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THIS PERMIT AUTHORRES ONLY TWE WORK NOT . THIS PERMIT COVERS WORK TO
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City Surcharge
Pa MITAPPLICATION; 180DAYS
PERMIT LIMIT. 1 YEAR - PROVID D WORK IS STAMED WITHIN INDAYS
Engr. Inspection
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State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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'APPLICANT N BEHALF F His OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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IN INTEREST. AGREES INDEMNIFY. DEPEND AND HOLD HARMLESS THE CITY OF
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Plan Chk Deposit
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EDMOND WASHINGTON Its OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAIa FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE I SUANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT SHALL Nor BE
Meet
DEEMEOTOS FY. WAIVE OR ANY
Fire Inspection
TotaiAmounIDue
REDUCE REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY$ ABIL17Y TO ENFORCE ANY ORDINANCE R.VIsI
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Receipt #
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BY
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I " THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
T146 OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUB"
CALL
This appanatuar Is not a pereetIcAll signed by the
TION; AND IN 130ING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WO1KMEN`S S I N INSURANCE AND RCW 18.27,
FOR INSPECTION
Burning Official r his/her Deputy: and Fees are paid, and
ips is cknv�ejadged In APICO pre,lded.
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL Ol— 0-111111
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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DESCRIPTION OF WORK TO BE INSPECTED CE
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A field inspection was conducted to deterntine mal compl* e ans. Final approval
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denotes that there are no objections from the above signed Department to the release of
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u Copy of CORRECTION NOTICE given to owner/contractor by inspector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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'FiNAL PROJECT APPROVAL FORM
TO:
DATE:-
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: __------YIRE DEPARTNMNT DATI�-
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PLANNING DIVISION DATE -
PROJECT 4309)AS54. 6- 4 sj564.; 0M
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PERFORMANCE BONDS and the granting of: :0 3:
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a Copy of CONDITIONS given to owner/contractor by inspector JUL 2 - 2002
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES by inspector
a Copy of CORRECTION NOTICE given to owner/contractor
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RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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ocaprvl.doc.l:temp:bldg:fomisIO/OI
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ............
wall .....................
Pier/Porch ..........
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Retaining Wall ...........
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Slab Insulation
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PLUMBING:
Underground .............
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Rough -In ...................
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Commercial Final
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HEATING:
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Gas Test ...........
Gas Piping ...............
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Equipment .................
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Commercial Final
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EXTERIOR SHEATHING
NAILING ..........................
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FRAMING
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
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Wall Insulation . ..........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
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