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:5 SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 18. DAYS
A. PERMIT LIMIT'. 1 YEAR - PROVIDED WORK IS STARTED W ITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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TOTAL AMOUNT DUE
ACKNOWLEDGE TH - AT I NAVE READ THIS APPLICATION: THAT THE INP RMATION
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I OWNENR6 GRATH, ouLyA
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771-0220 LEASED DATE
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USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 INSPECTOR
IT IS UNLAWFULTO CERTIFI.
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SETBACKS .....................
FOUNDATION:
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Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Gas Test ............... ....
Gas Piping ..............
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FL60FI FRAMING...
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...................
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ON THE PUBLIC
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION GRAOINGIFILL
-:1 1 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. STATE SURCHARGE
PERMIT APPLICATIOW, 180 DAYS 00
d. PERMIT LIMIT'. I YEAR. PROVIDED WORK S STARTED WITHIN 180 DAYS .5. i
SEE BACK OF PINK PERMIT FOR MORE INIF RMATION
ENG. INS ECTION FEE hgo, ou
;APPLICANT.ON BEHALFOFHISOR HER SPOUSE� HEIRS. ASSIGNSAND SUCCESORS
DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING
N INTEREST. AGREES TO INDEMNIFY,
2 E MONDS.WASHINGTO OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE
INDIRECTLY
�ITS
ALLCLAIMSFOR MA E OFWHATEV5P NATURE. ARISING DIRECTLYOR
DA G
THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAIN CHECK DEPOSIT
FROM THE ISSUANCE OF
0 DEEMED 0 MODIFY. WAIVE OR REDUCE ANY REGUIREMENT OF
PROVISION.
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE RECEIPT
TOTALAMOUN DUE o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT, AND TH AT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT Or Th, n., a ponn I unt".19-d alffi.
REGULATING CONSTRUC- CALL Fo.a.l.nal, and
THEOWNER I AGREE To COMPLY WITH CITY AND STATE LAWS G ap,ly; and
NO PERSON WILL BE EMPLOYED
T :ANOIND ING THE WORK AUTHORIZED THEREBY.
ION 0 RELATING TO FOR INSPECTION
OF THE STATE OF WASHINGTON
N VIOLAT ON OF THP LABOR CODE
I 1
WORKM�N'S COMPENSATION INSURANCE AND ACW 16.2T
(425)
0 AGENT),,/ t;jK3f4ED/r
rTUINER
333
ATTENT)ON MAT
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLO
ASSESSOR
OCCUPANCY HAS BEEN GRANTED. USC SECTION 10 PINK - OWNER - GOLD -
CATE OF FAX