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600 Industry D
FIRE REVIEWED By
DATE
CITY ZIP TELEPHO E
Tukwila 9818 8 206-575-7527
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* ADDITION
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PLAN CHEC"D VESTED DATE
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IN INTE DEFEN AND NO D HARMLESS THE CITY OF
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FROM ANY AND
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EDMONDS ' WASHINGTON, ITS O=LS EMPLOYEES,AND AGENTS
ALL CLAIMS FOR DAMAGES DPW Ea NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Fire Inspection
D MED F`rWAIVEOHRE CE ANY REQUIREMENT OF ANY CITY ORDINANCE
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ITY To
NOR LIMIT IN ANY WAY THE CITY$ ABIL ENFORCE ANY ORDINANCE PROVISION,'
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I HEREBY ACKNOWLEDGE THATT I HAVET "' THIS APPLICATION; THAT THE INFORMATION
.AT � A . HE WNER, OR THE DULY AUTHORIZED AGENT OF
GIVEN IS QGRREQC AND
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
TION: At IND IN R AUTH IZED THEREBY, NO PE SON WILL BE EMPLOYED
:D 0 CODE THE STATE OF WASHINGTON RELATING TO
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WORKMENT PEN 'Us Iqt�!S RAN
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SIGNATL R A
771 -0220
"ItENTION
EXT 1333
A
IT IS U�LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
FAX
10101
FEE
Recording Fee
City Surcharge
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Plan Chk Deposit
Receipt #
Total Amount Due
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APPLICATION APF
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ....................
Wall..........................
Pier/Porch ._ .............
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Retaining Wall ...........
Slab insulation
PLUMBING:
9i
Underground .............
�2- 7
M
Rough -In ...................
M 0
Commercial Final
0
C
HEATING:
M
1'.
10
Gas Test ....................
Gas Piping
Equipment ...........
Commercial Final
-0.
EXTERIOR SH EATHING
M ITI
NAILING ..........................
0
FRAMING ..............
0
a 0)
FIRST FLOOR FRAMING_
Q 0
r
INSULATION .............
;U
Floor Insulation
Wall Insulation ...........
z
Ceiling Insulation
SHEETROCK NAILING _
z
SPECIAL INSPECTION _
0
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
00