20010900.pdfDATE RECEIVEIL
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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NOR LIMIT . ANY WAY ME CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISIO
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I HEREBY ACKNOWLEDGE THAT I HAVE AM THIS APPLICATION; THAT THE INFORMATION
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ME 0 HER. I AGREE To COMPLY want CITY AND STATE LAWS REGUILATING CQNSMUC_
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TION. AND N DOING THE WORK AUTHOREVED THEREBY. NO PERSON WILL BE EMPLOYED
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STATE OF WASHINGTON RELATING TO
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SIGNATURE (OMER IfR AGENT) E SIGNED
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771-0220
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IT IS UNLAWFUL TO USE OR OCCUPY A BULDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 1 09
FAX
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Plan Chk Deposit
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FINAL PROJECT APiROVAL FORM
TO:—
DATE: —
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE—
Qff,M&,a_ENGINEERING DIVISION DATE 6
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PLANNING DIVISION DATE—
PROJEC
SITE ADDRESS. 323
PERMIT #-1"-- 1-02 00 ADB# Lo
INSPECTED— �1
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:
approval of the described work
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GRANT FINAL PROJECT APPROVAL
—GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
—FAILED FINAL INSPECTION - OUTSTANDING ISSUES
1.
2.
3.
—RE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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