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Description
FEE-
Desc I ription
FEE
Plan Check
State Surcharge
HEATSOURCE
LOTSLOPE%
VESTED DATE
Building Permit
City Surcharge
PLAN ICiTCK NO:
Plumbing
Base Fee
Mechanical.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Grading
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
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PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
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PERMIT LIMIT; SEE ECDC `19.00.005(A)(6)
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. Deposit
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IN INTEREST, AGREES TOANDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire inspection
Receipt H
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Landscape Insp.
Total Amt. Due
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FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT a
OEEME D TO MODIFY, WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITY'S A131LITY TO ENFORCE ANY ORDINANCE PROVISION.,
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Recording Fee
Receipt
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPEZICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
This application iS note pormit until signed by the
THE OWNER. I AGREE 70 COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL Building Official or his1hur Deputy and Foesaro paid,and
I ION; AND IN DOING THE THORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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IN VIOLATiON-CF-Th ' AB DE OF THE STATE OF WASHINGTON RELATING TO
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FOR INSPECTION jqcfj1P1 isacknowtodgod it) spaC, provided
WORKMEN'S COMPENS NIN RANCE AND RCW 16:27.
ICI L SI NAT DATE
(425)
SIGNATURE (OWN �R'O: GE
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771-0220 BNZ/ D kTE
ATTENtIO
EXT. 1333 IS) U
IT IS UNIL F TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL N ECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL - FILE YELLOW INSPECTOR
FICATE CCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110.
PINK -OWNER GOLD - 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 ...............
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Retaititng Wa ...........
Slab Insulation ..........
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PLUMBING:.
Underground .............
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Gas.Test ....................
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Gas Piping .................
Equipment .................
Commercial Final .......
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EXTERIOR SHEATHING
NAILING ........ ...... .........
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FRAMING ........................
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FIRST, FLOOR FRAMING...
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INSULATION ...................
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Floor Insulation .........
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W611 Insulation ...........
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Ceiling Insulation .......
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SHEETROCK NAILING ...
SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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