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CARPORT ROOKERY 0 RENEWAL
(TYPE OF USE, BUSINESS OR A7 IN:
ECADBY ITYiEOInIUCTION
157, -OCCUPANT
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OF CRITICAL
NUMBER NUMBER
A, OF SPECIAL INSPECTOR OCCUPANT
ONITS =R LOAD
DWELLING JAREA
91 STORIES REOUIREDO YES
DESCRIBE WORK TO HE DONE _1_
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VALUATION $
Description FEE Description FEE
Plan Check
Mechanical
THIS PERMIT AUTHORIZES ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO
c"..."'O"110
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111111 ON PRIVATE PROPERTY ONLY. AM CONSTRUCTION ON THE PUBLIC
Grading
Recording Fee
OUJUN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
I: SEPAMTEPERMISSION.
7DAYS
Engr. Review
City Surcharge
PERMIT APPUCATION: IN DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STA ED WITHIN 10
Engr. Inspection
State Surcharge
SEE 13ACK OF PINK PERMIT FOR MORE INFORMA71ON
ANT, 1111 BEHALF 011111 ON HER SPOUSE, H11111, A11IGN1 AND 1U0CESGRS
Traftio Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND H LO HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
AUCLAIMSFO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
__ __
FROM THE I SUANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
IN. 71.p..Uonj
I Total A mount Due
Is NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.�
Landscapeinsp.
Receipt #
1 HEREBY ACKNOWLEDGE III READ THIS APPLICATION; THAT THE INFORMATION
� HAAVTHE
APPLICATION APPR L
GIVEN IS CORRECT, AND THAATT OWNER. OR THE DULY AUTHORIZE AGENT OF
THE OWNER. I AGREE To C MPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
This application Islun, p—It until 01griod by the
TION; AND IN DOING THE W RK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
Building Offisitill., hil'un Dnp.Iy: it Fs. tu. luld,tiind
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR rINSPECTION
'shut 1, acluiowledged 1-pace Providod.
WORKMEIT�SVA'S�46IATI N INSURANCE AND ROW 10.27.
OFFICI�S IGNATURE DATE
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771-04222200
RELEASf.41TY
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIG HAL - FILE YELLOW � INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR
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FINAUPROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIR DEPARTMENT DATE —
ENGINEERING DIVISION DATE.(-.'
PLANNING DIVISION DATE —
PROJECT e7D Ra E KL- I t�JF
SITE ADDRESS.
PERMIT P 00 0,;? 4- 1__ADB#_____---PATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPECTED—W—al—Le-e-1--f L—e,—
A 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
!E BONDS and the granting of:
--��GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign_
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETSACKS .....................
1 0 UNDATION:
Footing
wait ...........
Pier/Porch ................
Retaining Wall ...........
Stab 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
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Equipment .................
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Commercial Final
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EXTERIOR SHEATHING
NAILING.. .....................
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FRAMING .......... ...........
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INSULATION ............
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Floor Insulation
Wall Insulation ...........
Ceiling Insulation