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I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL
GIVEN S CORRECT. AND THAT AM THE OWNEFL OR THE DULY AUTHORIZED AGENT OF Tall ApPacalm. i. a., .,a,., .,db a,g,m,l by did
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RELATING TO FOR INSPECTION
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WA SHINGTON
RE 0 TE
WORKMEWS COMPENSATION INSURANCE AND RCW 18.27� 05F CI SIG
DATE I GNIO (425)
SIONAT
771-0220 RELEASED Y
ATTENTION EXf 333
OR STRUCTURE UNTIL
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 771-0221 INSPECTOR
FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-ORIGINAL -FILE YELLOW
GOLD -ASSESSOR
A PINK-OWNEP,
OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX
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