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CONSTRUCTION PERMIT APPLICATION 'Do Bull:
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MAILING ADDRESS _ - PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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MBINEE.111. AEVI UREREGULATOR MNLD�15j�jV)
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THIS PERMIT AUTHORIZER ONLY THE ORK NOTED. THIS
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MITAPPLICATION: IGODAYS
PERMIT Nam I 'EAPRE PROVIDED WORK IS STA ED WITHIN 180 DAYS
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EVERACKOFPIMPIRMITION.0"B FORMATION
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Fire Review
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EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt III
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIR60-RY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF T141S PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE MY REQUIREMENT OF ANY CITY ORDINANCE
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Total Amt. DUE
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Recording Fee
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT TH INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
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This application Is net a Permit until signed by Me
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE INGTON RELATING TO
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FOR INSPECTION
Building Offlaial .1 Inubar Deputy: and Fees are paid, i
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WORKMEN'S COMPEN NS . CE AND RCW 18.27.
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IT IS .", I . USE OR MCI IPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERT111.
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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FINAL PROJECT APP-RO)LAL F -ORM
TO:
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MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: DEPARTWNT DATE—
DIVISION DATE
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DESCRIPTION OF WORK TO BE INSPECTED--W—S:::�—
A field inspection was conducted to determine final compliance with approved plans. Final approval
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PERFORMANCE BONDS and the granting of:
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GRANT MiAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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FAHM FINAL INSPECTION - OUTSTANDING ISSUES
u I 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
Stab Insulation ..........
PLUMBING:
Underground .. ...........
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Rough -in ...................
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Commercial Final
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HEATING:
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to
Gas Test ............
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Gas Piping .............
Equipment ..........
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Final
Commercial
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EXTERIOR SHEATHING
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NAILING..........................
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FRAMING ........................
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FIRST FLOOR FRAMING
INSULATION ...........
Floor Insulation
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Wall Insulation
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
171
MISCELLANEOUS
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FINAL APPROVAL FOR
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OCCUPANCY ..................
9 075-sm"000,
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