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REMARKS
OWNERCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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REMARKS
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTIPON ON SPUR
2 0 C.) THR UC
OMIAJN (CURBS, SIDEWALKS, DRIVEWAYS, MAROUEES, ET WILL EQUIRE
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SEPARATE PERMISSION.
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City Surcharge
PERMIT LIMIT 1 PERMIRTAPPILWATI N: ISBDAYS
, -PROVIDEDW RK IS STARTED WITHIN 180 DAYS
Erigninspection
State Surcharge
21 TV
SEE BACK (IF PINK PERMIT FOR MORE INFORMATION
—PLICANT ON BEHALF 01 HIS Oil HER 1POUSE. HEIRS, ASSIGNS AND IUCGESORI
Traffic Mitigation
Plan Chic Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
E13MONO WAIHIN N, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AN.
Fire Review
Receipt #
zq2z-11-1
ALL CLAASS' FOR DAMA ES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT $11ALL NOT BE
DEEMED TO MODIFY, IVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
NOR LIMIT IN ANY WAY THE CITVS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
12IN
Landscapainsp,
Receipt #
1 HEREBY ACKNOWLEDGE 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 OWNEFL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This application Is not a penfift-til signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN's COMPENSATION INSURANCE AND RCW 18,27.
FOR INSPECTIOI
Building Official an hisItua Depu y: and Fees aU, pid,nd
reettipt is acknolougsItt, Space PMId1d.
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DATE too
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0 S SIGNATL RE DATE
01
771-0220
1 2in j&AA �J/
REL - S Y 0 E
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-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
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EDMONDS 98026
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SCOPE OF PROJECT -
RESIDE, INSULATE, NEW GLAZING.
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UP GRADE INTERIOPL ENCLOSE CARPORT
EN
NO NEW LOT COVERAGE
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NO ROOF WORK
TAX No: 00 513 500 000 800
LEGAL. -
LOT 8 MEADOWDALE ESTATES
VOL 18, PO 77 TOG W S HALF OF
VACATED 172- ST ORD 0 3208
AUDITOIVSFILE: # 9M030202
ZONE: RS 12
LOT SIZE: 16.999 SQ IT
LOTCOVERAGE:
CONTACT:
. F Al RECEIVED
Crf*.".'Cop_y MAR 2 0 2002
BUILDING DEPT.
FINAL PROJECT APPROVAL FORM
TO:
DATE:
WMO TO' PERmrr COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTNMNT DATE -
DATE
EgE -ENGINEERING DIVISION
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PLANNING DIVISION DAT
PROJECT__J+AP_At-b
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SITE ADDRESS
PERmrr#c�0(390�1-qd ADD#-DATEINSPEC
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of
VG�T FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign
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SETBACKS .............
FOUNDATION:
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Slab Insulation ..........
PLUMBING:
Underground .............
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171
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Equipment
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FRAMING .....................
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Floor Insulation
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Wall Insulation
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Coiling Insulation
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SHEETROCK NAILING yqs
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................