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Description
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Description
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Plan Check
State Surcharge
HEAT SOURCE LOT SLOPE I
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
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Mechanical
THIS PERMIT AUTHORIZED ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
C BCDONEONPRIV E PROPERTY ONLY. AM CONSTRUCTION ON THE PUBLIC
Grading
2 a Ou
OMAUN JCURSS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL RE IRE
SEPARATE PERMISSION.
PF MITAPPUCATIOM: I -DAYS
Engr, Review
PERMITILIMITIYE&R-PROVI ED WORK IS STARTED WITHIN 1110DAYS
Engr. Inspection
SZE BACK OF PINK PERMIT FOR MORE INFORMATION
'APILICANT' ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Plan Chk. Deposit
EDMON135 . WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
rke inspection
Receipt #
ALL CMMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECT IN
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total Amt. Lie
0 NOR LIMIT IN AM WAY THE CITTS ABILITY 70 ENFORCE ANY ORDINANCE PROVISION,'
Recording Fee
Receipt III
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVE is CORRECT. AND THAT I AM THE OW EFL OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSIRUC.
CALL
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T, ON; AND IN DOING THE WORK AUTHORIZED THEREW. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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FOR INSPECTION . v.aIpH..kA.wI.d,.dI,,sp ... p—idde,
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OFFI.6ALS SIGNATURE,, DATE
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - WiIPEC(TOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PiNK-OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE q014 .90
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PLANNING DIVISION DATE —
PROJECT
SITE ADDRESS— IIVA�
PERM IT __ADN__DATE INSPECTED -
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine. compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3,
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
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INSPECTOR DATE APPROVED
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SETBACKS .....................
FOUNDATION:
Footing .................
wall ...............
Pier/Porch ...............
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...........
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .............
Equipment ...............
Commercial Final
EXTERIOR SHEATHING
NAILING ..................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
10 02
OCCUPANCY .................
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