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DOMIN (CURBS, SIDEWALXS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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PER ITAPPLICATION: 100DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK 15 STARTED WITHIN HIS DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
-PUCANT ON BEHALF Of HIS 11" HER SPOUSE, HEIII. ASSIGNS AND SUCCESOR8
Fire Revi"
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COMON S' WASHINGTON. ITS OFFICIALS, EMPLOYE S. AND AGENTS FROM ANY AND
CLAIMS 'ARISING
Fire Inspection
Receipt #
IALL FOR DAMAGES OF WHATEVER NATURE, DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE 01 THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL N T E
9 DEEMED TO MODIFY WA VE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN'C'E
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Total Amt. Due 155-
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Recording Fee
IN EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; 7 T =HEINF.RMA�TXI.
GIVEN IS CORRECT. AND THAT I All THE OWNER. OR THE cul A.TIM11. AGENT .1
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
TION; AND IN DOING
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IN VIDLATI ON OF THE
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LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSAVOW NC AND RCYV 11127.
FOR INSPECTION
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A17ENTION
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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION
ORIGINAL -FILE - YELLOW - INSPBCTOR
109
04/02
PINK - OWNER G LD-ASSESSOn
PRESS HARD -YOU ARE MAKING 5 COPIES GREEN � ACCOUNTING
TINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PE T RDWA, UILDING, DIVISION
FROM: 7B FIRE DEPARTMENT DATE -Z—
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PLANNING DIVISION DATE
PROJECT
SITEADDRESS
PERMIT # OiS 17-- ADB# —DATEINSPECTED
DESCRIPTION Or WORK TO BE INSPECTED
A, field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of:
approval of the described work
--��GRA� FINAL PROJECT APPROVAL
--GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
--YAILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
----AE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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