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STATE SURCHARGE
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PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
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771-0220
DATE,
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IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
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PLUMBING:
Underground
Rough -In ...........
Commercial Final
HEATING:
gas Test ..........
GasPiping . ................
Equipment.. ...............
Commerciel Final
EXTERIOR SHEATHING
NAILING .....................
FRAMING � .......................
FIRST FLOOR FRAMING
INSULATION ............
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
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FINAL APPROVAL FDA
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STATE SURCHARGE
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PERMIT LIMIT. 1 AR PROVIDED K IS STARTED WITHIN 100 DAYS
YE WOR
ENS, REVIEW FEES
SEE BACK O� PINK PERMIT FOR MORE INFORMATION
PLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCC5SORS
ENG, INSPECTION FEE
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NPINTEREST, AGREES TO INDEMNIFY� DEFEND AND HOLD HARMLESS THE CITY OF
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0 OALIMITINANYWAYTHECITY'SA ILITY TO ENFORCE ANY ORDIN CEPROVISIOM'
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TOTAL AMOUNT DUE
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICEATIULNY THAT THE 1ENDFORMATToom
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FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND ACW 1-,27.
OFFICIALS SIGNATURE DATE
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(425)
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; � 1
771-0220
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EXT 333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INSPECTOR
A FINAL INSPECTION
cATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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