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USE PERMIT
USE
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CITY OF EDMONDS E
CONSTRUCTION PERMIT APPLICATION ........
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METE I LINE SIZE NO. OF FIXTUR. IRV FE.UlFE.
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2-NEW
RESIDENTIAL
El PLUMBINGNECH
ADDITION
COMMERCIAL
LCO]APT.
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CHANGE OF USE
F-1 REMODEL
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2-;I.N
REPAIR
GRADING CIDS
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GENIGLI�H
�INSERTSTO'E
Ej SWIM POOL
HOTTIJBISPA
GARAGE
CARPORT
RFtETAINING WALL/
OGKERY
1:1 RENEWAL
(TYPE OF USE. BUSINESS
OR ACTIVITY) E7PLA_1N
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NUMBER
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DESCRIBE WORK TO Uh DONE ATTACH PLOT PLAN)
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EPA RE SIGN AREA
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COMPLETE -EXEMPT ALLOW D PROPOSE
HEIGHT
ALLOWE P OPOS.?
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REMARKS
,NECKED BY ......
SPECIAL INI
REQUIRED 13 YE
REMARKS
PROGRESS INSPECTIONS PER UBC 108
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FINAL INSPECTION
REQUIRED
VALUATION
EE
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
PLUMBING
Plan Check No-&- '7
MECHANICAL
This Permit covers work to be I-,- on 131"VaLO property ONLY.
GRADINGIFILL
Any construction on the public domain (curba sidewolks.
driveways, marquees, "' 1 will .GuIre separate permission STATE SURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: I Year. pre,ldd Work is Started Within 180 Days
'�Applicant, op behalf of his or her spouse, heirs, assigns and
0. INSPECTION FEE
successors in intaires , agrees to indemn (y, defend and ho
City of Edmonds, washingtonj its Officla S,
harmless the
employees, and agents fdrom any and all claims or amages of
whatever nature. arising I rectly or indirectly from thod I S su.n"
his permit shall not be eemed
PLAIN CHECK DEPOSIT
Gto
of this permit. Issuance of
reouiremen of any city ord ndn .
modify, waive or reduce .
Cany
g. force any ordinance
nor limit in any way the y Is ability to en
TOTAL AMOUNT DUE
orovision."
I IT reby achr�owl:dge I.h.a ' have read this applicatl0n; that the
ATTENTION
APPLICATION APPROVAL
infor' allor, Illven I I I� ndthat I am the owner, or the duly
it
M to Comply w h cl ty and
T.1 5 PERMIT
This application is not a permit until
authoriled agent .1 the own .,. riagini.
laws regulating con Bndn doing the Work authoriz -
structio
AUTHORIZES
signed by the Building 0 fficial or his/her
state
eby, no person All a em;loyed in violation of the Label
ed I b
that
ONLY,THE
WORK 40TED
d d receipt is
Deputy; and fees are pal , an
ng to Workmen's Com
CodeoltheState f Washington retail pensa.
id d
acknowledged in space or-, e
arIR P .27,
DATE SIGNED
INSPECTION
DEPARTMENY
OF IGN DATE
- - Cf'
S 10 A OF CITY OF
EDMONDS
E E so By
CALL FOR
VIS,
ATTENTION
INSPECTION
Rl GINAL - I'de YELLOW - inspector
IT IS UNLAWFUL TO US_E00NR A BUILDING OR STRUCTURE
HOACSCUPY
UNTIL A FINAL INSPEC BEEN MADE AND APPROVAL OR
UBC
771-0220
A C ERTIFICATE OF OCCUPANCY HAS 13EEN GRANTED.
PINK GOLD - AsseSFO,
SECTION 109
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ................... rA
FOUNDATION:
v -vis
Footing.. , .................
hJ--v- F
Wall ........................
0,
Pler/Porcfi ................
RetalnlngWall.� ..........
Slab Insulation .............
M,
PLUMBING:
M
0,
Underground .............
0,
Rough -in .................
M
Commercial Final ........
HEATING:
GasTest .................
o -n
GasPiping.., .............
-n
Equipment. ...............
M ITI
CommercialFInal .........
0
0 Fn
ca
EXTERIOR SHEATHING
(a
NAILING ... I ................
M
FRAMING ........ ...........
INSULATIOM
Floorinsulation ...........
X
Wall Insulation ...........
0
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Calling Insulation .........
0
SHEETROCK NAILING.
IT
SPECIAL INSPECTION ......
MISCELLANEOUS
FINAL APPROVAL
FOR OCCUPANCY ..........
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PERMIL
CITY OF EDMONDS
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
�ca
SUITEIAFT.
ADDRESS
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F SINESS
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EGAI. DESCRIPTION CHECKISUBDIVIStO
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PRY REOUiRED
YESO No CI
DATE
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FLU..IN.E..
ADDITION
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E] C MPLIANCEOR
CHANGE OF USE
REMODEL
APT.SUDC
REPAIR
GFADINO
S
FENCE I
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DEMOLISH
WOODSTOVE
INSERT
SWIMPOOL
HOT TUB/SPA
GARAGE
CARPORT
RETAINING WALL/
ROOKERY
RENEWAL
,TYPE OF USE, BUSINESS OR ACTIVITY) `XPLA`N`
NU �;c
"-ER
OF
NUMBER OF
UWELLING
0
NITS
CRITICAL
S
ARMS
NUMB
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
VAR =NCEORCU
ADD I
SHORELINE
SERA REVIEW
SIGN
AREA
HEIGHT
C, �M
0 PLETE EXEMPT
ALLOWED
PROPOSE
ALLOWED POSED
EXP x
JPRO
T,
LOT C VERAGE
REQUIREDSET Cn(FT)
PROPOSED SETBA
ALLOWED PROPOSED
FRONT SID REAR
FRONT U SIDE REA
P
LOT AREA
REMARKS
d
NECKED By
OF CONSTRUCTIDN
DE
GR'O' IAN I
Up
T)
rpE
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ICO
10
SPE IAL INSPEOT1 R
OCCUPANT
REQUIRED 13 Y.
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108
FINAL INSPECTION REOUIRED
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
PLUMBING
Plan Check o.
MEG ANICAL
This Permit cov a work to be done on private prop.,,y —0.
GRADINGIFILL
Any construction on thq pub n (curts, sidewelks,
driveways, marquees. .) wil�[=:Iseparat
SID
STAT SURCHARGE
Permit Application: 1BG Days
STORM DRAINAGE FEE
Permit Limit: 1 Year - Provided Work Is Staffed With'" 'So Days
"Applicant, on behalf of his OrOornspouse 1,,,% assigns ano
.... .........
m f�.he
S cessors in interest, a .as d. d nd and hold
U. g' its officials,
h rmless "Trids, Washington.
a the City of Ed
of
d
am r" any and all claims for amages
P'0 'n's
Y:es' 'no "
to
PLAN CH CK DEPOSIT
f is
ly h
wh .1 11-lure, -1i-InII directly or Indirect rom 0.
t If :Suancoe
at
this permit shall not be —d
of this permit. Issuance of
n
modify, waive or reduce any requirement of any city o nance
nor limit In any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
P rovision,"
I hereby acknowledge that I have read this application; that the
X%ATTENTION
Information given is correct; and that I am the owner, of the duly
with city and
PERMIT
authorized agent of the owner. I agree to Comply
and In doing the work a.lhoriz
THIS
AUTHORIZES
late laws regula!ing cons ructIon;
a tr
in violatl f the Labor
Ed thereby, no person will be employed on 0
toWOrkman's Compensa.
�WINII THE
ORK NOTED
Code of the State Of Washington relating
tion Insuranceofib PI �I`f 27
S—Ep
INSPECTION
DEPARTMENT
SIGNAT E to R 0
�
CITY .1
EDMONDS
—1 I -OR
TENTION
INSPECTION
CUPY A BUILDING OR STRUCTURE
IT S UNLAWFUL TO USE OR DACS OR
AND APPROVAL
771-0220
UNITIL A FINAL INSPECTION H BEEN MADE
A CERTIFICATE OF OCCU PANCY HAS 13EEN GRANTED. UBC
SECTION 109
1.28,
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Cidicial or his/her
Deputy; and fees am pai , and receipt Is
acknowledged in space provided.
1—,Uful —EDA I E
IGINAL — Fd� YELLOW — -P-1-1
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