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FEE Description FEE
WITI 6-11 ( � -�tCaAk M I I N f Lyz:-::>
Plan Check
State Surcharge
HEAT SOURCE GLAZINGN. L T SLOPE
Building Permit
City Surcharge
PLAN CHECK NO: I VESTED DATE
Plumbing
THIS ERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: 11 DONE 1" 11111 PROPERTY 0"1 ANY CONSTRUCTION 111141 1111C
Grading
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PE MITAPPLICATiON: INDAYS
PERMIT LNUT.. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT' ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk, Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HAR LESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS MOM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT 15SUANCE OF THIS PERMIT SHALI Nor BE
DEEMED TO MODIFY. OR REDUCE A Y REOUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Arnt. Due I q
NOR LIMIT IN ANY CITY'S ABILITY TO ENFORCE ANY ORDINANCE PFICWISION.�
WAWALVE
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Recording Fee
Receipt # 1_1�
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPUCATION� THAT THE INFORMATION
APPLICATION APPROVAL
GIVE IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
T E OWNER, I AGREE TO COMPLY WITH CI AND STATE LAWS REGULATING CONSTRUC.
CALL
I his application Is not a pNost 111 pgand by th.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR ODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
B.11dipq Offid.1 ., hafthor Dospoty; and Pass a,. paid. ad
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WORKMEN'S COMPENSATIO INSURANCE AND RCW 11,11,
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DATE SIGN D
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RELEASED st�
ATTENTION 1_/
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
PI -OWNER GOLD-ASSEBSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
............
FOUNDATION:
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PLUMBING:
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Equipmen I .................
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Commercial Final
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EXTERIOR SHEATHING
NAILING .. .......... I .............
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FRAMING ........................
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FIRST FLOOR FRAMING
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INSULATION ...................
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Floor Insulation
Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
57-13 _(43
OCCUPANCY .................