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PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REO'D
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Description
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Plan Check
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Building Permit
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THIS PERMIT AUTHORIMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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OMMN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) Wl R
t: SEPARUITEPERMISSION.
PERMIT APPLICATION: IN DAYS
Erpgr Rourew
En r. ReVlew
PERMIT LIM I. I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS
E.Ig, Inspection
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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-APPLIC MT. ON BEHALF F HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
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IN INTEREST, AGREES T INDEMNIFY, DEFEND AND HOLD HARMLE S THE CITY OF
Fire Revieve
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Pi.DChk.Deposft
Not
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Z EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CIA MS FOR DAMAGES OF WHATEVER, NATURE. ARISING DIRECTLY OR INDIRECTLY
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Fire Inspection
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Receipt It
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED WA VE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
To MODIFY.
Landscape Inspi.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt 0
I HEREBY ACKNOWLED E THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This application Is net a permit until signed by and
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TION; AND IN DOIN TH WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
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INVIOLATIONOF HE LABOR CODE OF THE =TE OF WASHINGTON RELATINGTO
FOR INSPECTION
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11ficiall1hism, seedy: and Reares, paid, and
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yeja��SATION INSURANCE AND n'qW 18.27.
cl SIGNAIUFIF DATE
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771-0220
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DATE
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DIM 1333
T NLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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F INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YL�LCW�
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOUO�ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: ------ FIRE DEPARTMENT DATE—
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ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE
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PROJECT--1�96d�&�-'
SITEADDRESS-d��� .............
ADB# DATEINSPECTED
PERMIT #AV'2ff—'Z—
DESCRIPTION OF WORK TO BE INSPECTED— 2
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BOMS_ and the granting of
--X-�GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractorby inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign_
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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
Will Insulation
Coiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR LP -
OCCUPANCY ..................
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