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STATE LICENSE NUMBER EXPIRATION DATE
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REMARKS
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THISPERMITAUTHO IZES ONLY THE WORK NOTEM THIS PERMIT COVERS WORK TO
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DOMAIN HOURBS, SIDEWALKS, DRIVEWAYS . MARQUEES, ETC,) WILL REQUIRE
SEPARATE PERMISSION. s�grMjRCHARGE
PE MIT APPLICATION: ISO DAYS
PERMIT LIMIT. I YEAR - PROVID D WORK IS STARTED WITHIN I 'a DAYS ENO, REVIEW FEES
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENO, INSPECTION FEE
, IN NTERESE AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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15 E MONDE, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENT EFROM ANYAND INSPECTION FEE
A L CLAIMS FDA DAMAGESOEWHATEVER NATURE. ARISING DIRECILYOR INDIRECTLY R CEIPT
FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF FHtS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT
DEEMED TO MODIFYWMVEOR REDUCE ANY REQUIREMENT OF ANY CITY ORES ANCE
0 NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,' TOTAL AMOUNT DUE IFECEIPT/eyry3 I e V�T
I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION, THAT THE iNFORMARON
ICATION APPROVAL
GIVEN IS CORRECT. AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THEOWNER AGREETOOO 1, Y WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
RON, AND IN DOING THE WORK AUT.OFIZED THEREBY.*NO PERSON WILL BE EMPLOYED
III VIOLATION OF THE LABOR C BE OF THE STATE OFWASMNGTON RELATINCTO FOR INSPECTION
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WORKMEN'S COMPENSAT;p-OFFICIALS SIGNATpqV DATE
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7 -0220 RELEASED By f
ATTENTION EXT 333
I r 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 - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD -ASSESSOR
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RECORD OF INSPECTIONS
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INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall
Pier/Porch .................
Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
Underground ;o
M
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Rough -in .............
171 a
0
-40
CommerclW Final
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HEATING:
Z
M 'T
Gas Test
0-4
Gas Piping .................
Equipment .................
Commercial Final
0 "
EXTERIOR SHEATHING
M M
NAILING ........... ..............
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0
FRAMING ....................
F;
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FIRST FLOOR FRAMING...
M 0
INSULATION .................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
0
1711
MISCELLANEOUS ..........
FINAL APPROVAL FO R
OCCUPANCY ..................