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SEPARATE PERMISSION.
URCHAAGE
PERMIT APPLICATION: 18DDAYS
P. PERMIT LIMIT'. I YEAR - PROVIDED ORK ISSTARTEDWITHIN IBBDAYS
ENG REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF .1 S OR HER S I.NDTI.I�CCES.FG
ENG. INSPECTION FEE
R.LE CITY OF
IN NTEREST� AGREES TO DEFEND XNo,,�,o,�GEEI
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NOT BE
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FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL
D EMEDTOMODIFYWAIV E OR REDUCE ANY FECUIREMENT OF ANY CITY ORDINANCE
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READ THIS APPLICATION, THAT THE INFORMATION
APPLICATION
APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE
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INSPECTION
I N VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING
FOR
DATE
WORKMEN'SCOMPENSATI. INSURANCE AND RCW 1827,
(425)
OF
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ATE SIG-ED
StGNAT��M�GEN
DATE
771-0220
SED By
EXT 333
ATTENTION
ITIS UNLAWFULTO USE OR PYABUILDIN OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
ORIGINAL -FILE - YELLOW- SPECT
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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A field inspection was conducted to determine compliance with approved plans. Final approval, denotes that
there are no objections from the above signed Department to the granting of
approval of the described work
erformance Bonds associated with the project may be released
_GRANT FINAL PROJECT APPROVAL
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--YAILED FINAL INSPECTION - OUTSTANDING ISSUES
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PERMIT APPLICATION: UIDDAYS
PERM T LIMIT: I YEAR, PROVIDED W RK IS STARTED WITHIN 180 DAYS ENG, REVIEW FEES
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END, INSPECTION FEE
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GIVEN S=T AT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF -b �� 1-1 - P"b't �01,,Klld by th,
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T GTHE
I N; AND IN 0 IN RELATING To FOR INSPECTION
R ODE OF TH OF WASHINGTON
E STATE
I W. LATi'SN OF THE LAO IC LS S GRATURE DATE
R EN C PENSATION INSURANCE AND RCW 18.27. 0
�E (425)
SIGNATU '111NE1
'_
771-0220. �B 'ED BY DATE
EXT 333
ATTE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 ORIGINAL FILE YELLOW -I SP
HAS BEEN MADE AND APPROVAL OR A CERTIFI. _Ie ECT P
A FINAL NSPECTION
HAS BEEN GRANTED, LEIC SECTION 109 P_ /OAX I PINK -OWNER GOLD-ASSESSOF
CATE OFIOCCUPANCY
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