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[PERMIT
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CITY OF EDMONDS
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TIR PERMITAUTHORIZES ONLY THE WORK NOTED. THIS PERMITCOVERS WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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SEPARATE PERMISSIONL
PERIMT APPLICATION: SEE ECDC 1%00s05NQt5)
PERMIT LIMIT., SEE ECDC 19.00.005(A)(6)
Engr. Review Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Receipt 0
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
S Cc WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
MONDS'
Fire ReView
ALL CLAIMS FDA DAMAGE OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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Fire Inspection Total Amt. Due
IR M THE ISSUANCE 01 THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMff IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.�
Landscapelnsp. Receipt #
APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN]$ CORRECT; No THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL TW� r-, p-,,nI, �s L, -
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTnU E`*
FOR INSPECTION ""'10"" . ..... "0"" - "' "' FAA `F-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOY 0
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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IT IS UNLAWFUL T"SE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 I IRC110. PINK -OWNER - GOLD - ASSESSOR
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FINAL PROJECT APPROVAL FORM
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DATE:
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
DEPARTMENT DATE
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:ternp:b1dg:fbnns:ocaprv1 3/25/04
Permit Inspection Details
Permit: BLD20060113
PERMITTRAx
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Total Time: 35
Total inspections: I
Total Tlnne� 35
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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
OCCUPANCY ...............
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