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THIS PERMIT AUTHORIZE-S ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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BE DONE ON PRIVATE PROPERW ONLY. ANY CONSTRUCT IONONTHEPUBLIC
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DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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PERMITAPPLICATI N: 18. DAYS
PERMIT LIMM t YEAR _ PROVIDED WORK IS STARTED WITHIN red DAYS
Engr. Inspection
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire RevieW
Plan Chk. Deposit
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I. INTEaE.T, AGREES T.04DEMNIFY, DEFEND AND HOLD HARMLE 8 THE CITY OF
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Recording Fee
I HERESY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECP, AND THAT I AM THE OWNER. on THE DULY AUTHOR ZED AGENT OF
APPLICATION
APPROVAL
THE OWNE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
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This application i—ce a p,deeft,denj signed by -
TION; AND IN DOING THE WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED
Building 011�cisrl ., his he, Ddp,ey� end F....I. P.M. end
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON REILATING TO
WORKMEN'S COVP 9SATION INS RANCE AND ACW 16.27,
FOR INSPECTION
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OFFICI DATE
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RELEASED BY
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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.
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
ORIGINAL - FILE YELLCW - INSPECTOR
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RECEIVED FINAL PROJECT APPROVAL FORM
JAN 8 - 2003 TO:
,ENGINEEFONG DIVIS104 DATE:
MEMOTO: PERmrrcooRDiNAToRBLTiLDINGDIvISION
FROM: FIRE DEPARTMENT 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 above signed Department to the release of
PERFORMANCE BONDS and the granting of:
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
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FOUNDATION:
Footing ......................
Wall ............ .............
Pier/Porch
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground
Rough -In ...........
Commercial Final
HEATING:
Gas Test
Gas Piping .................
Equipment
Commercial Final
EXTERIOR SHEATHING
NAILING ..................
FRAMING ........................
FIRST FLOOR FRAMING.
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INSULATION ............
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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