20020105.pdfPERMIT EXPIRE
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'AP PLICANT. ON8EHALrOF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCFSORS
END INSPECTION FEE
IN NTERESIT, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
E DMONDS, WASHINGTON, ITSOFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND
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ROM THE ISSUANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT SHALL NOT BE
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I TOTAL AMOUNT DUE
1 HERE ACKN WILEDGETH I HAVE READ THIS APPLICATION; THAT THE INFORMATION
I R 'CT AND THAT I AM THE OWNER. OR THE OULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
To I NE'Rot OREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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R T I I, AND IN INGTHEWORK UTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OTTGINN� FIL YELLOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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DATE:
MEMO TO: PEMT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DATE —
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ENGINEERING DIVISION DATE—
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PROJECT
SITE ADDRESS—C�����
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DESCRIPTION OF WORK TO BE INSPECTED W��e��WA
A field inspection was conducted to determine flual compliance with approved plans. Final approval
ove signed Department to the release of
denotes that there are no objections from the ab
p.gmANCE BONDS and the granting of
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDI[TIONS NOTED
0 Copy of CONDITIONS given to owner/contmetor by inspector
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FAZED FINAL INSPECTION - OUTSTANDING ISSUES
U Copy of CORRECTION NOTICE given to owner/contractorby 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 ................
Pier/Porch .................
Retaining Wall
Slab Insulation
PLUMBING:
Underground .............
Rough -in .. .................
Commercial Final
HEATING:
Gas Test .............
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MS
Piping ................
-3Gas
Equipment .� ...............
Commercial Final
EXTERIOR SHEATHING
N AILING ....................
FRAMING ........ ...............
INSULATION ...................
Floor Insulation
wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY
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