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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
commercial Final
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Gas Test ....................
0 Gas Plping ...............
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NAILING..........................
FRAMING .... . ..................
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FIRST FLOOR FRAMING...
INSULATION . ...................
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wait insulation
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
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�APLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FiE
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N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF NO C FIND
EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS PROM ANY AND I"NSPECTAI.IN FEE AW5 r44' 1'9
ALLCI.AIMSFORDAMA ESOFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
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HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INF MATION
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GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPI 'CATION APPROVAI
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TION AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED B,,Id,ng Off,,,.l , hi—, DlPlIYw and FO 111PIld.11d
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INV16LATIONOFTHEI-ABOR ODE OF THE STATE OF WASHINGTON RELATINGTO [ INSPECTION ldld.�
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SIGNATURE (OWNER ____7OlE SI.N�. (425)
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71-0220 - RELEA TE
A17ENTION EXT 1333 'q
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL , 17
A-FINACINSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221
'dRIGINAL-FILE -'YELLOW-1 SPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER- GOLD -ASSESSOR