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Recording Fee
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'APPLICANT' Oil BEHALF 01 'I'S Oil 11111 SPOUSE, HIIHI, ASSIGNS AND SUCCEED"
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EDMONDS WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS IS.. ANY AN.
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' CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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FROM THE ISSUANCE OF THIS PEAMR. ISSUANCE OF THIS PERMIT 854ALL NOT
Fire Inspection
Total AMOR Ent DI 'A
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DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT HE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
This app tication Is,— Permit unIII.Ignedby the
THE OWNE � I AGREE TO COMPLY WITH CITY AND STATE LAWS RECULAYING CONSTRUC-
TION; AND'I'N DOING THE WORK AUTHORIZED THEREBY, NO PERS N WILL BE EMPLOYED
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B.edleg otisel .' "'/he, Depu'y; amd -..e,ep.1d,..d
IN VIOLATION OF THE LA E OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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WOAKMeWS COMPEN IN CE AND How 18.27.
OFFICIALS SIGNATURE DAI E
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DATE SICYED /
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771-022 0
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ATTENTION"
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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
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CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION109, FAX I PINK - OWNER - 00 1. - ASSESSOR
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE—,
ENGINEERING DIVISION DATE—
PLANNING DIVISION DATE—
PROJEC
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A field inspection was conducted to determine final compliance with approved plans. Final approval
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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:
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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INSULATION ...................
Floor Insulation
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Wall Insulation ...........
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
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OCCUPANCY ............