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I HEREBY ACKNOWLEDGE THATI HAVE HEAD THIS APPLICATION: THAT THE INFORMATION
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71-0220 DATE
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RELEAS
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IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
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ORIGINAL FILE - YELLOW .;NbECTOF,
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK - OWNER - GOLD - ASSESSOR
FINAL PROJECT APP&OVAL F
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE —
Sim ENGINEERING DIVISION DATE
—PLAN1'QNG DIVISION DATE —
SITE ADDRESS ilwa 41
PERMIT # ADB#______--PATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED —41�
mal compliance with approved plans. Final approval
A field inspection was conducted to determine r
denotes that there are no objections from the above signed Department. to the release, of
PERFORMANCE BONDS and the granting of:
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
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2,
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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STATE SURCHARGE
PERMIT APPLICATION: 110 DAYS
N�p WORK IS STARTED WITHIN 1.0 DAYS
PERMIT LIMIT. I YEAOF
ENG. _4VIEW FEES
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SEEBACK INK PERMIT FOR MORE INFORMATION
a., INSPECTION FEE
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IN VIOLATI'N OF LABOR CODE OF THE ST4,EOF WASHINGTON
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OF ICA S S GNATURE 0 E
IGNATUBE (OWNER OR AGE
HE
(425)
771-0220 ITELEAS 11 DATE
EXT 333
ATTENTION
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FILE YELLOW -IN PECTO
A FINAL INSPECTION HAS BEEN MADE AND APPR OVAL OR A CERTIFI-
ORIGIN
OLl,Al...
OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX ren
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