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Description
FEE Description FEE
Plan Check
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HEAT SOURCE GLAZINr I LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: STE. DATE
Plumbing
Mechanical
THISPERUITAU1 ORIZES ONLYTHE WORK NOTED. THIS PERMIT COVERS WORK TO
c BE DOME ON PRIVATE PROPERInt ONLY. ANY CONSTRUCTION ON THE PUBLIC
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Grading
3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL It QUIRE
1: SEPARATE PERM;SSION.
PE MITAPPLICATION: ISDDAYS
Engr. Review
A. PERMIT LiMm I YEAR � PROVI ED WORK IS STARTED WRIHIN 1 .0 DAYS
Engr. Inspection
SEEBACKOFPJ K PERMIT FOR MORE INFORMATION
'APPLICA T. ON BEHALF OF HIS OR HER P.tjBE. HE RS, ASSIGNS AND SUCCESORS
]HOLD
Fire Review
Plan Chk, Deposit
IN INTEREST, A.R.E To IN.E.M1 DEFEND AND HARMLE S THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
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ALL CLAIMS FOR DA.AGE. 01 WHATEVER, NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT SSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED TO MODIFV, REDUCE OF ANY CITY
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WAIVE OR ANY REQUIREMENT ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROWINON..
Recording Fee
Receip
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHOJBZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSIRUC.
CALL
This application 15 not a Fannin onfil zionad by did
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THEA7 DE OF THE STATE OF WASHINGTON RELATING TO
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RELEASED BY DATE
ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING On STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OnIGINAL-FILE - YELLOW-INSFECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER - COLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES
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denotes that there are no objections from the above signed Department to the release of
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
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Pler/Porch .................
Retaining Wall
Slab Insulation ..........
PLUMBING:
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Gas Test
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INSULATION ...................
Floor Institution
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Wall Insulation
Calling Insulation
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SHEETFIOCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY .................
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