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VALUATION
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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MARQUEES, ETC.) WILL REQUIRE
GRADINGIFILL
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS,
SEPARATE PERMISSION,
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN IBO DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
'AFPU CANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
OF
IN NTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY
2 EDMONDS, WASHINGTON, "OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
LANDSCAP NO
INSPECTION FEE
A _Ci_AIMS FOR DAMAGES OFWHATEVER NATURE, ARISING OtReCTLYORINDIRCCTLY
NOT BE
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TOTAL AMOUNT DUE
I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLI ATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE IWN , A THE DULY AU HORIZED AGENT OF
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771-0220
PIELEAS DATE
ATTENTION
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IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INSPE&OR
CATE OF OCCUPANCY HAS BEEN GRANTED� UBC SECTION 109
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ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE —
PROJECT
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ADB#___��ATE INSPECTED --------
DESCRIpTION OF WORK TO BE INSPECTED
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inal compliance with approved plans. Final approval
A field inspection was conducted to determine r
denotes that there are no objections from the above signed Department to the release of
pEPJ1OR_MANCE BONDS and the granting of:
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----GRANT FINAL PROJECT APPROVAL
CONDITIONS NOTED
GRANT PROJECT APPROVAL WYrH
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
E) Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
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RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
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VALUATION
FEE
PLAN CHECK FEE
GLAIIN. I LOT SLOPE %
HEAT SOURCE BU LOING
PLAN CHECK NO: PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES 0 LY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIPILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEE% ETC.) WILL REQUIRE —
SEPARATE PERMISSION. STATESURCHARGE
PERMIT APPLICATION: 180DAYS
PERMIT LIMIT. I YEAR ' PROVIDED WORK IS STARTED WITHIN HID DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENO. INSPECTION FEE
�APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
IN NTEREST. AGREES TO It DEMNiFY, DEFEND AND HOLD HARMLESS THE CITY OF
I LANDSCAPING
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND INSPECTIONFEE ,
ALLCLAIMSFOR DAMAGESOF WHATEVER NATURE, ARISING D I - '-- - - RECEIPT
I EYHAOLLDNOT BE PLAN CHECK DEPOSIT
I FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS
NANCE
FPERMtT
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT 0 ANYCIT R
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANYORDIN CEPROVISION.'
TOTALAMOUNTOUE A
I HEREBY ACKNOWLEDGE T I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLI ATION APPROVAL
GIVEN CORRECT�ANDTHATIAMTHEOW ' 08 THE DULY AUTHOR ZED AGENT OF Ppl,"I"n " not , P_iI 'n"I ,g,ld 11 In,
T
INER.
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THE OW AGREE To COMPLY WITH On 4Nl '-ULATILN�. CONSTRUC- CALL SuIt It oll""I , hiIn_ 1) puvYl nnI,[ F... .1. P In. Ind
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En I". G PE WL EEMPLOYED
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NDIIN FOR INSPECTION
T�E STATE OF WASHINGTON RELATING TO
IN VIC LAT ON OF THE LABOR CODE OF
INSURANCE DATE
WqRKklEN'S COMPENSATION
(425) /g
771-0220 IILEAI;o DATE
ATTENTION EXT 333 )5A-1 A,)
IT IS UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 1
HAS BEEN MADE AND APPROVAL OR A CERTIFI- OSIGINAL-FILE - Y8
A FINAL INSPECTION
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD -ASSESSOR
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