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ADDRESS
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PLAT NAMEISUBDIVISION NO. .1 LOT No LID N
MAILING ADDRESS LID FEE S
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INSPECTIONS
PER UBC IOS/FINAL INSPECTION REaD
—ATION
$ _��77
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Description
FEE Description FEE
Plan Check
State Surcharge
HEAT SOURCE _—G—LAZING Is LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: VES TED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE OAK NOTED. THIS PERMIT COVERS WORK TO
1: 0 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
MARQUEES, UC)BRLL ED
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, A LURE
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A 11 IN
PE IA AYS
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PERMIT U.". YEAR - PROVIDED WORK IS STA so WITHIN ISO DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Revie"
Plan Chk, Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
- -
2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
a ALL CLAIMS FOR DANA fig OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
"OF
FROM -1 111-NOI THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED TO MODIFY, WAIVE 08 RE UCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp,
Total Amt. Due
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C NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt III
I HEREBY ACKNOWLE BE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APP ICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY Wil H CITY AND STATE LAWS REGULATING CONSTRUG-
CALL
Too ppl�'H.a Is no, . p-11 old ipn.d c, a
TION; AND IN DOIN THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Banding Offical a, Maine, Deputy: $ad Foos in, paid, and
FOR INSPECTION 01rd Is ackadvOodged In as,,, Ptd.d,
,ATION IN URANCE AND HOW 18.27.
WORKMEN'S CG��$
OFFIC I /SITU�E DATE
T) I DATE SIGNED
(425)
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771-0220
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ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
2""
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR CNNAL FILE - YELLOAF-IINSPet
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLO�ASSES&
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
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Pier/Porch ................
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Slab Insulation
PLUMBING:
Underground
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GasTest ....................
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Gas Piping _ ..............
Equipment ... .......
Commercial Final
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EXTERIOR SHEATHING
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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 ...........
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FINAL APPROVAL FOR
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OCCUPANCY ...... ........