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CONSTRUCTION PERMIT APPLICATION dos G"'TE"PT,
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Description
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Plumbing
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THIS PERMIT AUTHORIZES ONLY THE ORKNOTED. THIS PERMIT COVERS WORKTO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
Recording Fee
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ONAIN (CURBS, SIDEWALKS.DFIRIEWAYS QUEES, ETC.
PERMjMAR
SEPARATE RSHRL
Engr. Review
City Surcharge
PE "PrApp"'CATION: INDAYS
PERMIT LIMPS I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT 'OR MORE INFORMATION
*APPLICANT, ON BEHALF 01 HIS OR HER SPOUSE. HEOUL ASII GNI AND SUCCEG.HE
T raffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS, WASHINGTON. ITS OFFICALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER RE. ASISIN. DIRECTLY OR INDIRECTLY
Fire Review
FROM THE I SUANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT SHALL NOT BE
ORDINANCE
Fire Inspection
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY
2 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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[HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER OR THE DULY AUTHORIZED GENTOF
WITH CITY AND STATE LAWS REGULATING CONSTRUC.
This appi cation Is not a permit until signed bY Me
THE OWNER. I BEE TO COMPLY
TION; AND IN DOING THE WORKAUTHORIZED THEREBY, NO PERSON WILL BE E MPLOYED
CALL
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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION mociplintrolm-knigind .."cap—ided
KMEN'S COMPENSATION IN �ANCE AND ROW 18.27,
QFFI DATE
ION IN 0
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771-0220
REIE�$Ett BY
ATTENTION
EXT 1333
IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771"0221
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
ORIGINAL -FILE - YEILOW-UHIP�CTOR'
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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MEMO TO: PERMrr C0oRDiNAToR, BUILDING DmsioN
FROM: FIRE DEPARTMENT DATR_
ENGINEEWNGDMSIONDATE�--
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DESCRIPTION OF WORK TO BE INSPECTED
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A fleld inspection was conducted to determine final compliance with approved plans. 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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PER NORMANCE BONDS and the granting of:
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS
FOUNDATION:
Footing . .....................
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Wall ..........................
Pier/porch .................
Retaining Wall
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Slab Insulation ..........
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PLUMBING:
Underground .............
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Commercial Final
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HEATING:
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Gas Test .................
Gas Piping ................
Equipment ...............
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EXTERIOR SHEATHING
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NAILING .................
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FRAMING _ .................
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
Wall Insulation
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Coiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
ID
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ................