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lating construction; end In doing the work authorized thereby, o person
ATTENTION
APPLICATION APPROVAL
willbe em played in violation of the Labor Code of the Stele of Washington
THIS PERMIT
relating to Workmen'. Compeneatlon Insurance.
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I hereby acknowledge that I have read this application; that the In-
(Demotion given le correct; and that I am the owner, ar the duly author-
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luting cone[ructlon; and to doing the work sutharlsad thereby. no person
ATTENTION
APPLICATION APPROVAL
alit be employes In violation of the Labor Code of the elate of Wmhlaglon
THIS PERMIT
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relating to Workmen's Compensation Ieeurae".
AUTHORIZES
This application is not a permit until
ONLY THE
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NOTE: ,Permit Limit One Year (EzcsDt DEMOLITIONS which
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knowledged In apace provided.
SIGNATURE OWNER OR AGENT JDATE SIGNED
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NOTE: Applicant Subject to Plan Check Fee '
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ORIGINAL - Flle YELLOW - Inspector
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marquees, etc.) will require separate permission.
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