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PLAN CHECK NO:
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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DOMAIN (CURBS,SIDEVIVALKS, DRIVEWAYS MAROSEES, IETC.) WILL RED IRE
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PERMITAPPUCATION: IN DAYS
PERMIT UMrP. I YEAR - PROVIDED W RK IS STARTED WITHIN 100 DAYS
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SEE BACK OF Pi FOR MORE INFORi
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt If
ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE I SUANCE OF THIS PERMIT ISSUANCE F THIS PERMIT SHALL NOT HE
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DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
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1 HERE 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 OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAW REGULATING CONSTRUC-
CALL
This application Is not a parecl-01 signed by Me
rION� 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
FOR INSPECTION
6,11ding Diarist a, Weirs, Depoy: and Fees are paid, and
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WORKMEN'S COMPENSAT2SURANCE AND RCW UZ7.
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771-0220
RELEASED BY YATS/
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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-
ORIGINAL FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: Pt CMtR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
L—ENGINEERING DIVISION DATE�—
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DESCRIPTION OF WORK TO BE INSPECTED—.. L"5T— 10 6�60 (6L., t A�-r-
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A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
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there are no objections from the above signed Department to the granting of
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________AE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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Gas Test ....................
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Gas Piping ..............
Equipment
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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
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Wall Insulation ...........
Ceiling Insulation
SHISETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................