20020412.pdfPERMIT EXPIRES
CITY OF EDMONDS
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FLAT NAMEISUBDIVISION N77 LID NO,
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PROGRESS INSPECTIONS PER USC IOS/FINAL INSPECTION REO'D
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Description
FEE
Description
FEE
Plan Check
State Surcharge
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Building Permit
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PLAN CHECK NO:
VESTED DATE
Plumbing
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Mechanical
THIS PERMIT AUTHORIZER ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
tz BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THEPU'UC
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Grading
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OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, Etc.) WILL REG IRE
SEPARATEPERMISSIOW
Engr. Review
PER ITAPPLICATION: 180DAYS
PERMIT LIMIT. I YEAR - PROVID 0 WORK IS STARTED WITHIN 100DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE iNrORUATION
-APPLIC NT. ON SE14ALF OF HIS OR HER SPOUSE , HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HAIMLESI THE C"Y 01
E1MOND1* WASHINGTON, IT50FIFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt It
Ly�E
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT a
EI DEEMED TO MODIFY, WAII E OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC
Landscapelns P.
Total Amt. Due
0 NOR LIMIT IN ANY WAYTHS CHYS ABILITY TO ENFORCE ANY RDINANCE PROVISION
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Recording Fee
Receipt N
1 HEREBY ACKNOWLE GE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATI
GIVEN IS CORRECT: AND THAT I AM THE OWNER. OR THE DULY AUTHOR ZED AGENT OF
APPLICATION APPROVAL
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUG.
CALL
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TICK 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
FOR INSPECTION
auddirg Of D. uty: and Fes arc paid, and
lac. dgep,th,apacornwided.
WORKMEN'S 5pMWTION I CE AND ROW 18.27,
In LS N E DATE
SIGN W ER E
DATSk.IG .2
(425)
771-0220
I DATE
ATTENTIONX
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IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN -ACCOUNTING
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....... . . ........
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
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SETBACKS .....................
FOUNDATION:
Footing ...................
wait...................
Pier/Porch
Retaining Wall
Slab Insulation ..........
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PLUMBING:
Underground .............
Rough -in ...............
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0,
Commercial Final
0
HEATING:
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Gas Test ............
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Gas Piping
Equipment .............
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Commercial Final
EXTERIOR SHEATHING
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NAILING ..........
0
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FRAMING .......................
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FIRST,FLOOR FRAMING...
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INSULATION ................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..............
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