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771-0221
IT IS UNLAWFUL
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ORIGINAL - FILE - YELLOW - INSP�CTOR
A FINAL INSPECTION HAS BEEN MADE AND
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FINAL PROJECT APPROVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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q"OJ_ENGINEERING DIVISION DATE
PLANNING DIVISION DATE-
PROJECT--Adlak Q . .. ...
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# ADB#_______DATE INSPECTED
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DESCRIPTION OF WORK TO BE INSPECTED -:a
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
ent to the granting of:
there are no objections from the above signed Departm
Final approval of the described work
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
FAILED FINAL INSPECTION - OUTSTANDING ISSUES A PR 1 "D - 2001
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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SEPARATE PERMISSION.
PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT: I All " PROVIDED WORK IS STARTED WITHIN 160 DAYS
YE
SEE BACK OF PINK PERMIT FDA MORE INFORMATION
0 ON BEHALF F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
;APPLICANT.
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:NOEMNIFY.
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OF ANY CITY ORDINANCE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
I HEREBY ACKNOWLE.G E THAT I HAVE READ THIS APPLICATION. THAT THE I NFORMATION
THE DULY AUTHORIZE. AGENT OF
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR
WITH CITY AND STATE LAWS REGULATING CONSTRUC-
THEO NER I AGREE TO COMPLY
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APPLICATION APPROVAL
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OFFICII S, �URE
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ATTENTION r-A 1 0-1
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INSPECTION HAS BEEN MADE AND A C'� , . - OWNER GO A
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