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FINAL PROJECI APPROVAL FORM
TO:
okv6L 14A Y 208o -DATE:
aPrA�IEAII
cl OF�SERVIC'E CTR.
S
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM- _yIRE DEPARTMENT DATE -
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
PROJECT-U=
SITE ADDRESS---2 q 6 3 4-1
PERNUT 4 -
,:a,) �38..ADB#--------PATE INSPECTED --
WORK TO 13E INSPEC us /,0C ro,,-p (2-L
DESCRIPTION OF
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:
--4-3inal approval of the described work
_Performance Bonds associated with the project may be released
____L�GRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
1.
______yAlLED FINAL INSPECTION - OUTSTANDING ISSUES
1
2.
3.
________RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
ocaprvl.doc.l:temp:bldg:forms6/98
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...................
FOUNDATION:
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Footing ..................
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Wall .......................
Pier/Porch ................
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RetalningWall
............
Slab Insulation ............
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PLUMBING:
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Underground ..........
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Rough -In .......... ......
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Commercial Final ........
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HEATING:
GasTest .................
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GasPiping .............
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Equipment ..... ...........
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Commorciall'inal ........
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EXTERIOR SHEATHING
NAILING
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FRAMING ..... ........ ...
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INSULATION:
Flooflnoulation ...........
Wall insulation ...........
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Gelling Insulation....
SHEETROCK NAILING....
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SPECIAL INSPECTION ......
MISCELLANEOUS
ig�
FINAL APPROVAL
FOROCCUPANCY..
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CONSTRUCTION
OWNER NAMEINAME OF OUSI
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0
ONDS
IT APPLICATION
V
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PERMIT
NUMBER
S SU SUITEIAPT It
ITE
UITEIAIT.
j�-
11111N 10
LIO NO
o NO
P R OFFICIAL S'P' ET MAP
PUBLIC RIGHT OF A1 PER OFFICIAL STREET MAP
U L G M T OF WA' E
BE 0 U IRE, E"OAIION
EXISTING .—REOUIREDDEO$CATION—
X T N
R'
SE
PROPOSED
0 PC
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CP
TIES '
BW "'it R- 13
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SRI- u.- P—It RT,, d o
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-Fee"" .,uil.d 0
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Sidewalk Requirod 13 1
Sd_lk -equIr
METER SIZE
FBv BE.,
EMARKS
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EN.'.EE'"N. MEMO GATE.
F-
FIRE MEMO DATE.
- --------- ------
SI N AREA '.'..T
t ;:--'."�'�PA 'Fl"E-1- 0 PROF ... �
, J, F E.E.P�T ALLOWED 1PROPOSED I ALL.WET
NEW
REMMENTIAL
"
PLUMBINGJIfiECH
E]
CO PLIANCE OR
ADDITION
El
COMMERCIAL
LAPT.
CHANGEOFUSE
REMOUCL
r
APT BLDGL.
51GN
OR�—
FENCE
REPAIR
11
I--x—FT)
.0 OVE
SWIMPOOL
DEMOLISH
El
INSOEATTST
HOTTUB/SPA
GARAGE
M
RETAINING WALL]
CARPORT
"
ROOKERY
RENEWAL
(TYPE OF USE. BUSINE BOB ACTIVITY) EXPLAIN:
SIDE BEAR I FRONT -,R SIDE
LOAD
YES
hE
PR �RESS INSPECTIONS PER UBC 108
FINAL INSPECTION
ED
REOUIRED
n o"
FEE
EVALUATIO"
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
Plan Check No.
MECHANICAL
j
This Perm if covers wor to be done on private property ONLY.
GRADINGtFILL
7
c.nslr I ion on he pub (curbs, aid WPIkS,
A ny uc I
�'U.as, BIG., "�I=ln
driveways, me separate permission.
STA7ESUPCHARGE
p mi to.-. 11.1) Do,.
STORM DRAINAGE HE
fre" =7
P: . 1 st, _ PF.II'dad Work 1. Slarta Within 180 Days
-Appc,n�,On bohal! ofthle .1 her Spouse, heirs,, assigns and
ENG. INSPECTION FEE
--OD
SUIC .. S.F. ,are., . ree,�6dlo IrIdOmnIfy, de end and hold
Ed mo d., stsh n'ton. is officials,
x
ernp 0 Tom any and all claims for damages Of
what ver not , rl in directly or Indirectly from the Issuart..
this Shoji not be deemed to PLAN ACK DEPOSIT
of this permit. 1. u nce Of permit
modify, W ve or re uce any,requirement of any city ordinance
nor limit I City s ability to enforce any ordinance
al any we t a
TOTAL AMOUNT DUE
L
provision.
I hereby a"knZ:dTe 'no 'net. r.-d.111B application; trial tne
ATTENTION
APPLICATION APPROVAL
in formation Ivan nr.cl� - hat I rn the owner, or the duly
er. I agre to OEM
authorized agent of the own a p.,ww.'Ih city and
THIS PERMIT
This application is not a permit until
St. trucl - In authoriz.
to laws regulating cona 1.F.,aFdlndo 11
AUTHORIZES
ONLY THE
IT
signed by the Building Officla or his/tar
ad thereby, no person w 11 be emp Dyed in violation of the Labor
WORK NOTED
Deputy; as are paid. and receip is
and is
8 gto Workmen's Comperi
Cod of the State of Washington relatin
Ed
acknow edged in space provide
AG T, ATE SIGNED
INSPECTION
DEPARTMENT
0 CIAL SIG I BE
CITY OF
EDMONDS
CALL FOR
FILEASEG y
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
INSPECTION HA BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW 1qPPctOr
UNTIL A,F:NAL
A CERTFCATE OF OCCUPANCY HAS BEEN GRANTED. UBC
PINK — Dwrer GOLD —
SECTION 109
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