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THIS PERMIT AUTHORIZES ONLY THE ORK NOTED. THIS
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I: BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC Grading
2 0 OMAN (CURDS. SIDEWALKS. DRIVEWAYS L L IS .a
SEPAMTE PERMI MARQUEES, ETC�) WILL REQUIRE
SSION. Engr. Review
PERMIT APPLICATION: IN DAYS
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PERMIT LIMM I YEAR -PROVIDE WORK is STARTED WITHIN INDAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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IPPILICAND, ON BEHALF OF HIS OR HER SPOUSE, HEIII, ASSIGNS AND 1U CEIORS File ev�ovv
SLID C.. As
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IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND Receipt #
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
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ALL Nor BE
FROM THE ISSUANCE OF 8 PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. [)us I
I- ORDINANCE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE I
ICE PROVISION -
0 NOR I IMIT IN ANY WAY THE CILrS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee F .. ipt N
I HERESY ACKNOW EDGE 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
STATE LAWS REGULATING CONSTRUC. Thl-pplia.11- 1. net. pencIlInIfil signed by Me
THE OWNE � I AGREE TO COMPLY WITH CITY AND
EMPLOY CALL an,, r hathe, DOPWY: and Fees am paid, and
THEREBY, NO PERSON WILL BE EMPLOYED dino, Official a
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N; AND'I'N DOING AUTHORIZED
ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING To FOR INSPECTION cene I—ke—mcged I—pue pm�ldade
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WORKMENS COMPENSApIC1IA,4NBURANCE AND RCW 16,27.
OFFI P, I URF. DATE
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ATTENTION E)ff 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- LAR r HAL - FILE YELLOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PZ-OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ................
FOUNDATION:
Footing ................
Wall, ..; .......................
Pier/Porch .................
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Retaining Wall ..........
Slab Insulation
PLUMBING:
Underground ............. fy� S
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Rough -in ...........
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Commercial Final
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HEATING:
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GasTest ... ................
Gas Piping ............
Equipment,
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Commercial Final
EXTERIOR SHEATHING
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NAILING .........................
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FRAMING ........................
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
Wall Insulation
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................