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FINAL PROMCI APPROVAL -FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: ___—YIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE44---
_____3LANNING DIVISION DATE —
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PERMIT # ADB#__pATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPECT
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that,
there are no objections from the above signed Department to the granting of:
______---Final approval of the described work
Bonds associated with the project may be released
0 GRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
__�FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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PERMIT EkARES - H
CITY OF EDMONDS
PERMIT
NUMBER 200013
CONSTRUCTION PERMIT APPLICATION JOB
ADDRESS
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PERMIT LIMIT. I YEAR ' PROVIDED WORK IS STARTED WITHIN IS. DAYS
SEE BACK OF PINK PERMIT FOR MORE MrORMATION
ENG. REVIEW FEES
'APPLICANT. ON BEHALF 0 HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
IN INTEREST, AGREES TO DEFEND AND HOLD HARMLESS THE CITY OF
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INSPECTION FEE
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROYAL
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THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
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771-0220
RELEA E DATE
A—TTE NVION
EXT 333
0
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRI JCTURE UNTIL
771-0221
A F1 NAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE Y ULOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR