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GRADINGIFILL
STATE SURCHARGE
PERMIT APPLICATI No 18D DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
END REVIEW FEES
;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HE . IRS. ASSIGNS AND SUCCESORS
N INTEREST. AGREES TO �NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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ENG INSPECTION FEE
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I HEREB ACKNOWLEDGE THAT' HAVE READTHIS APPLICATION THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE D LY AUYHORIII ED AGENT OF
THEOWNER IAGREETOCOMPLY CITY AND STATE LAWS REGULATING CONSTRUC
TION. AND IN DOING THE WO THORI THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF 'HE L A CODE OF T STATE OF WASHINGTON RELATING TO
ORKMEN S COMIPEN TITNRANCEAN RCW18.27
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. _b -OWNER GOLD -ASSESSOR
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DATE APPROVED
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wall ......................
PleT/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
GasTest ....................
Gas Piping ..................
Equipment ..........
Commercial Final
E)CrERIOR SHEATHING
NAILING ..........................
Laat 5 - _1�
FRAMING........... : ............
FI RST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
Wall Insulation
Ceiling insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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REMARKS
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STATE SURCHARGE
a
PERMITAPPLICATI N: i6DDAYS
1.
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARVED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMAION
ENG. REVIEW FEES
ENG. INSPECTION FEE
;APPUCANT. ON BEHALF OF HIS On HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
N NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY F
-LANDSCAPING
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3 EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND
LLCLAIMSFORDAMAGE oFWHATeVERNATURE. ARISING DIRECTLYOR INDIRECTLY
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PLAN CHECK DEPOSIT
RECEIPT
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT LL NOT BE
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'OR LIMIT IN ANY WAYTHE CITY S ABILITY TO ENFORCE ANYORDINANCE PROVISIOW-
CEIPT
m
TOTAL AMOUNT DUE
In
READ THIS APPLICAIION.
"HEREBY ACKNOWLEDGE THAT THAT THE INFORMATION
APPLICATION
_7_7�
APPROVAL
GIVEN IS CORRECT. AND THAT: AHMAVTE
HE OWNER. OR THE DULY A THOAIZED AGENT OF
COHSTR.0
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 . FAX PINK - OWNER - GOLD - ASSESSOR
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