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CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
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Building Permit
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PLAN CHECK NO:
VESTED DATE
Plumbing
THIS PERMIT AUTHORIZER ONLY THE WORK NOTED. THIS
PERMIT C RGWORKTO
Mechanical
t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
Grading
2 0
:3 OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
IC SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: INDAYS
PERMIT LIMIT I YEAR � PROVIDED WORK IS STARTED VA= GODAYS,
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORM
—PLICANT. '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 Chl Deposit
EDMONDS, WAS"INGTON, ITS OFFICIALS, EMILOY111, AaIII AGENTI FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
11011 THE IIIUANG 01 THIS P11MI1, ISSUANCE 01 THIS PERMIT SHALL NOT BE
DEEMED TO OR REDUCE
Landscapelnsp.
Total And, Due
'75—
MODIFY, WAIVE ANY REOUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Recording Fee
Receipt #
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I HERESY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
GIVE" IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY THORIZED AGENT OF
THE OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
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learn. pearil.rall signed by tho
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Gelding Official or his/her Gore y: and Fees are paid, and
..Ipl is ake-ledg.di. pace proWd.d.
WORKME�fa COMPENSAT=SURANCEAJD RCW 18,27.
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GAT E SIGNED
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771,0220
RELEASED 6Y IbACEK
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...............
FOUNDATION:
Footing ..................
Wall ..........................
Pier/Porch ...........
Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING
Test,
Gas
Gas Pipingr'..� .............
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING..........................
FRAMING ........................
FIRST FLOOR FRAMING_
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Coiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR Vill)
OCCUPANCY ...............
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