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P p ROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION
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PERMITAPPLICATI N: 181IDAYS
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TOTALAm.UNTDUE
IHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
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ATTENTION
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
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DESCRIPTION OF WORK TO BE INSPECTED---W--A--LL-
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
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Retaining Wall ...........
Slab insulation ..........
PLUMBING:
Underground .............
Rough -in ............
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Gas Piping .............
Equipment ..........
Commercial Flnel
EXTERIOR SHEATHING
NAILING .................
FRAMING ............
FIRST FLOOR FRAMING...'
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Coiling Insulation
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SPECIAL INSPECTION
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FINAL APPROVAL FOR
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SEPARATE PEOISSION.
PERMIT APPLICkTION: 180 DAYS
;.t%URC.ARGet4
PERMITLIMIT.- I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
EN INSPECTIONFEE
;APPLICANT.
N INTEREST, AGREES TO INDi2MNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAP NO
I EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FRO. ANY AND
A FOR AMA O�SWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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0 NOR LIMIff IN ANYWAY THE Cil'Y'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
REC la655
TOTAL AMOUNT DUE
I HERESY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION, THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THEOWNER I AGREE TO COM%Y WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
F ... ... I..d.-
TION: AND IN DOING THE 4"" "OHERES NOPERSONWILLSE EMPLOYED
TH;;lR'OFK ODE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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IN VIOLATION OF %.E
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K.ENSCOYPeN ATIONI RCW 18-1
WOR ATION%
0 CIALS SIONATU71 DATE
SI.
DATE
(425)
hlAJ/1_ OAIA&41104
771 -0220
DT
7/5
A17ENTION
EXT 1333
WBy
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
"'E Y
A
CATE OF OCCUPANCY HAS SEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER GOLD - ASSESSOR
5,98