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Description
Description
-
FEE Descriptl
!!!2L FEE
Plan Check
Piet Ch"C'
State Surcharge
HEIT IOU!O:E LOT SLOPE %
LOT SLOPE %
Building Permit
City Surcharge
P U N CHECK 11,110;
V STE. DATE
VESTED DATE
"U D"m
,.,B'...nAUTHO ZE90NI
BEDONE O.'so a' T. Pre y T WORK NOTED THIS PERMIT COVERS WORK TO
VA PEA
Mechanical
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0
:1 OMAJN (CURBS, SIDEWALKS. DRIVEWAYS T EPUOLIC
2 MA"QUEES' ETC.) WILL REQUIRE Grading
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as"
3-
5 PE- MITAPPLICATION: too DAYS Engr. Review
"PROVIDED
A. PERMITLIMIT. AR
1 YE WORK Is EITAFFTED WITHIN 180DAYS
SEESACKOFPINK PERMIT FOR MORE INFORMATION
Engr. Inspection
AF
- 'A'P"CA —
R�E�T.OA=FTIGF U'��MNF�BR SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTE IN " DEFEND AND HOLD HARMLESS
NB
Fire Review
Plan Chk. Deposit
rHE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
A"
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING
Fire Inspection
Receipt Bit
DIRECTLY OR IN
'R'
FROM THE ISSUANCE OF THIS PE UA F THIS PERMIT ALLIRECTILYE
RMIT BE NCE 0
Be
DEEMED To FY�WAWE On REDUCE
'Total —AmtDue
NOR LIMIT INMAOWD' AINY REQUIREM ISH
ENT OF ANY C TY 0 HDWANCE
W Y THE CITYS ABILITY To ENFORCE ANY ORDINANCE PROVISION. -
I R
HERESY ACKNOWLEDGE THAT I HAVE RE THIS APPLICATION; THAT THE INFORMATION
Recording Fee
G
GIVEN, is CORRECT, AND THAT I AM THE O=En, OR THE DULY AUTHORIZED AGENT OF
THE OWNER . I AGREE TO COMPLY WITH CITY
APPLICATION APPROVAL
AND STATE LAWS REGULATING CONSTUUC�
RON; AND li� DOING THE WORK AUTHOR[ ED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABO R CODE
CALL
9 aadlayffia
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OF THE STATE OF WASHINGTON RELATING TO
W.Rdd�
WORKM * a COMPENSATIO
��aANCE AND HOW IK�7.
FOR INSPECTION
C C,,, CPU : and I"Glare paid, ad
"Ielpt 11 Icka—ledged Un SP8C1 PMId1d.
SIGNAT E I WNE DATE SIGNED
(425)
IS j1IGN"21 �111 DATE
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j
771 -0220
INA
ATTENTION
1 �. BY A
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.
I—
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
OR GINAL - FILE YELLOW. INSPECTOR
=�OWNER
04102
PRESS HARD -YOU ARE
P GOLD -ASSESSOR
MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ..................
FOUNDATION:
Footing ......................
Wall ............... ..........
Pier/Porch .................
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Retaining Wall ...........
Slab Insulation ..........
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PLUMBING:
Underground ..........
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co
Rough -In
ITI 0
...............
Commercial Final
V
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HEATING:
Gas Test .� ..................
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Gas Piping .................
Equipment .................
-n
Commercial Final
ITI IT!
EXTERIOR SHEATHING
0
NAILING .............. ...........
0
FRAMING ...........
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FIRST FLOOR FRAMING
-q
INSULATION
Floor Insulation
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Wall Insulation . . ........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
ITI
MISCELLANEOUS
FINAL APPROVAL FOR
4
OCCUPANCY ..................