20020406.pdfDATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
USE PERM T
'ONE NUMEIIER
CONSTRUCTION PERMIT APPLICATION
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PROGRESS INSPECTIONS PER DEC 1108/FINAL INSPECTION REQ'D
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VALUATION $
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Description
FEi Description FEE
Plan Check
HEAT BOB "Zj'
Building
VESTED n
Plumbing
Mechanical
THIS PERMIT AUTHORUES ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO
tZ BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ONTHE PU LIC
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Grading 1� /C Recording Fee
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC ) WILL REQUIRE
t SEPARATE PERMISSION
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Engr, Review
City Surcharge
PE MITAPPLICATION: UNSAY.
PERMIT LIMM I YEAR WOR "STARTEDWIT"I" 100DAYS
-PROVIDED
SEE 04CK OF P14K PERMIT FOR MORE INFORMATION
Engr, Inspection
State Surcharge
'APPLICANT, ON BERAL OF 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
111MCIND1, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY
Receipt #
AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FR M THE ISSUANCE OF THIS PERMR. ISSUANCE OF THIS PERMIT $HALL NOT BE
Fire Review
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DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
0. NOR LIMIT IN ANY WAY THE GUYS ABILITY 10 ENFORCE ANY ORDINANCE PROVISION.-
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Receipt #
I HERB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION
Al A ML
GIVE IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CRY 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 THEAL IQGENOF THE ITAT OF WASHINGTON RELATING To
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ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - U11 - YELLOW
- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
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CITV COPY
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERmrr COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE —
ENGINEERING DIVISION DATEA4J)_!_
PLANNING DIVISION DATE—
PROJECT�__RA
SITE ADDRES, ftvp—
PERMWrF 40,L�_ADB#_______DATE INSPECTED�___ I Io 2-
DESCRIPTION OF WORK TO BE INSPECTED
A I 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
PE BONDS and the granting of
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDMONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE I -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date Sign_
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INSULATION ............... .
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHFETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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