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PERMIT EXPIRES
CITY OF EDMONDS
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ENG� REVIEW FEES
END. INSPECTION FEE
;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
N NTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CIlY OF
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EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND
ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
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TOTAL AMOUNT DUE IF
IMEREB ACKNOWLEDGE THAT. I HAVE READ THIS APPLICATION: THAT THE INFORMATION
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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UNIFORM BUILDING CODE SECTION 109
At:— 126 V Avenue North, EdMiLnds WA 98 L__BuMng Permit P 2002- 5
Occupancy established by this cerilficate: Dwelling Units: -9- :2 + Base
:�[N.. Stories
BIRIIS3 Ty truction: V.lHr Basement: Yes
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In CU (Per, B.C. 1002)
?=C4F IN, main Posted.at at/ times.
Owner of Building: §c a -cis, WA W20
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THE Allater Place AS BEEN INSPECTIE �,WPROVED'-'Jlk COMPLY JW &REQUIREMENTS OF THE L997 EDITION OF E
UNIFORM BUILDING CODE AS ADOPTED BY=t
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,�Y FOR T"&.ORRIO� OF CUP CY AND E USE FOR ICH E
PROPOSED OCCUPANCY IS CLASSIFIED.
Isawd this
dayof_jult 2003
CHIEF 8 ILDING OFFICIAL
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FIN, PROJECT APPROVAL I --,RM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: DEPARTWNT DATE—
GINEERING DIVISION DATE—
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PERFORMANCE BMS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
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PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WrIH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
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RE-INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...................
FOUNDATION:
Footing.................
wall.1.1.1, ...................
PlerlPorch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground.............
Rough -In ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING .............. ...........
FRAMING .......................
FIRST FLOOR FRAMING..,
INSULATION ...................
...........
Floor Insulation
Wall Insulation
Ceiling Insulation
S,
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ................
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