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Plumbing Base Fee
THIS IXERMPFAUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERV ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
EPARATE PERMISSION.
Grading
PERMIT APPLICATION: SEE ECDC 19.00,005(A)(5)
PERMIT LIMIT. SEE ECDC 19.00.005(A)(6)
Engr. Review Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
—Engr lrtsip.clon Plan Chk. Deposit
;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HIIARS, ASSIGNS AND SUCCESSORS
Receipt
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 WASHINGTON, OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review III
EDMONDS, ITS
AL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection Total Amt, Due
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FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PER $HALL NOT BE
DEEMEDITTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ARYI CITY ORDINANCE
NOR IM IN NY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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]HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INF RMATION
APPLICATION AP
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL TrI. ,"I I PIT"" ', , Iry
T E OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
BuildIng .1 F.h., F pa F1
FOR INSPECTION
TIONI AND IN DOING THE WORK AUTHORIZED THEREBY� NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKM=NSATIOWhTURANCE AND RCWIS:27. 1
(425) OFFI IAL Si ATU E DAL
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DATE SIGNED
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ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL FILE YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1 09 1 IBC1 10 1 IRC1 10.
PINK -OWNER GOLD ASSESSOR
610S PRESS HARD YOU ARE MAKING 4 COPIES
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
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ENGINEERING DIVISION DATE 917/0Q-
PLANNING DIVISION DATE
PROJECT
SITEADDRESS
PERMIT# J&(J-4�0 ADB#—DATE INSPECTED SI-116(-P
DESCRIPTION OF WORK TO BE INSPECTED--W-, LL—
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS nd the granting of -
--7)(--GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RF-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fbrrns:ocaprv1 3/25/04
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Permit inspection Details
Permit: BLD20060060
PERMITTRAX
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02/0712006 MCCONNELL 20 APPROVED y
Total Time: 20
Total Inspections: I Total Time: 20
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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
kie
OCCUPANCY ..................
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