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[PERMIT
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Plan Check
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PLAN CHECK NO:
Building Permit
City Surcharge
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Base Fee
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THIS PERMITAUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
S PARATE PERMISSION.
Mechanical
Grading
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT. SEE ECDC 19.00.005(AI(S)
Engr. Review
Recording Fee
SEC BACK OF PINK PERMIT FOR MORE INFORMATION
Engr Inspection
Plan Chk. Deposit
-APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSD.B
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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Fire Review
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E MONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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A'LL C AIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR IN IF TLY
FIR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIV E OR REDUCE ANY REQUIREMENT OF AN Y ITY ORDINANCE
Fire Inspection
Total Amt. Due
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Receipt #
'OR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
/I HEREBY ACKNOWLEDGE THATI HAVE READ THIS APPLICATION; THATTHE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TIft AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
N VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON ABLATING TO
CALL
FOR INSPECTION
APPLICATI N A PROVAL
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ATTENTION
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IT 1. UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FI CATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC1 10 1 IRC1 10.
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Detailed Written Scope of
Work Worksheet
Owner: Woor-s-f We-k-v-
Address: AIIA A,4e-
Plan Check ft:
Provide a complete detailed written scope of work for the proposed project.
Additions (additional square footage): Specify room use, floor level and square footage
and direction i f applicable (i.e. 545 square foot master bedroom/bathroom addition on the
second floor with 140 square foot deck and 245 square foot kitchen addition on the main
floor, South side ofhouse).
Remodels (interior renovations): Specify room uses and floor levels (i.e. combine
bedrooms I and 2 on the main floor to create new master bedroonilbathroom; replace
dinning room sliding glass door with new French doors, reconfigure kitchen with new
island prep counter and install new gas fireplace in the living room).
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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:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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