20020012.pdfPERMITEXPIRES
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ALLG.01tCO`,ER0AGc,, I REQUINATED SETBACK$ (Fr.) PROPOSED SETBACKS (FT.)
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FEE I Description I FEE
LOT SLOPE
Building
CHECK NO:
VESTED DATE
THIS PERMIT AUTHORIZES ONLY 'THE WORK MOT ERB WORK TO
IT COV
Mechanical
BE DONE ON PRIVATE PROPERTY ONLX ANY cD6"%'U,%'M
2 0 ION ON THE PUBLIC
OINAIN (CUMIS, SIDEWALKS, DRANWAys, MARQUEES,
Grading
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h SEPARATEPERMISSION. WILL REQUIRE
Recording Fee
2
1" DAYS
Engr. Review
City Surcharge
PERMIT UNIT. I Y=PRT0AVP1`FU[GATION:
D WORK'S STARTED WITHIN I DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION 00 DAYS
Engr. Inspection
State Surcharge
-PIICANT, Oil BEHALF OF HIS OR HER a' ... E, ..IRS. AS.I..E AND UCC
Y ESOBS
IN INTEREST. AGREES TO INDEMNQLDEFEND HOLD HARMLESS THE CITY OF
Traffic Mitigation
Plan Chk Deposit
AND
Z EDMONDS. WASHIN C N, ITS OFFIC S, EMPLO ESE. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF OR, NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Review
Receipt #
FROM THE ISSUANCE OF ISUAN.E 01 T.I. PERMIT SHALL NOT
SEEMED TO Mo.,- VArvE_0'R' RPZ0'U`CE CE
C ANY REQUIREMENT OF My CITY ORDINM,IBE
NORUMITINANYWAYTHE uYS ABILITYTO ENFORCE ANY ORDINANCEPROVISION..
Fire Inspection
Total Amount Due
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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Receipt III
GIVEN CORRECT. AND THAT I AM TH E OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
APPLICATION APPROVAL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION
CALL
This appI "" """' ","*d 1, "'
Buildho Oftis'l.rV""
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OF THE LABO THE STATE OF WASHINGTON
WORKMEN RELATING TO
'S COMPENSATION IN AND ROW 18.27,
FOR INSPECTION
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OF �NA uR' DATE
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771-0220
.Sir
iFL-EASED'
ATTENTION
EXT 1333
DK?4rE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
771-0221
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD
10/01
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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
HEATING;
GasTest .................... .
Gas Piping .................
Equipment . ................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING__
INSULATION .............
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY .............
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