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PERMIT EXPIRES
CITY OF EDMONDS
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THIS PERMIT AUTHoR2ES ONLY THE WORK NOTED, THIS PERMIT COV"R'WORK To
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
PERMITAPPLICAT ON: SEE ECDC 19.0.00S(A)(5)
PERMIT LIMIT, SEE ECDC 19.00eD5(AK6B
Engr, Review Recording Fee
SEC BACK OF PINK PERMIT FOR MO!LE INFORMATION
Engr. Inspection Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESSOR$
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. TS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVE NATURE, ARISING DIRECTLY OR No RECTLY
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Fire Inspection T.IBIA.I Due
FIR M THE ISSUANCE OF THIS PERMIT. OF THIS PERMIT 1HALLINOT BE
DEZED 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,'
Landscapelasp. Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION
APPLICATION APPRO VAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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THE OwNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
FOR INSPECTION 8111-9 can I., Ina-, D,p,ty and Fall all d1la, Ind
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, No PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABqtL_coDE OF THE STATE OF WASHINGTON RELATING TO
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WORKMEN'S CoMPENSAT)9CIFIRS1�1RANCE AND RCW 18:27,
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ATTENTfON
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. UBC109 I IBC110 I IRC110,
PINK -OWNER - GOLD ASSESSOR
SIBS PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
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Permit: BLD20060125
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03/16/2006 snook 25 APPROVED
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Total Time; 25
Total Insp-tions:
I Total Time: 25
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Stab 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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