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CITY OF EDMONDS
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THI PERMITAUTHORIZES ONLY THEWORK NOTE THIS PERMIT COVERS WORK TO
Mechanical
B DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN ICUFAII, SIDEWALKS, DRIVEWAYS, MAR.UEES, ITC.1 WILL REQUIRE
SEPARATE PERMISSION,
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PERMIT APPLICADON� SEE BODO 194G.005(lus)
PERMIT LIMIT. SEE ECDC 19.00,005(A)(6)
Engr. ReWe. Recording Fee
SEE a ACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESSORS
ST, AGREES T INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
IN INTEREST, AGREES T
Fire R.Vmw Receipt It
E MONDS. WASHINGTON, IT OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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AL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection Total Arm. Due
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FR M THE ISSUANCE OF THIS PE GUMCM ISSUANCE OF THIS PE MIT SHALL NOT
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DEEMED TO MODIFY, WAIVE 08 HE CITY o
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscapelnsp.. Receipt
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVENISCORRECT. No THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGE14T OF
CALL ThPIK,,I,
THE OWNER� I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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FOR INSPECTION
TIOO; AND IN D ING THE WORK AUTHORIZED THEREBY� NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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771-0220 ��
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RELEASED By 15ATE
EXT. 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL I NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL FILE - YELLOW INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC1I0/ IRC11O. PINK -OWNER - GOLD - ASSESSOR
Was PRESS HARD - YOU ARE MAKING 4 COPIES
FINAL PROJECT APPROVAL FORM
TO: —
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE
PROJECT IR /-6--
SITE ADDRESS !q C, to
PERMIT - �Q-1 �ADBA DATE INSPECTED q—,S�—Qq
I DESCRIPTION OF WORK TO BE INSPECTEY-,a-4
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
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tenip:b1dg:rorms:ocaprv1 3/25/04
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Permit Inspection Details
Permit: BLD20060269
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04105/2006 SMITH 35 APPROVED
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Total Time: 35
Total Inspections: I Total Time: 35
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Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing .............
Wall ...............
Pler/Porch .................
Retaining Wall i ..........
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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