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PLUMBING
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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FOR INSPECTION
IN VIOLATION OF THE LABOR CODE Or THE STATE OF WASHINGTON
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Slab Insulation ..........
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Gas Piping
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Equipment
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FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
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PERMIT LIMIT. 1 YEAR , PROVIDED DRK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEEBACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
'APPLICANT ON BEHALF OF HIS 08 HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
IN INTER ST. AGREES To
EoMoNDS� WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE
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PLAN CHECK DEPOSIT
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0 NORLIMITINANY W E IT S LITY TO ENFORCE ANY ORDINANCE PROVISION.
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLTIC'ATIULNy. THAT THE 'E�lOA`.lAToN
I. R, AD N OF
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR . AU .
LAWS REGULATING CoNSTRUC-
CALL
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE
0 PERSON WILL BE EMPLOYED
TjoN, AND IN DOING THE W
lo"KAUTH"A"EDTHERE"YOF WASHINGTON RELATING IQ
CODE OF THE STATE
FOR NSPECTIOt
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771-0220
EXT 333
ATTENTION
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771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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