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PERMIT EXPIRES
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CITY OF EDMONDS
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NUMBER IMCAL
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SPECIAL I DISPECTION OCCUPANT
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REQUIRE [:] YES LOAD
DESCRIBE WORK TO BE DONE
REMARKS
30 , 4
PROGRESS INSPECTIONS PER Use 11081FINAL INSPECTION REG`D
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HEAT SOURCE 'LAZING I LOT 11011
Building Permit City Surcharge
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PLAN CHECK NO: VESTED DATE
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Plumbing
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
2
Grading
0
n OMAIN (CURDS, SIDEWALKS, DRIVEWAYS MAR BEES, Etc.) WILL REQUIRE
t: SEPARATEPERMiSSION.
PERMITAPPLICATION INDAYS
Engr. Review
PERMIT UNIT I YEAR _ PROVI ED WORK IS STARTEDWITHtN '00 DAYS
Engr. Inspection
SEE SACKOF PINK PERMIT FOR MORE INFORMATION
'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMOND . WASHINGTON. IT$ FFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
S 0
Fire Inspection Receipt #
ALLCLAIMSFOHDAMAGESOF "ATEVER NATURE ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCi OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINA CE
NOR LIMIT IN ANY WAY THE CHYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Landscapelnsp. Total Amt. Due
Recording Fee R.celpt #
I HERE ACKNOWLEDGE THAT I HAVE READ HIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECr, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STAT LAWS REGULATING CONSTRUC
CALL ThiPPJIc.II.n is n.d. ps-R-11 sign.d by In.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
ftfld- 0111d.l., -A..-,.IdcI
IN VKH-I.. .1 THE LABOR CODE .1 THE STATE OF WASHINGTON RELATING To
WORKMENS C? INSURANC AND RCW 18.27.
FOR INSPECTION —olpt Is acknowtodged In spac, prwided.
,M,PENSATION
R AGE D
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OFFISL�_LS
(1425)
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771-0220 7i1EASF. BY 91AT E
ATTENTION
EXr 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A GERTiFl-
ORIGINAL - FILE - YELLOW � INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .............
FOUNDATION:
Footing .................
Wait..........................
Pier/Porch .................
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Raialning Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
0 TR
Rough -In ..........
TR
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Commercial Final
0 C:
HEATING:,.
SIR
Thl
Gas Test .............
Gas Piping .................
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Equipment .................
Commercial Final
-4
rn Ill
EXTERIOR SHEATHING
a
NAILING ..........................
0
0
FRAMING .................... ...
0)
Q 0
FIRST FLOOR FRAMING
INSULATION ...........
W -
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
FIR
MISCELLANEOUS