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RECEIPT
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TOTAL AMOUNT DUE
I HERESY ACKNOWLEDGE THAT - I HAVE READ THIS APPLICATION� THAT THE INFORMATION
APPLICATION APPROVAL
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there are no objections from the above signed Department to the granting of:
inal. approval of the described work
-performance Bonds associated with the project may be released
GRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVALWITH CONDITIONS NOTED
__FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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OF
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
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NOR LIMIT INANYWAYTHE CITYSABILITYTOENFORCE ANY DRDINANGE PROVISION.
'IN
TOTAL AMOUNT DUE A
I HERESY ACKNOWLSD BE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN Is CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTFIUC-
CALL
TION AND IN DoING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
RELATING TO
FOR INSPECTION
VI LATI N F THE LABOWCODE OF THE STATE OF WASHINGTON
WORKMENSCOM� SATION INSURANCE AND RCW 18.27,
-§tGNA U 6 jo R GENT) DATE S"I
(425)
771-0220
TION
STRUCTURE UNTIL
EXT 333
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERT IFI-
I
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CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
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