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PERMIT EXPIRES
CITY OF EDMONDS
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STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY
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Description
FEE Description FEE
Plan Check
State Surcharge
GLAZING % LOT SLOPE %
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Building Permit
City Surcharge
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PLAN CHECK NO: VESTED DATE
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THIS PERMIT AUTHORIZED ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO
t: "I ""I I" P111 PROPERTY ONCE All 10"I"U"IN ON THE 11SIJC
Grading
DOMAIN (CURDS, SIDEWALKS. DRIVEWAYS, MARQUEES'ETC.) WILL REQUIRE
t: SEPARATE PERMISSION.
Engr Review
P P I'MiTAPPLICATION: ISDDAYS
PERMIT LIMIT. I YEAR -PROVIDED WORK IS STARTED WITHIN ISODAYS
Engr. Inspection
SEED K OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT ON BEHALF OF HIS 08 HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
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Plan Chill, Deposit
E ... No.. WASHINGTON, IT. OFFICIALS. EMPLOYEE., AND AGENT. FROM ANY AND
Fire Inspection
Receipt #
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FLL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
ROM THE ISSUANC OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE
Landscapoinsp.
Total Amt. Due
ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
R cording Fee
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I HEREBY ACKNOWLEDGE THAT � HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAI
GIVEN 15 CORRECT. AND THAT AM THE OWNER, OR TH DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO DO PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This application Is no, a ptusalt until signed by the
TtON; 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
Building Official a, hinnhor Deputy: and Fees sun paid, and
FOR INSPECTION t'e'lpa Is ack-1,cigod In space prwid,d.
W011MENE CIIIIIINIATIO=RANCE AND DOW 18,27.
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RE DATE
SIGNATURE (OWNE I DATE SIGNED
(425)
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771-0220
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RELEASED'ey
ATTENTION
EXT 1333
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 - YELLON - INSPECTO
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER . G LO-ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Feeling ......................
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wall........... I ..............
Pier/Porch ..........
Retaining Wall ...........
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Stab Insulation
PLUMBING:
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Underground .............
Rough -in ...................
M
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Commercial Final
HEATING:
Gas Test ............
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Gas Piping .................
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Equipment
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Commercial Final
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ........................
FAWING
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Si FL�b�
..INSULATION ...................
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Fiber Insulation
Wall Insulation ...........
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Calling Insulation
ITI
S HEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
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FINAL APPROVAL FOR
-63
OCCUPANCY .................. ..... .....