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DATE
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Plumbing
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THIS PERMIT AUIrHORIZES ONLY THE IN RK NOTED. THIS PERMIT COVERS WORK TO
t BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTR a
UCTION ON
Grading
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DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUE E
SEPARATE PERMISSION.
Engr. Review
PERNITAPPLICAIN N: INDAYS
PERMITLIMMIYEAR-PROSA ED WORK IS STARTED WITHIN 90DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT MR MORE INFORMATION'
IPPUCANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESORS
IN INTEREST AGREES TO INDEMNIFN, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Plan Chk. Deposit
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENI S FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIM�5'FORA)'ANIaG11 OF WHATEVER NATURE� ARISING DIRECTLY OR INDIRECTLY
FRO. T. Be. rC OF T IS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
WAIV H
DEEMED TO MODIFY. E OR REDUCE
Landscapeinsp.
Total ABU. Due
ANY REQUIREMENT OF AN C ORDINANCE
Y BY
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PR ISION.'
Recording Fee
Receipt #
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNEFL OR THE DULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUG.
CALL
Thia.pplic.0- JO.— panalt Onlil clanad by and
TIOI,k AND IN DOING THE WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED
IN VIOLATION OF E LABOR CODE 01 THE STATE OF WASHINGTON RELATING TO
Barking Official or issiner DOPutY: and FOOS Sao paid. and
FOR INSPECTION lot is acknowt,ftod 1, spa,, prmided.
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DATE
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OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR G NAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
P:�K-CWNEH COLO-ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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FINAL ROJECT -APPROVAL FQ -W
TO:-
DATE: —
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE —
ENGINEERING DIVISION DATEJt��
—PLANNING DIVISION DATE—
PROJECT—_100d
SITE ADDRESS —
PERMIT #__JA0ZJq2_ADB# ..... _-PATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED_
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 BONDS and the granting of:
__�,,_GRANT FINAL PROJECT APPROVAL
GRA14T PROJECT APPROVAL WITII CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
c3 Copy of CORRECTION NOTICE Riven to owner/contractor by inspector
2.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date— Sigq�
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.......... ..
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................
FOUNDATION:
Footing......................
wall ..............
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Pier/Porch .............. —
Retaining Wall ...........
Slab Insulation ..........
PLUMBING;
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Underground .............
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Rough -in ...................
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Commercial Final
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HEATING:
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 ...............
FIRST FLOOR FRAMING
INSULATION ...................
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Floor Insulation
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Wall Insulation
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Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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