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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Mechanical
DOMAIN (CURBS- SIDEWALKS RWfPEkyMSj MARQUEES, ETC.) WILL REQUIRE
Grading
Grading
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PERMIT UMm. I YEAR, PROVIDED WORK IS STARTED WITHIN —DAYS
Eng,
Engr. Inspection
SEE BACK OF PINK PERMIT DR MORE INFORMATION
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'APPLICAW, ON BEHALF OF HIS On HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
IN INTER E ST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire _,
Fire Review
Plan
Chk. Deposit
2 EDMOND ITS OFFICIALS, EMPLOYEES, AND AGENTS
IC.M�WAIIIINGTOI. FROM ANY AND
ALL FOR DAMAGES OF WHATEVER NATURE, ARISING
Fire Inspection
Fu. InSPE
Receipt
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DIRECTLY OR INDIRECTLY
OM T
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FROM THE ISSUANCE OF I
9 DEEMED TO MODIFY, WAIVE THIS PERMIT SSUANCE OF THIS PERMIT $HALL NOT BE
DEEMED To OD'y
M F VIA' OR REDUCE ANY REQUIREMENT OF ANY CITY ORD114ANCE
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO "FORCE ANY ORDINANCE PROVISION.
Total
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Recording Fee
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MELF
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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GIVEN IS CORRECT. AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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OWNE E
THE -a R I AGREE TO COMPLY WITH CITY AND STAT LAWS REGULATING CONSTRUC.
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APPROVAL
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VIOLAT,
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON
OR IMENS 0 PENS TIC RELATING TO
WORKMEN'S COh�PENSATION INSURANCE AND RCW 18,27,
FOR INSPECTION
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OF ICIAL SIGNATURE
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ATTENTION
771-0220
EXT 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
OR GINAL - FILE YELLOW - INSPECTOR
04/02 P:NK-OWNER GOLD -ASSESSOR
PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
PLUMBING:
Underground .............
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Rough -in ...................
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Gas Piping
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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 ..................