20000814.pdfDATE RECEIVED I!
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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APPLICATION APPROVAL
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. ON
IVEN ISC R TAN THAT I AM THE OWNER, OR TIE DULY AUTH.T'lNZED A -EN,,, Tl,,,
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W ENS I URANCEANORCWH)21� DATE S, E (425)
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/PoTch .................
RetaInlrig Wall ...........
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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OMAIN JCURBS. SIDEWALKS. DRIVE
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SEPARATE PERMISSION.
PER IT APPLICATI N: ISO DAYS
PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-A PLICANT. 0 HAL F HIS OR HER SPOUSE. HEIRS� ASSIGNS AND SUCCESORS
IN I TEREST. AGREES T INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY .1
ED ONDS. WASH[ GTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FORDAMAG ESOFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
NOT BE
FROM THE ISSUANC E OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL
DEEMEDTO MODIrY.WAIVE ORREDUCEANY REQUIREMENTOF ANY CITY ORDINANCE
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NOR LIMIT IN ANYWAYTHE CITY'SABLITYTO ENFORCEANY ORDINANCE PROVISION.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPTLI'CIA"OLN� THAT THE N.F."MATI-H
GIVEN IS CORREC AND THAT I A. THE OWNER. OR DO AUTH.BZ AGENT OF
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THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAW
S =LA,�LNG C."B'SU.-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY NOPE W BE EMPLOYED
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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON
WORKMEN'S ��- EWS4T=RCE AND RCW 18.27.
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