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Description I F�� Descriptiont FEE
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Mechanical
THIS PERMIT AUTHORIZES 0 1.7 1111' PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTV ONLY. ANY CONSTRUCTION ON THE PUBLIC
a -WAYS
---I- 111
3 DOMAIN (CURBS, SIDEWALKS, DRIVE MARGOIES, ETC.) WILL FIEGUIR11
SEPARATEPERMiSSION.
Engr. Review
City Surcharge
P En PTAPPLICATION: 160DAYS
PERMIT LIMIT. 1 YEAR - PROVID D WORK IS STARTED WITHIN 180DAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORtATION
-PUCANIT, ON BEHALF OF Hill OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD 14ARMLESS THE CITY OF
Receipt
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FR ANY A
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EDMONDS WASHINGTON, IT, OFFICIALS, EMPLOYEE% AND AGENTS FROM ANY AND
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ALL CLAIMS FOR DAMAGES 01 WHATEVER NATURE ARISING WSECTEY OR INDIRECTLY
IT SHALL No' US
OF THIS PERMIT $HALL NOT BE
Fire Re 6 w
Fire Review
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FROM THE ISSUANCE .1 THIS PERMIT ba"A.i
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DEEMED TO MODIFY, WAIVE On REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire inspection
Total Amount Due
"NANO, PROVISION '
NOR LIMIT IN ANY WAY THE CrnrS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Receipt #
I HE11111 ACKNOWLI BE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APPROVAL
GIVE" IS CORRECT; AND THAT I AM THE OWNER, Oil THE DULY AUTHORIZED AGENT OF
THE OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAW REGULATING CONSTRUC.
CALL
CALL
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This appil,eflas Rest a permit until signed by the
Tic N " . B.Purrys.
N; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSO WILL BE EMPLOYED
STATE OF LA
IN VIOLATI N OF TH BE OF THE WASHINGTON RELATING TO
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WORKMENS COMPENIS�^I tH.E AN. CW 111.�I,
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(�WNER
SIGNS
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[DATE
771-0220
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ATTENTION
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IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221 ____�eSIGINAL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
- FILE - YELLOW - INSPECT R
CATE OF CrUPANCY HAS BEEN GRANTED. UBC SECTION 149
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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 ..........
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PLUMBING:
Underground .............
Rough -In
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Commercial Final
HEATING:
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Gas Test .............
Gas Pipin g ..............
Equipment .................
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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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INSULATIO'
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Floor Insulation
Wall Insulation ...........
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Calling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................
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