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Building Permit Application Ipplicant F1 U
PLAN FILE NUM]E0 BUILDING
PEMIIT 640394
Inside Heavy Lines
NUMBER
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STATE LICENSE NUMBER
ITY LICENSE NUMBER
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I hereby acknowledge that I have read this application; that the In-
—Permit issued
ATTE NTION
er Judgment is T
APPLICATION APPROVAL
formation given Is correct; and that I am the owner. or the duly author-
Ized agent of the owner. I agree to comply with city and state laws regu-
THIS PERIMIT
This application Is not t permit until
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
AUTHORIZES
ONLY THE
signed by the Director of Building Inspec-
relating to Workmen's Compensation Insurance.
WORK. NOTED
tion, or his deputy; and fees are paid, and
NOTE: PERMIT LIMIT ONE YEAR
receipt is acknowledged in space provided.
IR �ffi AGENT) INSPECTION
�I I DATE SIGNED DEPARTMENT
_2 CITY OF
& APPROVED EDMONDS
PR 6-1107
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