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TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
LAWS REGULATING CONSTRUC- T I g 11 d by I h A
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EPARTMENTOFEUIL
PER UNIFORM BUILDING CODEOSECTIO�1"�,
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7903 212" Street SW Bu1IdInq,"qPW#: #2 653
Occupancy established by this ceAcate: Dwelling Units: —3-Wo. Stories: 2
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FIN,�L PROJECT APPRQVAI�"-� 6RM
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INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
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 WITH CONDITIONS NOTED
_____pAELED FINAL INSPECTION - OUTSTANDING ISSUES
2.
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_______AE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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DESCRIPTION OF WORK TO BE INSPECTED
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 die described work
GRANT FINAL PROJECT APPROVAL
—GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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______yAELED FINAL INSPECTION - OUTSTANDING ISSUES
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2. MICROFILM
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RECORD OF INSPECTIONS
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SETBACKS .....................
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS.SIDEWALKS. DRIVEWAYS, MARQUEES.ETC.) WILL REQUIRE
SEPARATE PERMISSION
GRADINGIFILL
STATE SURCHARGE
PERMIT APPLICA71ONi 180 DAYS
PERMITUMIT. 1 YEAR -PROVIDED WORK IS STARTED WITHIN 160DAYS
STORM DRAINAGE FEES
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG.. Z/
2 IN INTEREST. AGREES TO IND EMNIFY. DEFEND AND HOLD HARMLESS THE -CITY OF it X"
E MONDE. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
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DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY C TY ORDINANCE r
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE AN ADIN NCE PROVISION.'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THAT THE INFORMATION
LY IZE AGENT OF
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DU ALT APPLICATION APPRO
T E OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS , NO CGNSTRUC- CALL T- -PI`:c-: u".1 -d I nv"
TiCk AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED �l ull, pm -d
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IN V TIO OF ASO CODE OF THE STATE OF WASHINGTON FIELATIN� TO N FOR INSPE TION A p...
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ORIGINAL FILE YE L INSP T A
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI C,
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 PINK - OWNER L AS ES R