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CONSTRUCTION PERMIT APPLICATION Joe
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Description
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FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE BLAZING % LOT SLOPE
Building Permit
City Surcharge
PLAN CHECK NW
VESTED —ATE
Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
WORK To
Mechanical
Mechan
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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Grading
Grading
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
'U 'U E
t: SEPAFMTEPERM;SSION.
Engr. Revim
PE'"JITTAPPLICATION: INDAVS
PERMIT LIMIM I YEAR * PROVIDED WORK IS STARTED WITHIN URI DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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Engr. Inspection
'APPLICANT, ON BEHALF OF HIS Oft HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
So
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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Fire Fleviev;
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EDMONDS, WASHINGTON. ITS 1111111AL1, EMPLOYEES, AND AGENT IN ANY AND
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. AR[SING DIRECTLY OR INDIRECTLY
Fire Inspection
FIT M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL N T HE
DEEMED TO MODIFY. WAIVE 08 REDUCE ANY REQUIREMENT 01 AN ORDINANc
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Total Amt. Due
NOR LIMIT IN ANY WAY THE CiTV8 ABILITY TO ENFORCE ANY ORDINANIC'E PROVISION. -
Recording Fee
Receipt #
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN 19 CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
=PPLICATION APPROVAL
THE OWNER I AGREE TO COMPLY Witif CITY AND STATE LAWS REGULATING CONSTRUC.
TION, AND IN DOING THE WORK AUTHORIZED THEREBY. N PERSON WILL BE EMPLOYED
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IN STATE 0
W VIOLATION OF THE LABOR CODE OF THE F WASHINGTON RELATING TO
ORKMENS COMPENSATION INSURANCE AND RCW 18.27�
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FOR INSPECTION
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OFFICIALS SIGNATURE DATE
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771-0220
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ATTENTION
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DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
7,_1yV11-
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
OP�Ai,�IELE YELL I PPr'TOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACK$ .....................
FOUNDATION:
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wall ...............
Pier/Porch .................
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Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground .............
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GasTest ....................
Gas Piping
.................
Equipment ... ............
Commercial Final
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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
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MISCELLANEOUS
FINAL APPROVAL FOR
63
OCCUPANCY ............ r4l
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