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Description FEE Description FEE
Plan CheDt State Surcharge
HEAT SOURCE I. SLOPE I
Building Permit City Surcharge
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PLAN CHECK NO: VESTED DATE
Plumbing
mechanical
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
B DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMIAIN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES. ETC�) WILL REQUIRE
SEPARATE PEHM;SSION,
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Engr. Review
PERMIT APPLICATION: IN DAYS
PERMIT LIMm I YEAR - PROVI 90 WORK IS STARTEO WITHIN 18. DAYS
Engr. Inspection
SEE BA,CIC Of PINK PERMIT FOR MORE INFORMATION
ON BEHALF 01 HIS OR HER SPOUSE, HEIRS, ASSIGNS AN. SucCESOFIS
Fire REVIEW Plan Chk. Deposit
IN INTEREST AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a EDMONDS' WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS F OM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY RR INDIRECTLY
Fire Inspection Receipt #
FRO14 THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERM I SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY ORDINANC
CITY
Landscape Insp. Total Arnt. Do.
NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THATI AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APP ICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
Has aprn�tnan is not a Permit until signed by too
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or hisliber Deputy: and Fee, red paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON REILATING TO
FOR INSPECTION lot Is ackneradodged In true, prwided,
WORKMENS COMPENSATION INSURANCE AND RCW 18,27,
SIGN R ( WINES 0 GENT
OFFI SIA DATE
(425)
RELEASED BY I DATE
EXT 1333
,RE f) STRUCTURE UNTIL
A FINAL INSPECTION HAS SEEN_�ADE AND PROVAL OR A CERTIFI-
OR GINAL - FILE YELLOW � INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 49
PINK OWNER GOIW�ASSESSOR
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HEATING:
Gas Test ....................
Gas Piping ...............
Equipment
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Commercial Final
EXTERIOR SHEATHING
NAILING � .........................
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FIRST FLOOR FRAMING...
INSULATION
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Floor Insulation
Wall Insulation
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Ceiling Insulation
SHEEiROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................