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APPLICANT. ON BEHALF 01 HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall..........................
Pier/Porch .................
Retainirig Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...............
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING........................
FIRST FLOOR FRAMINr....
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
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PE IT APPLICATION: 180 DAYS
PERMIT LIMIT-. 1 YEAR � PROVIDED WORK is STARTED WITHIN 1813 DAYS
ENG. REVIEW FEES
SaE8AC K OF PINK PERMIT FOR MORE INFORMATION
PLICANT, ON BEHALF Or HIS OR HER SPOUSE. HEIRS. ASSIGNSA�D SUCCESORS
ENG, INSPECTION FEE
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N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY F
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WSPECTION FEE
ALL CLAIMS FOR DAMAGE OFWHATEVERNATURE.ARISING DIRECTLYQR INDIRECTLY
X1 FA M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SH LL NOT BE
DEEMED TOMODIFY, WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
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TOTAL AMOUNT DUE
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I HEREBY ACKNOWLEDGE THATI HAVE READ THIS APPLICATION; THAT THE INFORMATION
APP iCATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWN I A E Y WITH CITY AND STATE LAWS REGULATING CONSTRUC
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CALL
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ON N DOING THE W.R
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(sl.NATURE �OW�ER 0 DATE SIGNED
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RELEASED By IOATt
ATTENTION"
EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE - YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
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