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PERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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REMARKS
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VALUATION
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THIS PERMIT AUTHORIZES ONLY AS OAK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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Rocording Foo
3 DOMAIN (CURa% SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t: SEPARATEPERMISSION,
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PERMiTUMIc I YEAR- ADVISED WORK IS STARTED WITHIN IWDAYS
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
11 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESOLIS
IN INTEREST, AGREES To INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
Traffic. Mitigation
Plan Chk Deposit
EDMONDS' WASHINGTON, ITS OFFICALS, EMPLOYEES. AND AGENTS FROM ANY AND
AULCLAI'S FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED To MODI , WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Firo Inspoclion
Total Amount Dn'.
NOR UNIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PRONASION.-
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I HERESY AC—LIO I THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND FICTV 18.27,
FOR INSPECTION
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OFF,Co, BIGNARArti DATE
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771-0220
IF BY " , �
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ATFENTION
EXT 1333
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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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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FINAL PROJECT APPROVAL FORM
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DATE: 4-t-0
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE q1A d. ........... ..................... ..... .
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PERMIT #__S� �P ADB# INSPECTED
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DESCRIPTION OF WORK TO BE INSPECTED
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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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GRANT FINAL PROJECT APPROVAL
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT 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:
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Rough -in ..................
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HEATING:
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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
INSULATION ...................
Floor Insulation
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Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR �Ms
OCCUPANCY ..............
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