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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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DOMAIN ICURDS, SIDEWALKS, DRIVEWAYS E Grading
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SEPARATE PEFMj SSION.
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PERMITAPPLICATION 180 DAYS
PERMIT LIMM. I YEAR, PROVIDED WORK 15 STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
'APPLIC ITT. ON BM.LF F HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
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IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CAN OF
EDMOND WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
ALL CLAIMS FO DAMAGES OF WHATEVER NAI UBE, ARISING DIRECTLY OR INDI
FROM THE R RE Y
ISSUANCE OF THIS PERMIT, C I
ISSUANCE OF THIS PERMIT SHALL NOT E
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TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY OR NANO
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I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORM AT-10N
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OWNER . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATI1. CONSTRUQ
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SIGNATURE
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OFFICIALS SIGNATURE DATE
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ATTENTION
EXT 1333
DATE
IT
IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
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CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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ENGINEERING DIVISION DATI�—
PLANNING DIVISION DAT'E—
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DESCRIFT10N OF WORK TO BEINSPECTFD�,
A Held inspection was conducted to determine imal compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
_PER-FORNMNCE BONDS and the granting of:
FINAL PROJECT APPROVAL
---e�---GRANT
GRANT PROJECT APPROVAL W1111 COMMONS NOTED
a Copy of COMMONS given to owner/contmtor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORREMON NOME given to owner/contractorby inspector
2.
RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
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