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PROVI SION,�
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TOTAL AMOUNT DUE
IHERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
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THE OWNER IAGREE To COMPLY WITH CITY AND STATE LAW EGULA CON S UC.
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TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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FOR INSPECTIl
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WORKMEN S COMPENSATI.ONINSUGANCE
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FINAL PRAOJKCM��RQYAL FORM
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MEMO TO: IERI�GT COORDINATOR, BUILDING DIVISION
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ENGINEERING DIVISION DATE —
DIVISION DATE—Ali�--
PROJECT "a-1
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DESCRIPTION OF WORK TO BE INSPECTED--::3a!S�---
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections fkom the above signed Department to the granting of
L�inal approval ofthe described work
Bonds associated with the project may be released
_���GRANT FINAL PROJECT APPROVAL
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PERMIT 9-0076,5— ADB#_DATE INSPECTED_/�-'2_4'�—C'
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
performance Bonds associated with the project may be released
GRANT FINAL PROJECT APPROVAL
FINAL PROJECT APPROVAL WrM CONDITIONS NOTED
--FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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