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N NOTICE
TO PERMITTEE AND/OR OWNER
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❑ PARTIAL APPROVAL ❑ CORRECTION REQUIRED X ENFORCEMENT VIOLATION
Owner Permit Number -TAN.;zo/So//(o
Job Address g4 /�5� S Site Contact
'I)pe of Inspection ( Yl j2tr-tz, Co /1 S ikG1i`a,cl
❑ WORK DESCRIBED BELOW HAS BEEN INSPECTED AND APPROVED.
❑ APPROVED PLANS AND JOB CARD MUST BE AVAILABLE TO INSPECTOR ON SITE.
❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED
AND/OR THE NEXT PHASE OF WORK IS STARTED.
❑ RECALL FOR INSPECTION.
❑ REINSPECTION FEE MUST BE PAID PRIOR TO NEXT INSPECTION REQUEST.
,I STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY CITY INSPECTOR.
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THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED TO BE CORRECTED BY
(DATE) OR PENALTIES MAYBE APPLIED. FOR INSPECTION CALL 425-771-0220
JN Building ❑ Planning ❑ Engineering ❑ Fire ❑ Public Works
Inspector if Date 12 -10 ne'� -r
THIS NOTICE TO REMAIN ON SITE
White: Permit File Buff: Applicant
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DAMAGE
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APPRpVEU AS NOTED
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78219175t' St, S.W.
Edmonds, WA 98026
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SHALL coLvAthchnical report byII �I�OP�AQVW BY KANN IG Nelsonssociates, Inc.
ST•u t 11.1k.201D {NGA#833} and SHALL useBMPs fiment control.