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COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
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PROGRESS INSPECTIONS PER UBC I 081FINAL INSPECTION REO'D 6
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rl. - Description FEE Description FEE
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1% Plan Check
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*HFAT SOURCE GLAZVG %I LOT SLOPE % Building Permit City Surcharge
VESTED DATE Plumbing Base Fee
P1qN CHECK NO:
I Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
cc PERMIT APPLICATION: ISO DAYS
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PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) No SUCCESORS Fire Review Plan Chk. Deposit
U) 'APPLICANF, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS A
W IN INTERESr. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
_j Receipt 0
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENrS FROM ANY AND Fire Inspection
a: ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY 08 INDIRECftY
< FROM THE ISSUANCE OF rHIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
x Landscape Insp. Total Amt. Due
0 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
_j ANY ORDINANCE PROVISION�"
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE
Recording Fee Re ceipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT. AND IHAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF I his application is not a permit until signed by the
TIIE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Official or his/her Deputy: and Fees are paid, and
TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED receipt is acknowledged in space provided.
IN VIOLATION OF THE LAJ30R CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPCNSA119"SURANCE AND RCW 18.27. o IC I SIGNAT ATE
(OWNER GE D J%j NED (425) 1 0 Z, C)
TZ, RE EASED B DATE
6
771-0220
EXT 1333
ATTENTION
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
09103 PRESS HARD -YOU ARE MAKING 4 COPIES
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Foofing . ...............
..........
Pier/Porch .................
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Retaining Wall ........... 0
Slab Insulation .......... 0
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PLUMBING:
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--"'RoUdh"lnj'*...,.,* ............... C
M 0
Commercial Final ...... 0
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HEATING: C r
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GasTest ....................
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Gas Piping .................
4 1- -/4
Equipment .................
0 -n
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Commercial Final .......
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x
EXTERIOR SHEATHING M M
NAILING .......................... 0
0
0 M
FRAMING ........................
C (n
9 Cn
FIRST FLOOR FRAMING ... Q 0
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INSULATION ...................
Floor Insulation .........
Wall Insulation ........... z
Ceiling Insulation .......
SHEETROCK NAILING ... z
0
SPECIAL INSPECTION ... 0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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