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Description
FEE
Description
FEE
State Surcharge
�'AT S;RCE LOT SLOPS %
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Building Permit
City Surcharge
PLAN CHECK NO: STED DATE
Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1110"11"1111P"OIEIO"LYICI"IIIIINI"IH PUBUC
Grading
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WI LL REQUIRE
SEPARATE PERMISSION.
Engr, Review
PERMIT APPLICATION: INDAYS
PERMIT LAMTS " YEAR WORK IS STARTED WITHIN ISODAYS
SEE 0ACKOiP1flN0K`PTEf'1oWr FOR MORE INFORMATION
'APPLICAW. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTERESIL AGREES TO INDEMNIFY, OFFEND AND HOLD HARMLESS THE CITY 01
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FHOMETHE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT E
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Total Amt.
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DEEM D TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY C ORDINANB E
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Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, 08 THE DULY AUTHORIZED AGENT OF
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THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATIN CONSTRUC
NO PERSON WILL BE EMPLOYED
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TION; AND IN DOING TH WO UT SIZED THEREBY,
IN VIOLATION OF THE LA DO OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION jP11-6—Ioda Inspaco provided.
WORKMEWS COMPENS NI SA CE AND RCW 19,27.
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RELEASED BY DATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGtNAL-FILE YELLOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...............
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Pier/Porch
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Slab Insulation
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Gas Piping .................
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING .— ....................
FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................