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Description
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FEE
Description
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Building Permit
City Surcharge
1 VESTED DATE
PLAN CHECK NO: Og2
Plumbing
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Mechanical
THIS PERMIT AUT ORIZES ONLYTHE WORK NOTED. THIS PERMIT COVERS WORK TO
It 8 DONE ON PRIVATE PROPEFM ONLY, ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN JCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, 0C.) WILL REQUIRE
SEPAMTEPERMISSRON.
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PER ITAPPUCATION: INDAYS
Engr. ReVew
PERMIT LIMM I YEAR - PROVI ED WORK ISSTARTIED WITHIN ISODAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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*APPLICANT, ON 1EHAL OF HI OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Pl.nChk.Depo.ft
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANC OF THIS PERMIT. ISSUANCE OF THIS PERMIT S14ALL NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
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I HEREBY ACKNOWLE BE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
A ',A I N PPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
TH OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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SIGNATURE (OWNER ORIAGENTL�, DATE SIGNED
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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PLANNING DIVISION DATE 0 20 0
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PERMIT #-1j2Z6---&-664dP- DATEINSPECTED,
DESCRIPTION OF WORK TO BE INSPECTED -GAG
min I I H th approved plans. Final approval
A field inspection was conducted to deter e flna comp ance, wi
denotes that there are no objections from the above signed Department to the release of
P_ERgMAN E BONDS and the granting of
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GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
t3 Copy of CONDITIONS given to owner/contractorby inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall .................
Pier/Porch .................
Retaining Wall
Slab Insulation ..........
PLUMBING:
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Underground .............
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Rough -In ...............
Commercial Final
HEATING:
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Gas Test ....................
Gas Piping .............. —
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Equipment .................
Commercial Final
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ............ ...........
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FIRST FLOOR FRAMING
INSULATION
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..............
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