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PERMIT
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CONSTRUCTION PERMIT APPLICATION
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OWNERCONTRACTOR RESPONSIBLE FOR EROSION C.NTR..RAINAG.
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Description
FEE
Description
FEE
Plan Check
State Surcharge
LOTSLOPE% VESTED DATE
�SOURC
Building Permit
City Surcharge
PLAl NO:
Plumbing
Base Fee
THIS PERMITAUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
Gading
BE DONE ON PRIVATE PROPERTY ONLY� ANY CONSTRUCTION ON THE PUBIC
r DONMAIN (CURB$, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC, WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19A0X05(Ah5)
Eng, Review
Engr. Inspection
PERMIT LIMIT. SEE ECDC i9.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF F HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. Deposit
;APPLICANT,
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a MONDS , WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ED
ALL CLAIMS F R DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
FROM THE ISSUANC OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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Total Amt. Due
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LI MIT IN ANY WAY THE CJTY�� ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INF RMATION
APPLICATION APP
GIVEN IS CORRECT; AND THATIAM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
Thi. .,XiI,db,, -t . .-I yl bgnVdi by 1b.
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
abi'd,ng Offi,ml , h,WN11 D,pty: Ild FcO... paid, a,d
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL HE EMP DYED
IN VIOL TION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING To
FOR INSPECTION
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
�91,!ATU DATE
SIGNATURE
(425)
44 /
771-0220
_117�1�% 1,-
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RELEAStly
ATTENTION
EXT. 1333
U
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
'ORIGINAL - YELL INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBCI 09 / IBC110 I IRC11 0.
-FILE *
PINK -OWNER - COLO - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ........... ..........
wall._ ....................
Pier/Porch .................
Retaining Wall ..........
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Slab Insulation
PLUMBING:
Underground .............
Rough -In ...................
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Commercial Final
IT1 0
0
HEATING:
M
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
M M
NAILING _ ........................
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FRAMING ........................
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FIRST FLOOR FRAMING
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INSULATION
Z
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Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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0
SPECIAL INSPECTION
4
0
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
7161617
f OCCUPANCY ..................