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LICENSE NUMBER EXPIRATION DATE I CHI!C-KktJraY-\ iAn: 7C I SHORELINE OR ADRV I INSPE�TK
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REMARKS
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OWE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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IMBER OF
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REMARKS
INSPECTIONS PER UBC 11081FINAL INSPECTION REQ'D
144
Is i Plan Check
FEE
PLAN CHECK NO:,,,�
VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
HE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ONTHE PUBLIC
Grading
Recording Fee
DOMAIN JCURIN,SIDEWALKS,DRWEWAYS, MAR EES I WILL REQUIRE
GO 'ETC.
SEPARATE PERMISSIO N,
PE MITAPPUCAMON: INDAYS
Engr. Review
City Surcharge
PERMIT UNIT I YEAR � PROVID WORK IS STARTED WITHIN IN DAYS
Engr. Inspection
Stale Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
—IUCAVT 0. BEHALF .1 is E. POIJSE� HEIRS, ASSIGNS AND SUCCESCIRS
IN INTEREST AGREES TO INDEMNIFY!, DEFEND AND HOLD HARMLESS THE CITY OF
Traffic Mitigation
I
Plan Chit Deposit
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUA CE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE
I Partite.
Fire Inspection
Total Amount Due
OR REDUCE A14Y REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE DRYS ABILITY TO ENFORCE ANY 0 DINANCE PROVISION,'
FReview
as
andsCapelnsp.
L L. Sc.p.'Rap.
Receipt #
I HEREBY ACKNOWLE GE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN CORRECT,
APP
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ICATION APPROVAL
IS AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
This OWNER. I AGnE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
4��Lj
This arpph�tio, a ponalk until signad by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIWN GFIFTHE L 8 '01 E STATE OF WASHINGTON RELLATING TO
WO;
a Cc ENEATW
I SU;NWtH
to RCWP7�
FOR INSPECTION
hishin
B,11dingOffidalor 151herDepoly! and Foos are paid, and
nocolpt, to ack—lodged i-pand pmIded,
OFFIC.��GN�TURE/
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771-0220
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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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PAY
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PINK�OYYNER - GOLD -ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ......................
Plot/Porch
Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in .............
Commercial Final
HEATING;
GasTest ....................
Gas Piping .............
Equipment ..............
Commercial Final
EXTERIOR SHEATHING
NAILING ..........
FRAMING ............. ..........
FIRST FLOOR FRAMING...
INSULATION ..........
Floor Insulation
Wall Insulation ..........
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS .......... k
FINAL APPROVAL FOR
OCCUPANCY ..................
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