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THIS PERMIT AUTHORIZIES ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO
1: 0 DONE ON PRIVATE PROPEFM ONLY. ANY CONWRUC71ON ON THE PUBLIC
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DONWN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. TC.) WILL EQUIR
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City Surcharge
PE METAPPUCAT.O.: I...
PERMIT UNIM I YEAR - PROVIDED WORK IS STARTED WITHIN INDAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFOR ATION
'APPUCANT� ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
IDMONOI, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES Or WHATEVER NATURE, ARISING DIRECTLY OR IN IRECTLY
Fire Review
Receipt #
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF TH S PERMIT SHALL NOT E
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DEEMED TO MODIFY, WA EORREDUCEANYREQUIREMX10 ANY ITYORGINANUE
EO NOR LIMIT IN ANY WAY THE CITY'S ASIUTY TO ENFORCE ANY ORDINANCE PROVISION,
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I HEREBY ACKNOWLEDGE THAT � HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE To C MPIY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
Thle iippliawl- le did . pe-ft abl,ign.d by Me
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE Use CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Strilding official , hallhor Depwy: and Fees are paid. end
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WORKMENG COMPENSATION INSURANCE AND FICY/ 18,27,
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SIGNA,TURE (OWNER OR GE DATE
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771-0220
1 A ED By DATE
AVONTION
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IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OHIGINAL-FILE YEILOW
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK�OWNER GOLD -ASSESSOR
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FINAL PROXECT APPROVAL FORM
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MEMO To: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATI�_
(2�1 (w; ap; ENGINEERING DIVISION DATE_iL2 02--
__YLANNING DIVISION DATE —
PROJECT' �Z
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PERMIT �7;76' —ADB#_---PATE INSPECTED—IL-L O-Z-
DESCRIPTION OF WORK TO BE INSPECTED YIA�iia 6��
A field inspection was conducted to determine final co-plize with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PEREORMANCE BONDS and the granting of:
__�ZGRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WrM CONDITIONS NOTED
a Copy ofCONDITIONS given to owner/contractorby inspector
FAILEI) FINAL INsPEcn0N - OUTSTANDING ISSUES
a Copy ofCORRECTION NOTICE given to owner/couttactor by inspector
2.
3.,
RE-INSpECTED OUTSTANDING ISSUES -,GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
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Pier/Porch .................
Retaining Wall ...........
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Stab Insulation ..........
PLUMBING:
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HEATING:
Gas Test ....................
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GIng .................
as pip
Equipment .................
Commercial Final
M I'D
EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ..........
IT 0
FIRST FLOOR FRAMING
INSULATION . ..................
Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................