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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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VALUATION $
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THIS PERMIT AUTHORIZES ONLY THEVAD KNOTED, THIS PERMIT COVERS WORK TO
Mechanical
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Recording Fee
130 RE
MAIN (CURBS. SIDAWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATEPERMISSION.
Engr. Review
City Surcharge
PERMIT APPUCATiON: IN DAYS
PIERMITUMAR1YEAR-PROVID D WORK IS STARTED WITHIN INDAYS
Engir. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON RENAL OF HIS On HER Annual, HEIRS, AIIIIINI AN. AUCcEEo1S
Traffic Mitigation
Plan Chk Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OFV
ENT
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AD S FROM ANY AND
Fire Review
'HE . raw
Receipt P
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECnY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC:
Fire inspection
Total Amount Due
NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE MY ORDINANCE PROVISION.-
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Receipt #
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IHEREO' ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
LICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
T E OWNS . I A, RE T LY WITH CITY AND STATE LAWS REGULATING CONSTRUG.
CALL
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TION, A IN D No THE WO U ORIZED THEREBY, NO FARGO WILL BE EMPLOYED
IN VIO ON OF THE LARD OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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WORK CICOMPENS , IN RCW 18,27.
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771-0220
"ATTTION
f1EASEQ BY
EXT 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING on STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INSPECT A
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 ......................
Wall ..........................
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Pier/Porch .................
Retaining Wall ...........
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Slab Insulation
PLUMBING:
Underground .............
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Rough -In ..................
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Commercial Final
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HEATING:
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Gas Test
Gas Piping .................
Equipment .................
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Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ..............
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FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................