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DOMMN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC,l WILL REQUIRE
SEPARATE PERMISSION.
PERNITTAPPLICATION: HODAYS,
Engr. Review
city Surcharge
PERM)TUM .11YEA -PROVIDED WORK IS STARTED WITHIN 1801DAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-PLICANT, ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
—
1 EDMONDS , WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS MOM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Review
Receipt III
FROM THE ISSUANCE OF MIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF YCITYORDINANCE
Fire Inspection
Total Amount Due
0 NOR LIMIT IN ANY WAY THE CffY`S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Landscapeinsp.
Receipt #
I HERE 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
T14E 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 COMPFNSATIO�J��Rfi, CE AND FACW 18.27.
FOR INSPECTION
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ding Official at hielher Dap,ty: and Fees are paid, and
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(425)
OFFIC�I!S B.AT.E DATE
7. 1-2-
RELEASED .1 DATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD - ASSESSOR
10101
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing � .....................
Wall..........................
Pier/Porch ................. .
Retaining Wall ......
Slab Insulation
PLUMBING:
Underground ............. .
_R
Rough -in ...................
ML
Commercial Final
A
0
0
HEATING:
Gas Test ..................
M
M z
-4
Gas Piping ...........
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Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
M ITI
FRAMING ...........
0
0
FIRST FLOOR FRAMING
C a)
ri)
0
INSULATION ...................
Floor Insulation
Wall Insulation ..........
z
Calling Insulation
SHEETROCK NAILING
w
z
SPECIAL INSPECTION
2
0
R1
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............