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PERMIT EXPIRES
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REAT SOURCE LOT ILOII*, VESTED DATE
Plan Check
State Surcharge
PLAN CHECK NO:
JPUSLIC
Building Permit
City Surcharge
Base Fee
Plumbing
TH S PERMITAUTHBOROESONLY THEWORK NOTED. THIS PERMIT COVERS WORK TO
* BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE L.L.0
Mechanical
* DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
Recording Fee
PERMIT APPLICATION! SEE ECDC 19BBODS(AHS)
PER Mth S Engr. Review
MIT LE EE ECDC 19,00,005(A)(6l
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
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Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HORS, ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Receipt 0
E MONDE , WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY 08 INDIRECTLY
FR M THE ISSUANCE OF HIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
OEIIIIO TO MODIFY. WAIVE OR REDUCE ANY FIEOUIREMENT 01 ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
Fire Inspection
Landscape Insp,
Total Am[. Due
Receipt #
2
IHERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR T E DULY AUTHORIZED AGENT OF
T E OWNER, I AGREE TO COMPLY WITH CIT AND STATE LAWS REGULATING CONSTRUG-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYE.
IN VIOLATION OF T E OF THE STATE OF WASHINGTON RELATING TO
CALL
FOR INSPECTION
APPLICATION APPROVAL
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RELEASI BY DATE
EXT. 1333
ATTEOION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI.
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 / IRC11 0.
ORI INAL -FILE YELLOW INSPECTOR
PINK -OWNER GOLD - ASSESSOR
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE 211 7Zi_0_A
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PLANNING DIVISION DATE
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DESCRIPTION OF WORK TO BE INSPECTED
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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
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PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:1einp:b1dg:fornis:ocaprv1 3/25/04
Permit Inspection Details
Permit: BLD20060143
PERMITTRAX
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02/24/2006 HAWKINS 40 APPROVED
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Total Time: 40
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02124/2006 MS 15 APPROVED
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Total Time: is
Total Inspections: 2
Total Time: 55
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Page I of I
77":7,
RECORD OF INSPECTIONS
i INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
.......... ............
7,
Pi6r/Porch .................
RkA MIt'-
Slab Insulation ..........
PLUMBING:
Uhder6round ............
Rough -in ...........
Commercial Final
HEATING:
GasTest ...........
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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OCCUPANCY ...............
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