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Description
FEE
Description
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PLAN CHECK NO: VESTED DATE
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11 GONE OR 1"1E PROPERTY ONLY. ANY 11"STITICTION ON THE PUBI C
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t: _" SEPAMTE PERMISSION. —
Engr. Review
PE "ITAPPLICATiON: ISODAYS
PERMIT LIMIT. I YEAR - PROVID D WORK IS STARTED WITHIN 180DAYS
Engr, Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FIG DAMAGES 0 WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
PROM THE I SUANCE OF 7 IS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Total Amt. Due
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ALandscapelnsp.
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Recording Fee
Receipt #
IHERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMA11
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This applicationk, net a P-11-11i signedby she
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE OF HE STATE OF WASHINGTON RELATING TO
B.IIdIng 01110.1., his/her O.p.Iy:.hd fees ihe ped,iind
FOR INSPECTION 'es.1p, I,.sk,I.wI.dg.d I. 1pes. p—Ided
WORKMER'S COMPENS:��.E AN. a- 1.21.
OF C DATE
DATE S
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ZZAIED4Y
771-0220
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OfhGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK-OWNCR GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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