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CITY OF EDMONDS
CONSTRU JOB W0707
CTION PERMIT APPLICATION 10.�ESS �UITEIAITI
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PLAN CHECK FCC
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BUILDING
VESTED DATE
PLUMBING
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
TED THIS PERMIT COVERS WORK TO
E
MECHANICAL
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
E PUBLIC
2 DOMAIN (CURB . KS . VIEW Y IT
WA
:3 S. SIDEWALKS. DRIVE AYS, MARQUEES, ETC.) WILL REQUIRE
OR,
GRADINGIFILIL
SEPARATE PERMISSIOM
PERMIT APPLICATION: 180 DAYS
STATE SURCHARGE
PERMIT LIMIT, I YEAR, PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. REVIEW FEES
P
"AP LICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 ELIMOND'i WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALLCI-AIMS FOR DAMAGESOFWHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, JSSUANCC OF THIS P RMIT $HALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCS ANY REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC,
TION: AND 01 DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
CALL
FOR INSPECTI
WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27.
(425)
771-0220
ATTENTION
EXT 333
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
771-0221
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
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FAX
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APPLICATION APPROVAL
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STANDARD DRAINAGE DETENTION SYSTEM.
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ADDRESS pl"� "J PHONE:
DATE:
****'DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
DETENTION PIPE LENGT!I,. LOCKING LID
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FOOTING DRAINS sLE4u NOT RE CONNECTED To DETENTION SYSTEM
NOTES,
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1. Call Engineering Division (771-0220) for a tightline'and detention system Inspection
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before backfilling and for firud inspections.
APPROVED BY
2, Responsibility for operation and maintenance of drainage systems on private property is the '
responsibility of the property owner. Material accumulated in the storage pipe must be flashed
out and remo basins to allow proper operation. ne outlet control orifice
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Underground Wiring Required RECEIVED
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FINAL PROJECT -APPROVAL FORM
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RECORD OF INSPECTIONS
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INSPECTOR
DATE APPROVED
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EXTERIOR SHEATHING
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..........................
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INSULATION ............
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SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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DATE RECEIVED,,
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
I DWNERNAMENAME OF BUSINESS , I
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DESCRIBE WORK TO BE DONE
I REMARKS
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PLAN CM NO: ED DATE PLUM81NG
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADiNGIFILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
t:
T
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT, I YEAR � PROVIDED ORK IS STARTED WITHIN 18D DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'A PLICANT. ON BEHAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENE, INSPECTION FEE
INPINTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY F
a EDMONDS. WASHINGTON� ITS OFFICIALS. FMPLOYEES� AND A ENTS FROM ANY AND =*=Et�,
ALL CLAIMS FOR DAMAGESOF WHATEVER NATURIS,ARISING
FROM THE ISSUANCE OF THILPEEDUCIT OT PLAN CHECK DEPOSIT
0 DEEMEDTOMODI 0 . E AISSU NCE OF THIS PERMIT SHALL N
NOR LIMIT IN ANYLNE NY REQUiREMENTOF ANY CITY ORDMANI
LITYTO ENF.R.EANY.RDINANCE PHOWS10-
TOTAL AMOUNT DUE
tVI Al I
IRECII,
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IRECE111
APPLICATIIO�ARPROVAL
T hm
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CO RECT. AND THAT I AM THE OWNER, OR THE DULY AUTHO RiZED AGENT OF
THE. oW NER. AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CAL
TION, AND IN DOING THE WORK AU HORIZED THEREBY, NO PERSON WILL BE EMPLOYM B.Ild- Ih�l D.1uIY; -d I- - P-, 1�d
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING FOR INSPECTION I ... �11 —;— qp-ol'
WORKMEN'S COMPENSATION INSURANCE AND RCW U1,21, 611'IATIRI CATE
AG NT (425)
',SI T E 0 ER 0220
771- RELE/ASE
d BY
EXT 333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
OVAL OR A CERTIFI- 771-0221 -FILE YELLOW -INSPECTOR
A FINAL INSPECTION HAS BEEN MADE AND APPR ORIGINAL
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK. OWNRW-GOLO � ASSESSO