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PERMITIE IRES
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. M16 PERMIT COVERS WORK 1.
t: 0 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON T"EPUBLIC Grading Recording Fee
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL EQUIRE
SEPARATE PERMISSION. — Engr. Review City Surcharge
N, PI MITAIPLICATIOM: 111DAYS
PIROBTLIMIMIYEAR-PROVID 0 WORK 13 STARTED WITHIN ISODAYS Engr. inspection State Surcharge
SEE RACK OF PINK PERMIT FOP. MORE INFORMATION
'APPUCAW. ON DONAL 'IF HIS OR HER SPOUSE, 1-11111, ASSIGNS AND IUCcES.Fle Traffic Mitigation Plan hk epos t
11. INTEREST AGREES INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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Receipt #
EDMON WASHINGTON, S OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Review
ALLCLA[MiIFOROAMAGES F WHATEVER NATURE, ARISING DIRECTLY OR INUMECTLY
FROM THE I SUANCE OF IS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT E
A REDUCE ANY REQUIREMENT OF ANY a Fire Inspection Total Amount Due
DEEMED TO MODIFY, WAIVE 0 CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE GUYS ABILITY TO NFORCE ANY ORDINANCE PROVISION.- I Landscapoinsp. "C"B" #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPR L
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I ACRE TO COMPLY WITH C17Y AND STATE LAWS REGUI.ATING CONSTALIC. This applicailln Is W a PrMit "' ped by Iho
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ATTENTION M 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- ORIGINAL � FILE - YELLOW � INSPECTIJO
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - COLD - ASSESSOR
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Floor Insulation
Wall Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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