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CITY OF EDMONDS
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I HER56Y ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION. THAT THE INFORMATION
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CATE OF OCCuPANC HAS BEEN GRANTED. UBC SECTION 109
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FINAL PROJECT APPROVAL FORM
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DATE:
TO: PERMIT COORDINATOR, BUILDING DIVISION-)
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::I.�FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE —
SITE ADDRES 14'!1 2
PERMIT #2:!2 �/—aC-�7.ADB#-------PATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTE
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
2�:_GRANT FINAL PROJECT APPROVAL
______GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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—FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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_______RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVEO
SETBACKS .....................
FOUNDATIONt
Footing......................
Wall...........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment ............
Cc rcial Final
mme
E)(TERIOR SHEATHING
NAILING...........................
FRAMING .................
FIRST FLOOR FRAMING --- -----------
INSULATION
Floor Insulation ..........
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
r MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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CITY OF EDMONDS
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INSPECTION
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771-0220
Lw&
RELEASED By D
EXT 1333
A 9"NTION
A BUILDING OR STRUCTURE UNTIL 771-0221
IT IS UNLAWFUL TO USE OR OCCUPY
MADE AND APPROVAL OR A CERTIFI,
ORIGINAL YELLOW - INSPECTOR
GOLD - ASSESSOR
A FINAL INSPECTJON HAS BEEN
UBC SECTION 109
FAX
PINK - OWNER
<
CATE OF 9CCUPANCY HAS BEEN GRANTED.
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