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ENGINEERING DIVISION DATE 71, 0,2—
PLANNING DIVISION DATE —
PROJECT
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DESCRIPTION OF WORK TO BE INSPECTED—PLOU A iL
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A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
cl Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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FINAL APPROVAL FOR
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PERIUT APPLICATION 160DAYS
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N P Ec T to N FEE
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END
AN S ES.RS
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNSANO SUCCIESOFIS
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IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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I HEREBY ACKNOWL HAVE READ THIS APPLICATION: THATTHE INFORMATION
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AP?LjbATION
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THEOWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
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WORKMEN'S CoMPEN55p�_INSU�ANCE AND RCW 18.27(' ,
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771-0291
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