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PERMIT EXPIRES
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CITY OF EDMONDS
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THIS PERMIT AGrHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE lu C
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Grading
I, ET. l' WILL REQUIRE
3 DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL
SEPARATE PERMISSION.
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PERMIT LIMIT. 1 YEAR"PROVIDED WORK IS STARTED WITHIN too DAYS
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-APPUCA ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
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Fire REVIEW
Plan Chk, Deposit
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IN INTEREST. AGREES TO INDEMNIFI, DEFEND AND HOLD "AIMLESS THE CITY OF
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Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES ONHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMrf. ISSUANCE OF THIS PERMIT SHALL NOT Be
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Total Amt. Due
DEEMED To MCOIFY� WA VE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
Recording Fee
Receipt N
I HEREBY ACKNOWLED E THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVE 19 CORAECr, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZE AGENT OF
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This oppfi�tionls not a pennit-fliolonod by Us
THE OWNE � I AGREE TO COMPLY WITH CITY AND STATE LAWS REGU ING CONSTRUG.
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TIC, N; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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FOR INSPECTION fecolp! ...knowledg,diosposptovidod.
WORKMENS COMPENSATION INSURANCE AND RCW 18,27.
OFFICIALS SIGNATURE DATE
D E SIGNED
(425)
G I I?) I q00-1
771-0220
BE Y
ATTENTION
EXT 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE - YELLOW-INSPECfOR
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 Insu lation ..........
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 ..........
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FINAL APPROVAL FOR
OCCUPANCY ..................
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