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THIS PERMIT AUTHORIZES ONLY THEWORK NOTED. THISP IT OVERSWORKTO
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DOMAIN (CURB% SIDEWALKS. DRIVEWAYS. MARQUEE ETC.) WILL REQUIRE
SEPARATE PERMISSION,
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PERMIT APPLICATION: SEE SCDC 19.00.05(A)S)
A. PERMIT LIMIT.I SEE ECDC 19.00.005(A)(6)
Brig Review Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chlk. Deposit
'APPILICANT� ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
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IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYIEI* AND AGENTS FROM ANY AND
a Review
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INWRECTLY
SHALL or ..
Fire inspection Total Amt. Due
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE .1 THIS PERMIT
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CIT Y ORDINANCE
----------------
NOR LIMIT IN ANY WAY THE CITYe ABILITY TO ENFORCE ANY ORDINANC E PROVISION.-
Landscape IFSP. Receipt #
APPLICATION APPROVA
I HEREBY ACKNOWLEDGE THAT I SAVe READ THIS APPLICATION: THAT THE INT 0 RM ATION
OR THE DULY AUTHORIZED AGENT OF
CALL 0 �g , IrF
GIVEN IS CORRECT; AND THAT I AM THE OWNER,
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUO'
FOR INSPECTION G.,I, Fvvp.,,rX1
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATIO N OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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WORKMEN'S INSURANCE AND RCW 16:27.
- OF LSSIGNA HE DATE
=SATION
ATUME ��#R AGE DATE SIGNED
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771-0220L
SED BY, Td
EXT. 1333
TENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI.
ORiGINAI_ FILE YELLOW INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC, 09 / IBC110 / IRC110.
PINK -OWNER - GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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SETBACKS ............
FOUNDATION:
Footing ......................
Wall ..............
Pier/Parch .............
Retaining Wall ...........
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Slab Insulation
PLUMBING:
Underground .............
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Rough -in ...............
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Commercial Final
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HEATING:
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Gas Test ....................
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Gas Piping
Equipment .................
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ..........
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
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Wall insulation ..... . ....
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Ceiling insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ............
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