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THIS PERMIT AUTHOR2ES ONLY THEWORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAY$, MARQUEES, ETC�) W
SEPARATE PERMISSION.
Grading
PERMIT APPLICATION: SEE ECDC RIXO=S(A)(5)
Engr. Bevis. Recording Fee
PERMIT LIMIA SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HI: OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
w. IN INTEREST, AGREES TO No MNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
AND
Fire Review Receipt
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Inspection Total Amt. Due
X1 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEIMEO 10 IODIFY� WAIVE OR REDUCE ANY REQUIREMENT 01 ANY CITY ORDINANCE
NOR LIMIT IN ANY WAYTH CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Landscalcemste. I Receipt N
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVENISCORRECEANDTHATIA THE OWNER. OR THE DULY AUTHORIZED AGENT OF
CALL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE 1A S REGULATING CONSTRUC-
SUIBIOg Offi—I 11 01P.1y Idd FOOS 010 P11A I'd
FOR INSPECTION
TION; AND IN DOING T E WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LARD OF THE STATE OF ASHINGTON RELATING TO
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WORKMEN'SCOMP SATI.N cE A. RCW 18:27.
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EXT. 1333
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 - YELLO - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 If IRC110.
PINK -OWNER . GOLD ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060252
PERMITTRAX
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0313112006 MS 20 GAS TEST AND GAS PIPING APPROVED
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Total Tim: 20
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS
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Retaining Wall ...........
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FRAMING ...................
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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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