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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK To
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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SEE ECDC 19.00.1105(AH5)
Fee
PERMIT APPLICATION;
T PERMIT L MIT: SEE ECDC 19.00.005(A)(6)
Eng, Review
Recording
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
77g, Inspacb-D
Plan Chk. Deposit
�APPUCANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS , WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
HE ReVkEW
A L L CLAIMS FOR DAMAGES OF WHATEVER NATURE. AnISING DIRECTLY OR INDIRECTLY
Fire Inspection
Total Amt. Due
X FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN CE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISO
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Receipt
APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
OWNER, OR T E DULY AUTHORIZED AGENT OF
CALL
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GIVEN 19 CORRECT. AND THAT I AM THE
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC*
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FOR INSPECTION
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LAB OF THE STA 5 OF ASHINGTON RELATING TO
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WORKMEN'S COMPENSAT;LNUORDAENCE AND RCW 18;27.
(425)
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771-0220
EXT. 1333
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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 CERTI-
ORIGINAL FILE YELLO - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 / IRC110.
PINK -OWNER - GOLD ASSESSOR
PRESS HARD - YOU ARE MAKING 4
COPIES
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Permit Inspection Details
Permit: BLD20060425
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Total Inspections: I
Total TI..:
25
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