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REMARKS
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State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES 0 YTHEINCIIII(MOTED. THIS PERMIT COVERS WORK TO
c BE DENIED. ... 4ONTHEPUBLIC
Grading
2 EEG,
:3 DOMAIN (CURDS. SIDEWALKS, DRIVEWAYS Mo.) WILL REQUIRE
PERMIMAROU
SEPARATE _ SHIER.
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PERMIT LIMM. I YEA�ERPMIRrTOAVIDPEUDCWATO[ORKN:ISISWTADAWYESO WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Rwaw
Plan Chk. Deposit
IN INTER ST. AGREES TO NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS , WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt P
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ALLC1_AJMSFO DAMAGESOF WHATEVER NATUAE,ARIS No DIRECTLY OR INDIRECTLY
PERMIT SHALL NOT E
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN E
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Total Amt. Due
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o NOR LIMIT IN ANY WAY THE CRYS AMLI FY TO ENFORCE ANY ORDINANCE PROVISION,'
Recording Fee
Receipt N
I HEREBY ACKNOWLE BE THAT I HAVE READ T1119 APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER, I GIEE TO COMPLY WIT" CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
Thi.appliard.n Is—. p—i—Ifl,ililed by
TION: 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
Hulldl ils1har Depuly: ead Fels ale paid, a
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FOR INSPECTION recolpi is ackil-ladR)d in space ramidoo.
WORKMEN'S COMPENSAT11 N NSURANCE AND RCW 10,27,
DIAS DATE
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ATTENTION
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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-INSFECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK OWNER COLD AsSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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FINAL PROJECT APPROVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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ENGINEERING DIVISION DATE
---PLANNING DIVISION DATI�—
PROJEC
SITE ADDRES�
PERMIT #9-)o'z - A6 27--a ADB#--------PATE INSPECTED- -Z
DESCRIPTION OF WORK TO BE INSPECTED 'r tz- 1A, 5��- EVAL1,
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
PERFORMANCE BONDS and the granting of:
>( GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL NVrrH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAMED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
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 ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Pas Test
Gas Piping ............
Equipment
Commercial Final
EXTERIOR SHEATHING
NAILING .............
FRAMING ...........
FIR$i�FLD�OR FRAMING...
INSULATION
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................