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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSUC
ILOMAIN (CURBS, SIDEWALKS, DRIVEWAYS
Grading
Z,
MARQUEES, ETC.) WILL REQUIRE
SEPAMTEPERMiSSION.
Engr, Review
PIRMITAPPUCATION: ISO DAYS
PERMIT UNIM. I YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SZE ISAXIK OF PINK PERMIT FDA MORE INFORMATION
N BEHALF F HIS 09 HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire REVIEW
Plan Chk. Deposit
IN INTEIII . AGREES 7 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt
ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE. AS SING DIRECTLY 08 INDIRECTLY
FROM THE ISSUANCE OF IRIS PERMIT. ISSUANCE OF THIS P LIMIT SHALL NOT BE
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D EMED TO MODIFV. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total Amt. Due
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE IN1.RyAA.N
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUG.
CALL
Thi-ppli..11.. ta n.n. p.nn1I.dI1I.iqd.d by In.
TION; AND IN G XND THE WORK AUTHORIZED TH RESY, NO PERSON WILL BE EMPLOYED
0111dilt; Offidal 0, Insider Deply; and F_dpald.and
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IN G VIOLATIO OF T 'ON CODE OF THE STATE OF WASHINGTON RELATING TO
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WORKMEN1 MPE. ION INSURANCE AND C. I.Z1.
FOR INSPECTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL FILE YELLOW -INSPECTOR
04/02
PINK.O.NCR GOLD -ASSESSOR
PRESS HARD -YOU ARE MAKING 5 COPIES GREEN �ACCOUNIING
........ ... ... . .... ..
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ..........
Wall ..........................
Pier/Porch ..........
Retaining'Wall
Slab Insulation..,
PLUMBING:
Underground .............
Rough -In ...............
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ................
FIRST FLOOR FRAMING...
INSULATION ..............
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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