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Fp--ERMITEXPIRES
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REMARKS CT
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Description
FEE Description FEE
Plan Check
Plan Check
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Building Permit
Building Permit
City Surcharge
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VESTED DATE
Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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Mechanic I
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOUAJN (CURBS, SIDMALLIKS. DRIVEWAYS MARQUEES, ETCJ WILL REQUIRE
Grading
I,`THE
SEPARATEPERMiSSION.
2
PERMTAPPUCATION: IN DAYS
Engr. Review
PERMIT LIMIM I YEAR 0 D WORK IS STARTED WITHIN IN DAYS
PROVI ESMIT FOR MORE INFORMATION
SEEBACKOFPINK P
Engr. Inspection
*APPLICANT, Ott BEHMA F OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCE.cna
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Plan CHI. Deposft
ONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR
Fire Inspection
DAMAGES OFWHATEVER , ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUA CE OF THIS PERMIT I NATURE
NC SSUANCE OF THIS
Receipt 0
PERMIT SHALL NOT BE
Be EMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF My CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY
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Total
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TO ENFORCE ANY ORDINANCE PROVISION.-
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Recording Fee
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Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN
Is CORRECT, AND THAT I AM THE OWNER, On THE DULY AUTHORIZED AGENT OF
OWNER. , AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
APPLICATION A
TION; AND IN DOING THE 0 PERSON WILL BE EMPLOYED
WORK A 0 -`GN
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CALL
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LATIOM 01 TH .... C -1 THE STATE F WASHIN.T.N RELATING TO
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FOR INSPECTION
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SIG RE (OWNER OR G 1) 0 TE SI
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OFF I S SIGNATURE AT
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11
771-0220
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ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING
Off 1333
R FAS 0 DA
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OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
08 Gil �L - FILE YELLOW INSPECTOR
04/02
PRESS HARD -YOU ARE
P�NK-OVVNEA GOLD -ASSESSOR
MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .......... ..........
FOUNDATION:
Footing ......................
Wall..........................
PledPorch .................
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Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in .............
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Gas Piping _ ...............
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SHEATHING
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FRAMING .........................
FIRST FLOOR FRAMING
INSULATION ...................
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Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
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OCCUPANCY ..................
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