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ATTENTION
APPLICATION APPROVAL
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THIS PERMIT
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❑ GAS
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NEW
THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
SIGN
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ADD
REMARKS
SHOULD BE CODED 31.04.
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I hereby acknowledge that I have read this application; that the In-
formation given 1s correct; and that i am the owner, or the duly nuthor-
Ired agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL
luting construction: and In doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Camp. ... tion Insurance.
AUTHORIZES
signed by the Building Official or hill Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty, and fees are paid, and receipt is ac -
shall be completed in ninety day.; MOVED -IN BDILDINGS shall be com-
knowledged In space provided.
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B16NATV ER OR AGENT DATE SIGNED
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DEPARTMENT
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EDMONDS
DATE
NOTE: A !' ret Subject to Plan Check Fee
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This Permit coven work to be done on private property ONLY.
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