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PERMIT APPLICATION: 18B DAIS
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
PHI OR HER SPOUSE. HLIRS. ASSIGNS AND SUCCESORS
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ENG, INSPECTION FEE
CANT, ON BEHALF OF HIS 08 HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
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RECEIPT
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAIN CHECK DEPOSIT
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE
SIFT
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROW SION.-
TOTAL ..NT.UE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT I HE INFORMATION APPLICATION APPROVAL
GIVEN 11 CORRICT*, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF p—I �til ,p,ol by lhg
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WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL
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FOR INSPECTION receip! is acknlllodgld 11 Paco PlwdOd
it )F E LABO CODE OF THE STATE OF WASHINGTON RELATING TO ""'Pj
V I EN SATION INSU CE D ACW OFFICIALS SIGNATURE
210E;UDRCW 8,27. DATE
r=77NERIE �AGR - ATE SIGN (425) Ls \)--
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XFINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLOW -IN E TOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSE R
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