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CONSTRUCTION PERMIT APPLICATION JOB SUTVAPT#
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REMARKS
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VALUATION
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MECHANICAL
c)
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRAD—IFILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAY , MAROUEES, ETC.) WILL REQUIRE
S
SEPARATE PERMISSION,
SIA—SURCHARGE
PER IT APPLICATION: 180 DAYS
PERMIT LIMIT, I YEAR "'Ro" D WORK IS STARTED WITHIN 18G DAYS
ENG, REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
LICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS� ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
IN INTEREST. AGREES TO INDEMNI FY, DEF AD AND HOLD HARMLESS THE CITY OF
LANDSCAP NO
2 E MONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION PEE
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. ALLCILAIMS FOR DAMAG5SOFWHATEV5R NATURE.ARISING DIRECTLYORMDIRECTLY
m FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL B
DEEMED TO MODIFY. WAIVE REDUCE ANY REQUIREMENT OFANY C1 orGNOT E
TY NANCE
_
PLAN CHECK DEPOSIT
RECEIPT
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NOR LIMITINANYWAYTHE C TY'SASILTYT0 ENFORCE ANY ORDINANCE PROVISION.�
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TOTALAMOUNTDUE
J.ECEIPI lqk
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IHER5 Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT Or
APPLICATION APPRO VAL
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRuc
TION; AND IN DOING THEWORK AUTHORIZED THEREBY. NO PERSON WILLBE EMPLOYED
CALL
'1`d`1F"1V �Pa d.—
IN VI OF THE LABOR ODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION �Ia PI—d—
S COMPENSAT)ON,!P8U�ANCE AND RCW 18.27,
WoRKWN
o 10 s,�IGNATURE
DAT SIGNED
1/
(425)
771-0220
�jt DATE/
kftENtION
EXT 333
17
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
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PLUMBING:
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Underground
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Rough -in .............
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Gas Test
Gas Piping
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Commercial Final
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING .......................
FIRST FLOOR FRAMING
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INSULATION
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Floor insulation
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
9
OCCUPANCY ..................
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