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ORIGINAL FILE - YELLOW - INSPECTOR
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TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE AEADTHIRS APPTLIHCEATION THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWE . OR DUL AUTHORIZED AGENT OF Thi. ppjt,. ,I , pIt u�t I llpld by�,I,�
TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL 9u,Idi,g Olkil! 11 P, DIPUIT Ild'Flll 11 P Id a.d
THEOWNER. I AGREE
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ION. AND IN DOING THEWORKAU HORIZE RE
RELATING TO FOR INSPECTiON �k...I,dg0d—pa,—d,d.
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DATE
WORKMEN, CO)APENSAI ION INSURANCE AND ROW 10.27. FFICIALS SIGN�l ILRE
1;
(425) 1
771-0220 ELEASED By 0 ATE
EXT1333
ATTENTION
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 YELLOW INSPECT F
ORIGINAL FILE
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI' PINK. OWNER GO�D-ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX