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180 DAYS
PE MIT APPLICATION:
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE HDEIRSLADSSIGNS AND SUCCESORS
W� IN NTERE T. A R :NDEMNIFY EFEND �N HARMLESS THE CITY OF
TS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
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PR THEISSUA E F THI
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(HERE ACKNOWLEDGE THAT � HAVE READ THIS APPLICATION: THAT THE INFORMATION
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THEOWNER� I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
TION.ANDIND ING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ................. . ..
FOUNDATION:
Footing ......................
wall..........................
Pier/Porch ....... .......
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in .... ...............
Commercial Final
HEATING:
Gas Test ..........
Gas Piping .................
Equipment
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
Wall Insulation
Calling Insulation
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I. PERMIT APPLICATI N; 180 DAYS
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ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
�APPUCANT.
N INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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N PECTION FEE
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DEEMEDT MODIFY. WAIVE OR REDUCE ANY REOUIREMENT OF ANY C Ty ORDINANCE
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TOTAL AMOUNT DUE
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I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APPROVAL
GIVENS RECT. AND THAT AM THE OWNER, 0. THE DULY AUTHORIZED AGENT OF
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CITY AND STATE LAWS REGULATING C ONSIRUC
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SIGNIO
(425)
771-0220 DATE
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ArrE_NTIbN
EXT 333
IT I S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURF UNTIL 771-0221
A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE - YELLOW - INSPECTOR
CATE OFIOCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAX PINK -OWNER - GOLD ASSESSOR