20000111.pdfDATE RECEIVED
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STATE SURCHARGE
PERMIT APPLICATION: 180DAYS
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF 0 HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
MDEMNIFY. DEFEND AMD HOLD HARMLESS THE CITY OF
2 IN INTEREST. AGREES TO TSOFFICIALS. EMPLOYEES. ANDAGENTSFnOM ANY AND
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THEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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THE OW 'R I AGREE TO COMPLY WITH CITY AND STATE AW5R5GLLATINGC
TIC.. AND IN DING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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SIGNATUR GENT� DATE SIGNEI
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ZAVALES DESIGN ASSOCIATES
MILT ZAVALES
A? 1243 NE 152nd ST Suite B
Seottle,Washington 98155
(206) 362-2992
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DEVELOptAENT SERVICES OTR.
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ZAVALES DESIGN ASSOCIATES AND DRAINAGE
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PUBLIC VvuhNb DEM
Project Name:
Plan Cheek#:
Receipt Date: 10
Project Address:
underground Wiring Required
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REC91M) FINAL PROJECT APPROVAL FORM
AW a 'f� 2000 TO-4—
ENGINEMINO DATE:
MEMO TO: PERMIT COORDINATOI;� BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE—S/'�/6'0
PLANNING DIVISION DATE
PROJECT
SITE ADDRESS 2- —
PERMIT # U —A])Btt--�::�DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
that.
A field inspection was conducted to determine compliance with approved plans. Final approval. denotes
there are no objections from the above signed Department to the granting of
inal approval of the described work
Bonds associated with the project may be released
--GRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
FINAL INSPECTION - OUTSTANDING ISSUES
2.
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_RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ..........................
2-7',
Pier/Parch .................
Retainirig Wall ...........
Slab Insulatlon ..........
PLUMBING:
Underground .............
Rough -in
Commercial Final
HEATING:
Gas Test ............
Gas Piping .................
Equipment,, ................. .
Commercial Final
EXTERIOR SHEATHING
NAILING .� ........................
FRAMING ........................
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FIRST FLOOR FRAMING...,
&WD
INSULATION ...................
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Floor Insulation
Wall Insulation ...........
Celllng Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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WORKMEN S COMPENSATION INSURANCE AND POW 18,11.
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SIGNATURE=
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(425)
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6
771-0220
RELEASE 5 ATE
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IT IS UNLAWFUL TOLE OR OCCUPY A BUILDING OR STRUCTURE UNTI L
771-0221
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