20010553.pdfr DATE —RECEIVED
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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:
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—FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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Slab Insulation ..........
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PLAN CHECK DEPOSIT
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NOR LIMIT IN ANY WAYTHE CITY'SABILITY TO ENFORCE ANY ORDINANCE FROVIS ON
CEIPT
TOTAL AMOUNT DUE
TOTAL AMOUN, DU E
I HEREBY ACKNOWLEDGE TH AT AV E READ THIS APPLICATION, THAT THE INFORMATION
APPLI ATION
APPROVAL
IH
GIVEN IS CORRECT: AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT 01
T"ll I'll" "'g—
THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
MPL.Y G
CALL
g olk.. II.— 'y
ION AND IN DING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE LEMPLOYED
T G RE WILL B
ING To
L A NG To
DILATION THE STATE OF WASHINGTON RE AT
CTIC
FOR INSPECTION
0 1 S P
rocaipt m aCknowipd -- 0— PI
IN VI OF THE LABOR CODE OF
WORKMEN S COMPENs5jGUZ_SU gkNCE AND RCW I
DATE
DATE SIGNED
(425)
6
1 0 0
771-0220
RELEASEDBY DATE
EXT 1333
A-rr9WTib*t_)
*ILE44.1
i IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
HAS BEEN MADE AND APPROVAL OR A CERTIFI-
.
A FINAL INSPECTION
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD - ASSESSOR
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