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I PERMIT EXPIRES
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CONSTRUCTION PERMIT APPLICATION 'AODRESS
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TYPE
CCUPANT
GROUP
NUMBER
OF
NUMBER OF
DWELLING
CRITICAL
AREAS
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STORES
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NUMBER IAJ
DESCRIBE iYORK TO BE DONE
REMARKS
ROGRESS NSPECTIONS PER UBC 108/FINAL INSPECTIC
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Description
FEE
Description
FEE
- - - - - - - 11 /51
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State Surcharge
a,T SOURCE F OWING %' LOT SLOPE%
Buird"ing Permit
City Surcharge 5.00
PLAN CHECK NO: I VESTED DATE
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Mechanical
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
C
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
ed
Grading
G r g
M a R R E
OMAIN (CURBS, SIDEWALKS, DRIVEWAYS E t) WILL REQUIRE
SEPAMTEPERMiSMSAIORNOU ES'ETC
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2
PE MITAPPLICATION: INDAYS
E g. Rev"Ve
Engr. Revieny,
PERMIT LIMM I Y BAR- PROVIDED WORK IS STARTED WITHIN ISODAYS
Engr. Inspection
SEE 0 ACK OF PINK PERMIT FOR MORE INFORMATION
'AIPLICAW. ON BEHALF 01 HIS 01 HER S111111, HEIRS, ASSIGNS AND BL.cES.Bs
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MR
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFN. DEFEND AND HOLD HARMLESS THE CIT'Y OF
S OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire!nspection
Receipt
ALLCLAIMSF0 DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
LOBO .. P.
Landscapelnsp.
Total ART. Due IqS. CX)
I
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF AMY C TI ORDINANCE
0 NOR LIMIT IN ANY WAY THE CaYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
9.1
R.C.'Ung F..p
Receipt # 1,20-12
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUnIOBIZED AGENT OF
This application is not, permit until signed by Me
THE OWNS I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
THE WORK THEREBY, NO PERSON WILL BE EMPLOYED
CALL
Sailding Olhcial or his/her Deputy: and Fees at, paid, I
TION; AND IN DOING AUTHORIZED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
WORKMENS COMPENSATIO)"RA CE AND RCVy 16,27,
O� �'/JA 8 SIGN&URE
DA D
1425)
/ATE
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771,0220
AELEASED By DAtE
ENTION
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-
ORIGINAL -FILE YELLM-INSPFCIOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ..........
wall .....................
Pier/Porch .............
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...........
Commercial Final
HEATING:
Gas Test ....................
vn�
Gas Piping .................
Equipment ............
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING .....................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............
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