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THIS PERMITAUTHORIZES(
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON 'HE PUBLIC
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_SEPARATE
PERMIT APPLICATION: SEE ECDC Igs(1.005(A)(S)
PERMIT LIMm SEE ECDC 19.00.0M(A)jfb
Eng, Review Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr Inspection Plan Chk, Deposit
'APPUCANT� ON BEHALF F HIS OR HER SPOUSE� HEIRS, ASSIGNS AND SUCCESSORS
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IN INTEREST, AGREES TO INDEMNIFY, DER No AND HOLD HARMLESS THE CITY OF
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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FROM THE ISSUANCE 01 THIS PERMIT, ISSUANCE 01 THIS PERMIT SMALL NOT Be
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN E
NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
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APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
THE OWNER, OR THE DULY AUTHORIZED AGENT 01
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THE OWNER, I AGREE TO COMPLY WITH CITY AND STA E LAWS REGULATING CO"STRU C.
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IN VIOLATION OF TN LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENS COMPENSATION INSURANCE AND RCW 18:27.
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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 CERTI- ORIGINAL - FILE YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC, 09 / IBCIIO / IRCI 10.
PINK -OWNER GOLD � ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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FINAL PROJECT APPROVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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ENGINEERING DIVISION DATE�_
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A field inspection was conducted to determine compliance with -approved plans. Final approval
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RE4NSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fonns:ocaprv1 3/25/04
Permit Inspection Details
Permit: BLD20060394
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05104/2006 6MITH 25 APPROVED
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .............
FOUNDATION:
Footing......................
Wall .......................
Pier/Porch .................
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Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
Underground .............
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Rough -In ...................
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Commercial Final
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HEATING:
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Gas Test ...........
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Gas Piping .................
Equipment .................
Commercial Final
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
Wall Insulation ...........
Coiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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