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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENS COMPENSATION INSURANCE AND RCW 18.27.
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FOR INSPECTION
RE DATE
a HER , A AGENT) DATE - SIGNED
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR GINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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ENGINEERING DIVISION DATE W�q 40 2-
PLANNING DIVISION DATE—
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A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the ab ove signed Department to the release of
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .................
FOUIN DA TION:
Footing ..............
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
G�. To at
Gas Piping ..........
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ............. ............
FRAMING .......................
FIRST gLb6R 90�MING
INSULATION * ...................
Floor lnsulatid�
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................