20050421 (2).pdf0
Inspection Fees TO BE PAID Zf
by phone
i Contact notified of fees due: F correction notice given
Date Paid: Receipt #: Collected B
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Engineering Notified of Payment Received
REFUND Due. -
Reconciled By:c_�>fm(P�MuA Date
Original to: Permit File Copy to: E] Engineering' Admin (reftinds only)
Revised 3/2/06
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FINAL PROJECT APPROVAL FORM
MEMO TO:. PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE
PLFASH SIGN
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PLANNING DIVISION DATE
PLPASF SIGN
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PERMIT# .2V05- W?-f Pe ADB# DATEINSPECTED
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DESCRIPTION OF WORK TO BE INSPECTE6 P_
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A field inspection was con ducted to determine compliance With -approved plans. Final approva.1
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denotes that there are no . objections from the above signed Department to the release of
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PERFORMANCE BONDS and the granting of:
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GRANTFINAL PROJECT APPROVAL
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Gft ANT* PROJECT APPROVAL WITH.CONDITIONS NOTED
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0 Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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0 Copy of CORRECTION NOTICE given to. owner/contractorby inpector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT.I APPROVAL
Date.- Signature
1:temp:b1dg:fbrms:&aprv1 3/25/04,