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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APE A OLN� ATTHE PC ATION APPLICATION APPROVAL
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WORWEN'S COMPENSATION INSURANCE AND RCW 18,27� E
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771-0220
—ATfENTION EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-111INAL-11LE - YELLOW. INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR
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FINAL-P-R-O-J-EC-T-A-P-PROVAL�F'ORM
TO�, �AAL
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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ENGINEERING DIVISION DATE -
PLANNING DIVISION DATE�
PROJECT
SITE ADDRESS
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PERMIT ________PATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTEDr--,4A
e compliance with approved plans, Final approval denotes that
A field inspection was conducted to determin
a from the above signed Department to tile granting of
there are no objection
Final approval of the described work
_�a,.GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
-FAILED FINAL INSPECTION OUTSTANDING ISSUES
1.
2.
3.
-RE-INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
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FINAL APPROVAL FOR 4-3
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PERMIT LIMIT'. I YEAR PROVIDED ORK IS STARTED WITHIN ISO DAYS
ENG� REVIEW FEES
SEE BACK Oi PINK PERMIWT FOR MORE INFORMATION
'APPLICANT, ON BEHALF 0 HI R E P BE, IS S, ASSI N AND C ESY RS
E CIT F
NIFY, SEE N L A LES
IN INTEREST, AGREES TO :NO F A ENTSFA ANYAND
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APPLICATION APPROVAL
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IS C.FFECTET AT HE OWNER, OR THE DULY AUTHORIZED AGENT OF
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THE OWNE I AGREE To COMPLY WITHRCITY AND STATE LAWS REGULATING CONSTSUC.
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AN. IN THEREBY, NO PE14SON WIL BE EMPLOY
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OF WASHINGTON RELATING TO
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FOR INSPECTION
IN VIOLATION OF THE LABOR CODE OF,THE STATE
INSURANCE AND POW 18.27.
T E
OFFI JALS SIGNAT
WORKMEN.E COMPENSATION
DAr7ZEDZ��
(425)
312 0001
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771-0220
By
EXT 333
RELEASED
A-ItENTION
ITIS UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OPIGJNAI. FILE - YELLO INSPECTOR
- GOLD WASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED, LIBC SECTION 109
FAX
PINK -OWNER