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PERMIT EXPIRES
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CITY OF EDMONDS —NUMBER 2-001..47
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3IIINPE URCHARGE
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YEAR WORK IS STARTED WITHIN 180DAYS
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TOTAL AMOUNT DUE
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I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION: THAT THE INFORMATION
APP LICATION
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This ppji,,,o net , p,,,It hild signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AN E LAWS
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IN V16LATION OF THE L60Y
WORKMEN S COMPENSAPP 8.2j.
OFF IA IGNA � HE DATE
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771-0220
REL ED BY—
ATTENTION
EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI
-
ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK � OWNER - GOLD - ASSESSOR \j
FINAL PROJECT APPROVAL FORM
DATE,
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: IRE DEPARTMENT DATE—
G E G DIVISION DATE-
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PLANNING DIVISION DATE�?4
PROJECT
SITE ADDRESS
PERMIT #—D-,6 --------DATE INSPECTED
DESCRIPTION OF WORK TO BE IN
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of:
__4,=Yinal approval ofthe 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
1.
2.
3.
_RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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Ey ACKNOWIEAGET.HAT I HAVE READ THIS APILICATI THAT THE INFORMATION APPLICATION
THE OWNER, OR I AUTHORIZED AGENT OF T1 U is ""'s I �Ijlegsej by -
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LAWS REGULATING CONSTRUC-
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THE OWNER, I AGREE T OM'LY WITH CITY AND ON WILL BE EMPLOYED
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IN VIOLATION I 2�
WORKMENTS COMPENS
OFF I IGN JRE
(425)
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771-0220 RELE ED 3y� DATE
EXT'333 7/ �b
ATTENTION
-0221 YELLOW - JNSPE, 1, 1,
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771 ORIGINAL - FILE
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
109
PINK. OWNER GOLD -ASSESSOR
FAX
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION