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CITY OF EDMONDS
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THIS PERMIT AUTHORIZES ONLY THE ORKNOTED.THISPERINT R K
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PERMIT LUNB I YEAR-PROVID WORK IS STARTED WITHIN INDAYS
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON SEPAL OF HIS OR HEA SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
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IN INTEREST, AGIIIIS TO INDEMNIFY. DEFEND AND HOLD IIIIIIII-Ell THE CITY 01
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
ALL CLAIMS FOR DAMAGES OfWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDU E ANY REQUIREKIE14T OF ANY CITY ORDINAN E
Fire Inspection
NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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IHERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS COSREGr. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZE AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY IND STATE LAWS REGULATING CONSTRUC.
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE 1;�DENOF HE STATE OF WASHINGTON RELATING TO
FOR INSPECTI(
WORKMEN'S COMPENEAT INS CS�Ahl
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IS LINLA USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
10/01
544
I Recording Fee
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Surcharge
Plan Chk Deposit
Receipt #
Total Amount Due
Receipt Ay
APPLICATION APPROVAL
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Tx ID 5442-001-025-00
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96th Ave W
Tx ID 5442-001-023-00
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...........
Wall ..........................
Pier/Porch .................
Retaining Wall
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Slab Insulation ..........
PLUMBING:
Underground
Rough -in ...................
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Commercial Final
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HEATING:
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Gas Test ....................
Gas Piping ..........
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Equipment ..........
Commercial Final,
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EXTERIOR SHEATHING
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NAILING ......................
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FRAMING
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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