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URCHARGE
PERMIT APPLICATI.N; i8SDAYS
PERMIT LIM$' I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFOAMATION
'APPLICANT. ON BEHALF OF HI ORHE SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
__.-O� FEE
IN INTEREST. AGREES TO INDSEMNIFY.RDEFEND AND HOLD HARMLESS THE CITY OF
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TOTAL AMOUNT DUE
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_ ;�� 771-0220 �ELEASE.�l DATE
ATTENTION EXT 333
G OR STRUCTURE UNTIL 771-0221
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDIN
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
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