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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
SEE BACK OF PINK PERMIT FOR .0
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TOTAL AMOUNT DUE
I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
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THE 0 HER, I AGREE 0 COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
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WORKMEN'SCOMPENSATON INSURANCE ANORCW 18.27.
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771-0220
DATE
ELEASED BY
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EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE - YELLOW - INSPECTOR
A FINAL�
CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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