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ic BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE ING LID
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3 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS MAR USES, ETC.) WILL REQUIRE
t SEPARATE - PERMiSSIOR.
Engr. Review
City Surcharge
155-
PERMIT APPLICATION: 180 DAYS
PERMIT UNTE I YEAR -PROVIDED WORK IS STARTED WITHIN 180DAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICA . ON BEHALF OF IS OR HER SICHUS15. If... ASSIGNS AND SUCCESORS
.14ATEREST, AGREES 1. EIEN. AND HOLD .-.LEE. THE CITY .1
Traffic Mitigation
Plan Chk Deposit
EDMONDS, WASHINGTON , ITS OFFICALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING OIRECTILY OR INDIRECTLY
"to" THE ISSUANCE OF THIS PERMIT. ISSUANCE I "I'S PERMIT SHAII NOT 11
DEEMED TO MOD" WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
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Total Amount Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Landscapainsp.
Receipt #
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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 CONSTRUC.
CALL
" had . panal, ran signed by Me
TION: AND IN GOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LA BE OF THE STAT OF WASHINGTON RELATING TO
FOR INSPECTION
sun'Thalipp's,rAWn
ding Official or his/her D,pwy; and Fees are Pa d, and
11pt 11 Ick,,wl,dged In space pnnddlod,
WORKMEN's COMPENDIA UI)ANCE AND RCW 18.27.
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IIINAT&
SIGNATURE (OWNER C� AGENIV I DAWSIGNED
(425)
OCIALI
2
771-0220
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W-FTENTION
By'
M 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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORIGINAL - FILE - YELLOW - INSPECTOR
PINK - OWNER - GOLD - ASSESSOR
10101
slab Insulation
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PLUMBING:
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Underground .............
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a M
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Rough -in ...................
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0
Commercial Final
80
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HEATING:
MT
Gas Test
Gas Piping ............. .
Equipment ................
0
Commercial Final
M M
EXTERIOR SHEATHING
a
0
NAILING ..........................
8
C CA
FRAMING ....................
M CA
FIRST FLOOR FRAMING_
ITIO
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INSULATION ...................
Insulation
Floor
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Wail Insulation ...........
—4
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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