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CONSTRUCTION PERMIT APPLICATION JOB S rTE/APT#
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REMARKS
PROGRESS INSPECTIONS PER UBC 1108/11FINAL INSPECTION REI
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Plan Check
State Surcharge
HEAT SOURCE 4LAZP1G % -
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Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT Vmm, To
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t: BE DONE ON PRIVATE PROPERT)f ONLY, ANY CONSTRUCTION ON THE PUB
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Grading
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:I OMAIN JCURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMITAPPLICATION: red DAYS
Engr. Review
PERMIT LIMM I YEAR . PROW ED WORK IS STARTED WITHIN TadDAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
�APPLJCANT. ON BEHALF OF HIS OR HER SPOUSE� HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Clik, Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYE S,ANDAGENTSFROM ANYAND
Fire Inspection
Receipt #
ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDU E ANY REQUIREMENT OF ANY CITY ORDINANCE
o NOR LIMIT IN ANY WAY THE CIrYS ABILITY TO ENFORCE ANY ORDINANCE PRONISION."
Landscapeinsp.
Total Amt. Due I
Recording Fee
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN
APPLICATION APPROVAL
IS CORRECr. AND THAT I AM THE OWNER, OR T14E DULY AUTHORIZED AGENT OF
THEOVINE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
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TION; AND IN DOING THE WORK UTHORI EDTHEREDYNOP R ON WILL BE EMPLOYED
VIOLAT N OF THE LAS E 0 THE STATE OF WASHINGTON RELATING TO
WOSKME COMPENSAR I No AND RqW 18.27.
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ding OffieLat or hosther D,poty; stool Fees are paid,
FOR INSPECTION
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OFFI.IAEN URE, 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-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
ORIGINAL � FILE - YELLOW - INSPECTOR
PINK -OWNER - GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .............
FOUNDATION:
Footing ......................
wall .................
z
Pier/Porch
Retaining Wall ...........
Slab insulation ..........
PLUMBING:
am
C
Underground
m 0
Rough -in ...................
C
Commercial Final
M
m
HEATING:
10
GasTest ....................
>
Gas Piping
Equipment .................
'0
-I
X
Commercial Final . .....
M M
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
M 0
FIRST FLOOR FRAMING...
X
INSULATION ...................
Floor Insulation
z
Wall Insulation ...........
z
Ceiling Insulation
SHEETROCK NAILING
0
m
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
GO
OCCUPANCY ..................