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THIS PERM T AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUB' C
DONMAIN (CURES, SIDEWALKS, DRIVEWAYS. MARQUEES. ETC,) WILL REQUIRE
SEPARATE PERMISSION.
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PERMIT APPLI ATION: SEE ECDC 19,00.005(A)(5)
En9r. Inspection
PERMIT LIMIT, SEE ECDC 19.00.005(A)(6) ATION
SEE SACK OF PINK PERMIT FOR MORE INFORM
'i 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
t IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD FIARMLESS THE CITY OF
1,1 EDMON' , WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fir. Inspection Receipt #
AL CLAIMS FOR DAMAG S F WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FR '�Y 0- `B�ANC Landscapelnsp. Total Amt. Due rw,
LIM THE ISSUANCE OF THIS PEFEMIT� ISSUANCE OF THIS PERMIT S.ALL Nor E Landscape 'osp
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY Cry
ANY WAY T E CITY'S ABILITY TO ENFORCE ANY ORDINAN I
NOR LIMIT IN ANY WAY T CE PROV ' 0
Rec`dmg Fee Receipt IS
Recording Fee
IHERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION AP R6vAC
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GIVEN IS CORRECT. AND THAT IAM THE OWNER, OR THE ULY AUTHORIZED AGENT 01 TtI,�
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THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONST CALL .dIf.nBOff.I..I`I`I.1 ty.11dF,,v,dd
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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON IRELATING TO FOR INSPECTION fecePt is I—nowled N,,111 p,d1d
WORKMEN's COMPENS:=RANCE AND RCW 18: 7. OFFIMAILS41GHATURE DATE
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ATTENTION EXT. 1333
IT IS UNLAWFUL TO USE OROCCUPYA BUILDING OR STRUCTURE UNTIL I
A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL FILE - -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I ISC1110 I IRC110. PINK -OWNER GOLD - ASSESSOR
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Permit Inspection Details
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch ..........
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Retaining Wall ...........
Slab Insulation
PLUMBING:
Underground
Rough -in ................... C: ITI
IT, 0
0
Commercial Final 0
C:
HEATING:
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Gas Test ................
C:
Gas Piping . ............... E:
0 -n
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Commercial Final
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EXTERIOR SHEATHING M M
NAILING..........................
0
FRAMING ............... 0
FIRST FLOOR FRAMING Q 0
Z
INSULATION � ................
Floor Insulation
Wall Insulation ........... z
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Ceiling Insulation
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SHEETROCK NAILING z
SPECIAL INSPECTION 0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR Wou
OCCUPANCY ..................
0 ""00,