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I HEREBY ACKNOWLEDGE THAT I HAV E READ THIS APPLICATION, THAT THE INFORMATION
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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ENG. INSPECTION FEE
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LANDSCAP NG
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TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN I S 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 CONSTRUC-
CALL
TION. AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYE.
IN VIOLATION OF THE LABO R CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND FCW 10.27
SIGNATURE (OWNER OR T ID E NED
(425)
771-0220
ATTENTION
EXT 333
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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