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FEE
Description
FEE
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State Surcharge
HEAT SOURCE GLAZING
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'Permit
VESTED DATE Plumbiq
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City Surcharge
PLAN CHECK NO:
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE ORKNOT ED. THIS PERMIT COVERS WORK TO
1: 0 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
2
M DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS MAR U ES. ETC.) WILL REQUIRE
SEPARATEPERMISSU)NO. E
Engr. Review
PE MITAPPLICATION: 180DAYS
PERMIT LIMIT. I YEAR - PROVI ED WORK IS STAMED WITHIN IN DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLIC"N" ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND En=ESORS
Fire Review
Plan Chk, Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a, I OND1, AfIHIN N, OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS 10. A A E OF WHATEVER NATURE. ARISING DIRECTLY 08 INDIRECTLY
FROM THE ISSUANCE OF TH 8 PERVIR. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY WA E OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape IGsP.
Toted Ang. Due 47��,
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NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION77RAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPI WITH CITY AND STATE .!5 RFGULAIIA. ONSIHUC�
CALL
This,pplintemisme, permit until signed by me
L
TION; DING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF THE LAS IT CODE OF NIE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
BurdlegOffieldimbiamer Deputy: and Fees are paid, and
memp, et.sk—ruged In $Palo Inmates.
ORKMEN" MPENSATION 11 SURANPE �ND RCVf 10,27.
OP NAJUIIE DATE
O��E DATE SIGNED]
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R.A.F BY IfATE
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-
08 GINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, USC SECTION 109
P�NK OWNCR GOD - ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
9 1
..... .. ......
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .............
FOUNDATION:
Footing......................
wall ..............
Plet/Porch ............
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Retaining Wall .... ........
Slab insulation
PLUMBING:
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Underground .............
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Rough -in ............
0
0
Commercial Final
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HEATING:
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M
10
GasTest ....................
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Gas Piping ................. . .. ... ....
Equipment .................
Commercial Final
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EXTERIOR SHEATHING
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0
NAILING
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FRAMING .................
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FIRST FLOOR FRAMING
INSULATION ...........
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY