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CITY OF EDMONDS
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'R UBC 1081FINAL INSPECTION REO'D
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Description
FEE Description FEE
Plan Check
State Surcharge
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BEAT SOURCE G ING %
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Building Permit
City Surcharge
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PLAN CHE��, TED DATE
Plumbing
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THIS PERMIT AUTHORIZE. ..I' THE WORKN.Tee. T.I. PERMIT COVERS WORK TO
c HE DONE ON PRIVATE PROPERTY ONLY, ANY CONST UCTION ON THE PUBLIC
"ON THE P..'LE
Grading
Gad"'
" no (CURBS, SIDEWALKS, a WILL
:3 MAIN SEPA RIVENAYS MARQUEES. ETC.) WILL REQUIRE
1: RATE PERM;SSION.
PERMITAPPLICATI N: INDAYS
Engr. Review
Eng' Reet."
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PERMIT UMIR I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Eng" hISPEO"m
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'AIPLICANT ON BEHALF F HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
'S AND E-C�F"`S
Fire FvIaw
Fire Review
Plan Chk. Deposit
MLEIS THE CITY OF
IN INTEREST, AGREES T INDEMNIFY, DEFEND AND HOLD HARMLE S THE CITY OF
NTS FROM ANY AND
EDMONDS, WASHINGTON1 ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
",a Inspection
Receipt #
�C'Ty on 'N.mE.T'Y
ALL cLepes FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
pren H 'L NOT F
FROM THE ISSUANCE OF I HIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY EMENT OF ANY CITY ORDINANCE
REOUST
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0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATI"
APPLICATION APPROVAL
GWEN IS CORRECT. A D THAT I AM THE OWNER, ON I HE DULY AUTHORIZED AGENT OF
Ther it to, I, not a permit until signed by fill
RUC
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONST -
WILL BE EMPLOYED
CALL
areeing pplica
Ofteri or hiethol popery: And Poor, pold,reed
TION; AND IN DOING TI E WORK AUTHORIZED THEREBY. NO PERSON
IN VIOLATION OF TH LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
COMP
WORKMENS ENSATION INSURANCE AND RCVV 18,27
FOR INSPECTION
mcomi I, Icknowledipol In SpIll prolided.
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771-0220
RELEASED BY DATE
AftEktildN
OU 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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... . .. .... ...
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ........... ..........
Wall......................
Pier/Porch .................
Retaining Wall ...........
Stab 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
OCCUPANCY
800e