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PROGRESS INSPECTIONS PER UBC 1001FINAL INSPECTION REO'D
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THIS PERMIT AUT DBMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
eE DONE ON PRIVATE PROPEM ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
Recording Fee
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111E11. 1.) WILL REQUI
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Engr. Review
City Surcharge
5
PE MITAPPUCATION. INDAYS
PERMIT Lfli I YEAR - PROVIDED WORK IS STARTED WITHIN 180DAYS
Engr. Inspection
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State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLIC ON BEHALF OF 141S OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chit Deposftj—
IN INTEANST. AGREES TO IND MNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS PROM ANY AND
Fire Review
Receipt #
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUAN
DEEMED TO MODIFTE OFTHIS PERMIT. ISSUANCE OF I HIS PERMIT SHALL Not BE
. WAIVE OR REDUCE ANY REGUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
21
NOR UMff IN ANY W AY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
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Landscapeinsp.
Receipt #
Fm I T,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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APPLICATION
APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This application Is net a pore,ft until signed by the
TION; AND IN DOING TH WORK AUTHORIZED THEREGY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
B.ildlng Offiel.1 ., hei reply: end F .. ... pre, end
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WORKMENS COMPENSATI NICE AND ACW 18.27.
OFFICIALS jl�NA`LLAE DATE
Sir
LATE SIGNED
(425)
C'�'2-00Lesj
771-0220
RELEASE DATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-022 1
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGIWL-FILE YELLOW, INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK - OWNER COLD - ASSESSOR
10/01
FINAL PRC;JECT APPROVAL FORM
TO:
DATE*-
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
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DESCRIPTION OF WORK TO BE INSPECTED Wa4er
A field 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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PERFORMANCE BONDS and the granting of
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall ..............
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Pler/Porch ...........
Retaining Wall
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Slab Insulation ..........
PLUMBING:
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Underground ............
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Rough -in ...................
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Commercial Final
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HEATING:
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GasTest ....................
Gas Piping
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Equipment
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING
INSULATION ....................
Floor Insulation
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Wall Insulation ...........
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Coiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................