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STATE LICENSE NUMBER
EXPIRATION DATE
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REMARKS
A WATM SERVICE SHUTOFIF
[3 DEMOLISH [3 TANK 0 OTHER
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REMARKS
PROGRESSRNISP!LCTIONS PER UBC 108/FINALINSPFCTION REO`D
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FEE Description FEE
d�Ece GLAZING %
LGT SLOPE %
'Building
PLAN CHECK NO:
VESTED DATE
Plumbing
Mechanical
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THIS PERMIT AUTHIGIRIZESONLYTHE ORK NOTED. THIS PERMIT COVERS WORKTO
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t: HE DONE ON PRRIATE PROPERTY ONLY ANY CONSTRUCTION ON IN' PUBLIC
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Recording Fee
2 To I WILL REQUIRE
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SEPARATE PERMISSION,
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RE MotAPPLICATION; INDAYS
, .via.
Engr. Review
City Surcharge
PERNMITUMMiV BAR - PRoVID WORK 15 START90WITHIN INDAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMANION
'APPLICANT, ON BEHALF 01 HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCE.ORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST. AGREES To INDEMNIFY, DEFEND AND HOLD "ARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FRDIA ANY AND
ALLCLALMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Review
Receipt #
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WARNE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
21 NORLIMITINANYWAYTHEcil S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APP
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
.NSTHUC_
CONSTRUC�
T14E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING ']
CALL
This application Is not a Perlit I"11
EMPLOYED
TION. AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN V'oLAT HE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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771-0220
RELEASED BY
ON
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IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW, INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK,OWNER GOLD -ASSESSOR
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FRAMINU ...................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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