SURANCE AND now 18:27.
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ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 f IBC110 I IRCT110. PINK -OWNER - GOLD - ASSESSOR
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MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
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ENGINEERING DIVISION DATE -
PLANNING DIVISION DATE-
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Date Signature
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Permit Inspection Details
Permit: BLD20060398
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Page 11 of 1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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