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PERMIT EXPIRES
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REMARKS FL 14�" �fcn_=
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NUMBER NUMBER OF
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NUMBER
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DESCRIBE WORK TO BE DONE
REMARKS Is
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Description
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FEE Description
FEE
Plan Check
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PAON
Building
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PLAN CHECK NO: VESTE"ATI!
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ONTHE PUBLIC
Grading
e7( Recording Fee
D OMAIN tCURDS, SIOEWALKS, DRIVEWAYS
SEPARATE PERU; MAROUBES, FTC,) WILL REQUIRE
I= $SION. —
2
Engr. Review
43C City Surcharge
6
5 PE "ITAPPLICATION: INDAYS
A. PERMIT Lussfe I YEAR - PROVIDED WORK IS STA DWITHIN 160DAYS
SEE BACK OF PINX PERMIT FOR MORE INFORMATION
Engr. Inspection
.
ZZ.) state Surcharge
—PUCA"` ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
E13MONDS WASHIN ON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAIMB FOR DA ED QFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE I SUANCE OF THIS PERMR. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED
Fire Inspection
Total Amount Due
TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITYORDINAN E
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
- ____
Landscapeinsp.
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CO RECr, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
kPPR
THE OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This application 11 a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION .1 THE ..a CODE 01 THE STATE 01 WASHINGTON RELATING To
WORKMEN;aAOMPkNSATION INtIURANCE AND Flew 18.21.
BuIlding Offi-1.5.1hi./Jun thphIy:.dFe1.
FOR INSPECTION .�.lpti,..k..�l.d,.din.p..p.,id.'OI
Id
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SIGNAT%
DATE
DATE SIGNED
(425)
jlh%�_S
'LLUa.,
771-0220
ATTENTION
EXT 1333
IT IS UNLAWFUL TO US A , 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
FAX
OR101NAL - FILE - YELLOW - INSPECTOR
PINK, OWNER - GOLD -ASSESSOR
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DRIVE WAY LOT 2
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TOTAL 1229.0 4 307.25
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APPROVED BY PLANNING
Height Calculation/Grading Verification Worksheet
ACu
Pennit #:,)�.2-06 1�
Address: ),�c,
Date: 62'
A. Datum Point:
B. Datum Point Elevation: :3 0-
C. Average Grade:
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ActualFootinkElevition:7
3. Maximum Elevation Allowed-9'67X- (average grade) + 25'='33' �t -)5-
4. Reference Point Elevation Shot to House:
30, 1-1 =3�1
5 _ (datum elevation) + 41 ��> (grade to transit level line shot to house)
6. Measurements from line shot onto house to roof ridge:
(p, ob
Total
7. ActualEle at* n:1567,5r ference point elevation) A�f9'%easurements from
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331Canclusion: (allowed); therefore the house is/
,41 (actual) is greater
is not over the height requirerne-nTWFICDC 16.20.30 requirements
UTEWBUILDINGWISC41eight CalculationGrading Verification Worksheet.doc
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FINAL PROJECT APTR-OVALFORM
TO:-
DATE: -
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DAT
(�g eL� ENGINEERING DIVISION DATE.
PLANNING DIVISION DATE -
PROJECT
SITE ADDRESS a!toizz- 14 0 -
PERMIT ADB#______---PATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED "At_
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no , objections from the above signed Department to the release of
BONDS and the granting of
PERFORMADLCE
-GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL W1TH,CONDrrIONS NOTED
E3 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractorby inspector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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SETBACKS .....................
FOUNDATION:
25
Footing ...........
Wall
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........................
Pier/Porch .................
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Retaining Wall
0
Slab Insulation
PLUMBING:
Underground .............
7-0
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Rough -in ...................
0
Commercial Final
-4
M
HEATING:
VA S I; 4-6z.
Gas Test ....................
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Gas Piping .............
Equipment .................
Commercial Final
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EXTERIOR SHEATHING
NAILING
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FRAMING ....................
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FIRST FLOOR FRAMING
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INSULATION
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Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
0
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............
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Amount ru14$.,ReCdPt4_
Date hSUed.,_,._,__UxPIreS—,