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N Y W Y T
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE E111YED
THE STATE OF WASHINGTON RELATING To
FOR INSPECTION
IN VIOLATION OF THE LABOR CODE OF
WORKMEN S COMPENSATIghl INSURANCE AND RCW 18.27.
OFFICIALS SI�NATURE DATE
-SIQU�TUREQWNERORAG NTI�
DATE S INED
(425)
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1 771-0220 D BY DATE
ATTENTI116N
EXT/333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORiGINAL-FILE YELLOW -INSPECTOR
A FINAL INSPECTION
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION� 109
FAX PINK - OWNER GOLD - ASSESSOR
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