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BLD2020-1271+Supplementals+11.19.2020_5.07.09_PMnF i MyBuildingPermitxom [P �; rcliXcov. ne! Jurisdiction: Edmonds Project Name: FIELD REMODEL Application ID: 887822 Supplemental Name: Authorization Statement - Building All provisions of laws and ordinances governing this type of work will be complied with. I certify under penalty of perjury that the information provided on this application is true and correct and, further that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Edmonds as to any claim (including costs, expenses, and attorney's fees incurred in investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Edmonds, but only where such claim arises out of the reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as part of this application. I hereby authorize the City representatives to inspect my property Monday -Friday between the hours of 8:00 a.m. and 5:00 p.m. during this permit application process for verifying site conditions. Yes The City of Edmonds makes permit applications available to the public in an effort to make its processes as transparent as possible. By signing or initialing this document, I acknowledge that any and all information submitted as part of this application, is public information. I further acknowledge and agree that this permit application, and any and all documents related thereto, may be disclosed by the City of Edmonds to the public without redaction. Enter your digital signature below. MOLLY LAPATRA Supplemental Name: Electronic Submittals - Building Electronic documents submitted to the City of Edmonds for plan review and permit issuance must be provided in a format that does not prevent the City from making code comments on the documents during review or from making the documents ready for permit issuance. Documents submitted in any manner that prevents the City from completing the review and permit issuance process, including but not limited to submitting documents that are locked, may result in additional review time, permitting delays, and/or cancelation of the permit application if the problem is not resolved by the applicant in a timely manner. Please refer to chapter 18.43 RCW, chapter 18.210 RCW, chapter 196-23 WAC and chapter 196-33 WAC for Washington State laws governing electronic documents. An interpretative guideline from the Board of Registration for Professional Engineers and Land Surveyors can be found at http://www.dol.wa.gov/business/engineersiandsurveyors/docs/eDocsinterpretiveGuideline.pdf. These laws and requirements are subject to change and the submitting parties are responsible for keeping apprised of any such changes. Please acknowledge that you understand these requirements and have verified the electronic documents being submitted meet the City of Edmonds submittal requirements by checking the box below. If you have questions, contact permit processing at onlinepermits@edmondswa.gov or 425-771-0220. Yes, I acknowledge.