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PERMITAPPLICATI N: IWDAYS
YEM1-P'O"' D WORK 19 STARTED WITHIN INDAYS
PERMITUMMI M I A
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Engr. Inspection.
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; BACK OF PINK PERMIT FOR MORE INFOR 0
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U.C.S.RB
ON BEHALF 011111 OR HER IPOUIE* HEIRS ASSIGNS AND SUCCISORS
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IN INTEREST, AGREES TO IND MNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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Fire Review
FROM THE ISSUANCE OF THIS PERMIT SSUANCi OF THIS PERMIT SHALL NOT BE
Fire Inspection
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9 DEEMED TO MODIFX WAIVE Oil 118 UCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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By IN' R ATION
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE I FORMATION
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GIVEN IS CORRECT. AND THAT I AM THE OWNEFL OR THE DULY AUTHORIZED AGENT OF
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THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUG.
ALL
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR iNSPECTI(
SPEC
WORKMEN'S COMPENS NCE AND RCW 18 7�
(425)
425)
771 .0
77 -0220
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
10101
Recording Fee
City Surcharge
State Surcharge
Plan Chk Deposit 15?�e
Receipt # fili 6 1:1
TotalAmountDue
I Receipt # -1 HJ'723- I
APPLICATION APPROVAL
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disc Offidal , hisiher Doputy: md FeOs 8FO Psis' nd
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DATE
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
-C
Footing ......................
Wall..........................
Pier/Porch
Retaining Wall ...........
3
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ..............
Commercial Final
HEATING:
Gas Test ....................
Gas Piping ..........
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ............. ............
xffi2s
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ................
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