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PERMIT UMM I YEAPR"PRTOAVIPD'UDCWATG'ROKM:IS'SWTADFArYM'D WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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State Surcharge
'APPLICANT ON BEHALF (11 HIS ON HER 1POU11* HEIRS, ASSIGNS AND SUC E1011
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EDMONDS , WASHINGTONF IT$ OFFICALS. EMPLOYEES, AN AGENTS MOM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Review
FROM THE ISSUANCE OF IS PERMIt ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED To MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
01 NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
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1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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APPLICATION AP OVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
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THE OWNER. I AGREE TO CORP WITH CITY AND STATE LAWS REGULATING CONSTRUC�
THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
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771-0220
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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 GERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
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DATE APPROVED
SETBACKS .....................
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Wall ..........................
Pier/Porch .............
Retaining Wall
Slab Insulation
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final
HEATING:
GasTest ....................
Gas Piping . ...........
Equipment .................
Commercial Final
/EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION .............
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
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