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This Permit covers Work to be done on private roperty ONLY.
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I hereby acknoWledge, that I have read into application; at the In-
formation given Is correct: and that I am the owner, or the duly author-
Iced agent of the owner. I agree to comply with city and elate I.— go-
thereby, no
ATTENTION
APPLICATION APPROVAL
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lating construction; and In doing the wark authorleed person
WIll be employed In violation of the Labor Code of the State of Wuhingtm
THIS PERMIT
This application is not a permit until
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relating to Workmen's Compenealtan Inaunnce.
AUTHORIZES
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except TIONS which
ONLY THE
nty; and fees are paid, and receipt is ac-
DINGS
shall he completed In Nnely days; atOVED-IN BUILDINGS ahali be Com-
WORK NOTED
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pleted In eIx monthe.>
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CITY OF
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EDMONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
775.2525
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This Permit covers Work to be done on private roperty ONLY.
on the domain tdurbs, sidewalks, driveways,
ORIGINAL -File YELLOW -Inspector-
Any construction public
�1� nmrquaes clr..l 11ill require.parate permission. _-
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