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I HAVE READ THIS APPLICATION; THAT THE INFORMATI N
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771-0220 A DBY I DATE/
E-Al 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINALINSPE RTIFI- ORIGINAL -FILE YELLOW -IN
CTION HAS BEEN MADE AND APPROVAL OR A CE
GOLD - ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK - OWNER
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FINAL APPROVAL FOR
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STATE SURCHARGE
PERMIT APPLICATIO N: 1110 DAYS
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SEE BACK 0; PINK PERMWIT FOR MORE INFORMATION
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ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
;APPLICANT.
N NTEREST. AGREES TO INDEMNI `Y- DEFEND AND HOLD HARMLESS THE CITY F
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RECEiP
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APP VAL
GIVEN IS CORRECT. AND TH I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
WITH C
THE OWNER. I AGREE TO COMPLY ITY AND STATE LAWS REGULATING CONSTRUC
BE EMPLOYED
CALL
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TON JORIZED THEREBY NO PER ON WILL
AND IN DOING THE WO' T"' RELATING TO
OF THE STATE OF WASH'INGTON
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771 -*0220
REI:'E By
ATTENTION EXT 1333
OC CUPY A BU ILDING OR STRU CTURE U NTIL 771-0221
IT I S UNLAVVF U L TO U S E OR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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