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Description
FEE
Description
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Plan Check
State Surcharge
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HEAT SOURCE
LOTSLOPE% VESTED DATE
Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
8 DONE ON PRIVATE PROPERTY NLY. ANY CONSTRUCTION ON THE PUBIC
Grading
2
DONMAIN (CURBS, SIDE LKS, DRIVEWAYS. MARQUESS. 2TC�j WILL REQUIRE
WA
SEPARATEPERMISSiON,
PERMIT APPLICATION: SEE ECDC 19,01005p,)(S)
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Engr. Inspection
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PERMIT LIMIT. SEE ECDC ISA0.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. Deposit
w. IN INTEREST, AGREES TO INDEMNIFY, DEFEND AN. HOLD HARMLESS THE CITY OF
FROM ANY AND
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2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS
Al CLAIMS FOR DAMAOES 01 WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
FROM THE I SUANCE OF THIS PERMIT. ISSUANCE 0 THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee I
Receipt III
THEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN 15 CORRECT, AND THAT I AV THE OWINER� OR THE DULY AUTHORIZED AGENT OF
CONSTRUC,
TNs appl-1— 1. -1. P.—I 4 s.v. t,, ft
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOY 0
CALL
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IN VIOLATION OF THE LABOR CODE OF THE STATE .1 WASHINGTON RELATING To
FOR INSPECTION 1ckw1.dq,d,, spas, U0
WORKMEN's COMPENS=UNANCEAN ACW18:27.
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ATTENTICIN
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIrINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 J IBC110 I IRC110.
PINK -OWNER - GOLD - ASSESSOR
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Permit Inspection Details
Permit: BLD20060448
PERMITTRAX
06/2012006 MS FINAL APPROVED
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ............
Pier/Porch ...........
Retaining Wall
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Stab Insulation
PLUMBING:
Underground .............
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SPECIAL INSPECTION
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FINAL APPROVAL FOR
OCCUPANCY
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