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DATE RECEIVE1
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CITY OF EDMONDS
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NUMBER
CONSTRUCTION PERMIT APPLICATION
08
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OWNER NAMEMAME OF RUSIN SS
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Description FEE
Description FEE
Plan Check
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Building Permit
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PLAN CHECK NO:
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK nna PERMIT ..a.. WORK 1.
L: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCT THE PUBLIC
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DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUESS, ItOCN.)OWILL REQUIRE
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SEE BACKOFPINK PERMITFOR M REINFORMATION
'APPLI i 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
EOMOtI WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTR FROM ANY AND
Fire Inspection
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ALL CWMS FO DAMAGES OF WHATEVER NATURE, ARISING DIREC I LY OR INDIRECTLY
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Total Am I. Due
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Recording Fee
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT TH INFORMATION
C ION APPROVAL
THAT I THE 7
GIVEN IS CORRECT, AND AM OWNER, OR HE DULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUG.
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..............
FOUNDATION:
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Wall ..............
Pier/Porch ._ .............
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Retaining Wall ...........
Slab Insulation
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PLUMBING:
Underground .............
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Rough -in ..............
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Commercial Final
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HEATING:
At
Gas Test ..............
Gas Piping
Equipment .................
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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
OCCUPANCY ..................