City of Tukwila
Building Division
Building Permit Number: __________________
ACKNOWLEDGMENTS
I have read and agree to comply with the terms and conditions of this agreement.
Owner: __________________________________________
Date: _________________________
Contractor: _______________________________________
Date: _________________________
Special Inspector/Inspection Agency: __________________
Date: _________________________
Project Engineer/Architect: __________________________
Date: _________________________
ACCEPTED FOR THE BUILDING DEPARTMENT
By: _____________________________________________
Date: _________________________
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