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DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REOUIRE
GRADINGIFILL
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S�F SURCHARGE
PERMIT APPLICATION: ISO DAYS
F. PERMIT LIMIT. I YEAR . PAOVIO 0 WORK IS STARTED WITHIN 180 DAYS
ENG REVIEW FEES
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
-AF LICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESOFIS
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IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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TOTAL AMOUNT DUE
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IHERES ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; 'HAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONS THUD
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TION AND IN DOING 7HE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
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WORKMEWS COMPENSATION INSURANCE AND RCW 1827
FOR INSPECTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
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I FINAL PROJECT APER_OVALFORM
APR -zW TO:
DATE:
MEMO To: PERMTr cooitDiNATop, BUILDING DIVISION
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ENGINEERING DIVISION DATE.-
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PLANNING DIVISION DATE 4 J(P
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SITE ADDRESS
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ACM r..1 co,rapliance with approved plans. Final approval
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P-ERFORMANCE BONDS and the granting of:
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
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RE-INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
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GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
o Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
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RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ................
FOUNDATION:
Footing .................
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Pier/Porch .................
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Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
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INSULATION .................
Floor Insulation
Wall Insulation
Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
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OCCUPANCY ..................
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