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Be DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
E no NMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC,j WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPUCATiOW SEE ECOC 19.00,0051A)(5)
Engr. Inspection
S56 a PERMIT UMIT.� SEE ECDC 19-00 0051A)(6)
ACKOFPINKPISR ITIORMOREINIF RMATION
'A P ICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
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Fire Review
Plan Chk, Deposit L11k&
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
ALL C1AIiiS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR MORE. LY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT -
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANcE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
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Recording Fee
I Receipt I,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL'
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
Thil appf"..— n— 111' UnN 11 Ih,
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
IN VIOLATION
WORKMEIVS COIWPENSATI�N, �NSJRANCE AND HOW I ::: 7.
DATE
SIGNATURE (OWNER SIGNED
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(425)
771-0220
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AtfENTION
EXT. 1333
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI.
ORIGINAL FILE YELLOVO/ INSPEAR
FICATE OF OCCUPANCY HAS BEEN GRANTED. USC109 I IBC110 / IRC1110.
PINK - OWNER GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .............
FOUNDATION:
Footing......................
wall...................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
GasTest ....................
'Gas Piping ................
Equipment.............
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING .....................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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