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PERMIT EXPIRES
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NUMBER
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DOMAIN (CURBS, SIDE�RAOP.E.RAT.Y.10�N.L-Y*EAAY".y ... LEE. I ETC.) WILL REOUIRE
SEP EATER F.S.'ON
T RICHARDS
PE AMIT APPLICATION: 180 DAYS
PERMIT UNIT. I YEAR PROVIDED WORK IS STARTED WITHIN 180 DAIS
ENO, VIEW FEES
SEE BACK Oi PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HER& ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
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IN INTEREST. AGREES TO IT, ` AIYAID
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IS COPPED CONSTRUC
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HE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS=LATtNG
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RELEASED By
EXT 333
ATtENTION
IT IS UNLAW FU L TO US E CCU Y A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAOS�B�ADE AND APPROVAL OR A CERTIFI�
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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commercial Final
EXTERIOR SHEATHING
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FIRST FLOOR FRAMING
INSULATION
Floor insulation
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Wall Insulation ........... -----
Ceiling Insulation
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SHEETROCK NAILING
0
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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CITY OF EDMONDS
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oN
SEPARATE PER N.
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ENG, VIEWFEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE, HIMS, ASSIGNS S E, F,
T E I F
ENG, INSPECTION FEE
IN INTEREST, AGREES To INDEMNIFY, DEFEND AND HOLD H L
DMoND%WA"'A ITS OFFIMALS,EMPLOYEE$, AND A EN R I A N
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FROM THE 196ANCE OF THIS PERMIT, SUANCER]
REQUIREMENTOP ANY CITY ORDINANCE
PLAN
DEEMEDTO MODIFY, WAIVE OR REDUCEANY
CITY*S ABILITY TO ENFORCE Ally ORDINANCE "o""
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11
TOTAL AMOUNT DUE
L EDGE THAT I HAVE READ THIS AppT,�CAT,�o'Ny, TUAT THE %IoRM�1�11N
3 I�3 O\
APP ICATIONAPPRO AL
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IS
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THECOWMER LAWS REGULATING CONSTRUG.
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EMPLOYE
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TQN� AN. IN ..IN. T HE WORK AUTHORIZED THEREBY� NO PERSON WILL BE
WASHINGTON RELATING To
,—d-
FOR INSPECTION
IN VIOLATION OF THE LABOR CODE OF THE STATE OF
SURANCE AND POW 18.2
IN 7.
(425)
o F If ION o E
L 61(31q�AT�pe WNt ' R OR GEN I
LA..
EFIGNID
771-0220
BY GAT
EXT 333
A TT E ION
IT IS UNLAWFUL TO USE OP,OCCU Y A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS B ADE AND APPROVAL OR A CERTIFI-
r
LLo INSP
ORIGINAL-FILG YE ECTOR
GOLD - ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER