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PERMIT EXPIRES
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CONSTRUCTION PERMIT APPLICATION
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Description
De"C"I'll'on
FEE
Description
FEE
Plan Check
Plan
State Surcharge
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HEAT SOURCE GLAZING Is LOT SLOPE %
Building Permit
"i'dint
city Surcharge
.+ATE
PLAN CHECK fi:�� VESTED DATE
Plumbing
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Mechanical
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
SP
I, BE DONE ON PRIVATE PROPERTY ONI.N. ANY CONSTRUCTION ON INS PUBLIC
Grading
"'ding
DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS MAnOU9ES, ETC.) WILL REQUIRE
SEPARATEPERMiSSION.
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Engr. Review
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I PE MITAPPUCATION: INDAYS
PERUITUMM.IYEAR-PROVI ED WORK 16 STARTED WITHIN Ia.QAVS
Engr. Inspection
SEE F PINK PERMIT FOR MORE INFORMATION
'APPUCANTONBFHALF F HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Revim
Plain Chill. D.posit
IN INTE R EST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE City OF
WAIIIINGION, ITS OFFICIALS, EMPLOYE S, AND A13ENTI 110. A. AN.
Fire Inspection
Receipt It
905/
EDMON
ALL CAU I FOR DAMAGES OF WHATEVER NATURE, ARISING 0 RECTLY OR INDIRECTLY
ME
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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Total Amt. Due
9 DEEMED TO MODIFY, WAIVE 08 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt Al
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL
This appi,stion hi -a permit until sitinuldby Me
TION; AND IN DOIN THE WORK 0 PERSON WILL BE EMPLOYED
G T"G' ED IS .. YbN
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fees are Paid. and
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IN vioLarioN OF T J.E F"T.ETSTATE I WAI31,11N.T.. . LAT G To
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FOR INSPECTION
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WORKMEN'S COMPENSX;" RANCE AND RCW 18,27.
hPRdALS SIGN HE
DATE
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4TTEATION
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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.
013 G NAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
P�NK.OWNtn GOLD
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ....................
FOUNDATION:
Footing......................
Wall ... .......................
Fier/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 ..........
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