20020709.pdfDATE RECEIVED
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PERMITEXPIRES
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VALUATION
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Description
FEE
Description
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Building Permit
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PLAN CH!!!.!2tg IESTI. DATE
Mechanical
THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
UEED, ETC.t WILL REQUIRE
Grading
DOMAIN JCURBS. SIDEWALKS, DRIVEWAYS OAR
SEPARATE PERMisslopol.
Engr. Review
PE MITAPPLICATI N: INDAYS
PERMIT LIMIT. I YEAR PROVID WORK IS STARTED WITHIN fers DAYS
SEE BACK Of PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
ON BEHALF 01 HIS OR HER SPOUSE, HEIRkASSIGNS AND SUCCESOAS
Fire Review
IN INTEREST AGREES TO INDEMNIFY, DEFEND AND HO 0 HARMLESS THE CITY OF
a EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire inspection
Receipt IS
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
IT
FROM THE ISSUANCE OFT IS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOI BE
Or ORDINANCE
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DEEMED To MODIFY. WAIVE OR RED LICE ANY REQUIREMENT ANY CITY
D NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINA E .... .....
I HEREBY ACKNOWLEDGE THAT � HAVI'SEAD THIS APPLICATION, THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT AM T JE OWNER, OR THE DULY AUTHORIZE AGENT OF
CONSTRUC
This app, ced,h is re, a pheell unfil signed by Un,
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING
THEREBY. NO PEAS N WILL BE EMPLOYED
CALL
d,,g Offinnal a, 1,111hor DepIty: and fees afe paid, and
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OF IALS S! HE DATE
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771"0220
RELEASED By
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-
ORGINAL-FILE YELLOW -INSPECTOR
OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PZ-OWNER GOLD -ASS SSOR
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04/02 PRESS HARD -YOU ARE MAKING
5 COPIES GREEN - ACCOUNTING
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FINAL PROJ19CT APPROVAL FORM
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FROM: FIRE DEPARTIVIENT DATE-
-ENGINEER]NG DIVISION DATE
G DIVISION DATE
PROJECT'
SITE ADDRESS—
PERMIT#-2��— �'l ADB#--DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine linal compliance with approved plans. "Dal 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 WrM CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
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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 ...........
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Stab Insulation ..........
0
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PLUMBING:
Underground
Rough -in ...................
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Commercial Final
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HEATING:
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Gas Test ............
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Gas Piping .................
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Equipment .................
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Commercial Final .......
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EXTERIOR SHEATHING
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NAILING .......................... .
0
0
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FRAMING ........................
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FIRST FLOOR FRAMING
R1 0
INSULATION ...............
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Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
C,3
OCCUPANCY ..................
40%