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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical Lfo
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I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
9 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
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Engr. Review
us PERMIT APPLICATION: 180 DAYS
CL PERMIT LIMIT., I YEAR - PROVIDED WORK IS STARTED WITHIN 180 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 PlanChk.Deposit
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!I IN INTEREST, AGREES TO INDEMNIF'� DEFEND AND HOLD HARMLESS THE CITY OF
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTlY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE LandscapeInsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/tier Deputy: and Fees are paid, and
IN VIOLATION OF THE UBOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSAT=NCE AND RCW 18.27.
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INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- ORIGINAL - FILE YELLOW - INSPECTOR
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110, PINK - OWNER GOLD - ASSESSOR
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
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121 5TH AVENUE NORTH - EDMONDS. WA 98020 - (425) 771-0220 FAX (425) 771-0221
Website: vAm.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
C. 199
January t9, 2005
Attn: Karen Faris
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215 1 Oth PIN
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Edmonds, WA 98020 M
Building Permit: 2004-0966
Site Address: 215 10th PIN
Expiration Date: 11/22/05
Dear Karen Faris:
The purpose of this letter is to inform you that tile last remaining inspection oil your
project is a final inspection(s). The final inspection(s) deten-nines that there are no
outstanding life -safety issues and approval allows the City to close your perillit file.
The City considers the final inspection to be one of the most important inspections
ollowing must be complete:
conducted on a project. In order to grant final approval the f
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
and residence, egress from sleeping rooms, safety glazing, weather-stripping, any
Engineering department requirements etc. Of course not all of these things may
specifically apply to your project but it does give you all idea about the kinds of things
that must be complete as well as some items that do not.need to be installed such as:
paint, carpet, moldings, wallpaper, etc. Please be advised pern-lits expire one year from
tile date of issuance. If you will need more time to complete the work, pen -nits can be
renewed prior to expiration for one half fees. If the pennit expires without a filial
approval granted by the Building Inspector, full fees are required in order to renew the
pennit. This call be very costly to you and we strongly encourage you to check your
permit expiration date and call for the required filial inspection(s). Note: If more than
one department is required to final your project, this is noted on your Job Card.
Please feel free to contact rne at 425-771-0220 if You have any questions.
Sincerely,
Permit Coordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
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Slab Insulation ..........
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PLUMBING:
Underground .............
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Rough -In ...................
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1711
Gas Test ....................
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Equipment ..................
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Commercial Final .......
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EXTERIOR SHEATHING
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FRAMING ........................
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Floor Insulation .........
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SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
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FINAL APPROVAL FOR kq I __1
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The Initials MT are Milton
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illspector ror the CitY.