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DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
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a. PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
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N X1 I Recording Fee Receipt #
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GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Olficial or hisihor Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR.CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSATiON IN�4RANCE AND RCW 18.27.
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TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building official or his/her Deputy: and Fees are paid, and
IN V6LATION OF THE LABOR_0PDE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
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Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
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HEATING:
Gas Test .............
Gas Piping .................
Equipment .................
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NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
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Wall Insulation ...........
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building ollicial or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space proviclud.
WORKMEN'S COMPENSATION1RSURANCE AND RCW IB.27.
OFFICIALS SIGNATURE DATE
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771-0220 RELEASED BY DATE
ENTION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
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Retaining Wall ........... 0
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Ceiling Insulation .......
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