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ATTENTION
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APPLICATION APPROVAL
will be employed In violation of the Labor Code of the Stale of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Inlurence.
AUTHORIZES
Dep-
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year which
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INSPECTION
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NOTE: Applicant Subject to Plan Check Fee
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775-2525This
ORIGINAL- Fdc YELLOW - Inspeclor
public
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I hereby acknowledge that I have reed this application: that the In-
formation given Is correct; and that I am the owner, or the duly author-
lied agent of the owner. 1 agree to comply with city and state laws raga-
ATTENTION
laling conatmctlon: and 1. doing the work aithorlsed thereby, no person
APPLICATION APPROVAL
will be employed 1. violation of the Labor Code of the State of Wasbagton
THIS PERMIT
This application !s not a permit until
,
relating to Workmen's Compensation Insurance.
AUTHORIZES
Signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
NOTED
uty; and fees are paid, and receipt is Be-
shall be completed In nicety days: MOVED -IN BUILDINGS shell be cum-
WORK
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pleled In six monthe,)
INSPECTION
SIGNATURE (OWNER OR AGENT I DATE S/IGNED
DEPARTMENT
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CITY OF
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NOTE: Applicant to Plan Check Fee775-2525
DATE ..
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Thlz Permit covers work to be done on private property ONLY.
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ORICINAL - Filc YELLOW - Inspector
marquees, etc.) will require separate permission.
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