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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE I NRMAT ON
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THE OWNER. I AGREE TO COMPLY WITH
TION. AND IN DOING THE WORK AU HORIZED THEREBYNO PERSON WILL BE EMPLOI
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VALUATION FEE
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RELEAS D B DATE
ATTENTION I I r- A 1 0,20 / � m
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 ORIGINAL FILE YELLOW - INSPECTOR
A FINAL I NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- PINK - OWNER GOLD - ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX
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GINEERING DIVISION DATE
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DESCRIPTION OF WORK TO BE INSPEC
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:
Final approval of the described work
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL wrrH CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES jUl, - 6 2001
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ETC.) WILL REQUIRE
SIDEWALKS, DRIVE' AYS. MARQUEES,
DOMAIN (CURBS. Y
Z SEPARATE PERMISSION.
STATE SURCHARGE
PER IT APPLICATION: 10 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFDAMATION
FEE
ENG. INSPECTION
ON BEHALF OF HIS OR HER S OUSE. HEIRS. A SI HS N SUC ESORS
;APPLICANT.
N NTEREST. AGREES T INDEMNIFY. DEFEND AND HOLD AR L SS THE TY OF LANDSCAPING
1 0 OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND INSPECTION FEE
2 EDMONDS, WASHINGTON ITS
NATURE. ARISING DIRECTLY OR INDIRECI Ly RECEIPT
ALL CLAIMS FOR DAMI OFWHATVVER
THE ISSUANCE OF THIS PER -IT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 2
FROM
0 DEEMEDTO MODIFY.WAIVEOR REDUCEANY REQUIRE -ENT OF ANY CITY ORDINANCE
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NoRtIMIT INANYWAYTHE CITY'SABILITYTO ENFORCE ANYORDINANCE
TOTAL AVOUNT DUE
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI�OLNY, THAT THE INFOHM IIUN APPLICATION APPROVAL
HERESY
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE 0 AUTHORIZED AGENT OF TI,I. � � UM0 , �y I, -
AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING cONsTRu CALL BuIldimg Offill-I G1 hIsIb"12112,1 1*11 "' "', "'
THE OWNER. I
THE WORK AU HORIZED THEREBY 'No EPSON WILL B 5ATplL`GYTE%O FOR I NSPECTION d.d. I
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IN VIOLATION OF THE LABOR
W�RKMENSCOMPENSAIIO INSURANCE AND ROW 18.27. OF IALS SIGNA7UA
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siLTUREIIIWNIR RAG =DATE ,
-0220
771 RELEAS D
EXT 333 -)A
ATTENTION AI
-YELLOW
IT 13 UNLAWFUL. TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI,. 771-0221 - - INSPECTOR
INS ECTION HAS BEEN MADE AND APPROVAL OR A CERTIF ORIGINAL FILE
P ASSESSOR
A FINAL PINK OWNER - GOLD
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX