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PERMIT EXPIRES
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PER IT APPLICATION: 180 DAYS
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. REVIEW FESS
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;APPLICANT.ONBEHAL
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AILLCLAIMS FOR OAMAGESOF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY
RECEIPT
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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R CEIPT
I OTAILAMOUNT DUE
IHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS COIRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APP ICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOL ' N THE R ODE 0 THE STATE OF WASHINGTON RELATING TO
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WORK PEN�; INJURANCE AND ACW 18�27.
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771-0220
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAX
ORIGINAL -FILE - YELLOW - INSPECTOR
PINK OWNER - GOLD - ASSESSOR
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FINAL PROJECT APPROVAL FORM
TO:
DATE:_
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE_d=1_f _202-
-ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
PROJECT_6_r�-V�� D�� k- a:C&4t*1 -
SITE ADDRES, L0 6 V, X�_
PERMIT# 0'4L(3 # DATE INSPECTED_�_�-2_�
DESCRIPTION OF WORK TO BE INSPECTEDA6 SF_ / P,476,&A�_
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
PERM
RMAD[CE, BONDSaqd the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to.owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractorby inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ................
FOUNDATION:
Footing......................
wall..........................
Pier/Parch .................
Retaining Wall ..........
Slab Insulation ..........
PLUMBING:
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HEATING:
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Gas Piping .................
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ...............
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FIRST FLOOR FRAMING
INSULATION ..... . ............
Floor Insulation
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Wall Insulation ...........
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ................