20010598.pdfCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PERMIT APPLICATION: 11II)DAYs
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall. ..........................
Pier/Porch .................
Retaining.Wall ...........
slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping ...........
Equipment ..............
CO3 ciall Final
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NAILING .................
FRAMING ........................
FIRST FL60R FRAMING
INSULATION ...................
Floor Insulation
wall insulation ...........
Coiling Insulatlon
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PgRMITCOVER WORKTO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFILL
DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
50
SEPARATE PERMISSION.
STATE SURCHARG
q.,50
PERMIT APPLICATION: 18ODAYS
P X1 R
PERMIT LIMIT. I YEAR ' ROVIDEDWOR SSTA TEDWITHIN 180DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
pLICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
IN INTERES�. AGREES TOINDEMNI DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
m EDMONDS. WASHINGTON, ITS OFFiCIA.I.S. E.�LOYEEE. AND AGENTS IROIJ ANYAND
INSPECTION FEE
CLAIMSICIDAMAIEI.IWRATEV R,NATURE.AR INGO RECTLYOR INDIRECTLY
A LL E IS
RECEIP
FR M THE ISSUANCE OF THIS PERMIT SSUANCEOF THISIPERMIT SHACL NOT BE,
0 MENTOF ANY CITY ORDINANCE
DEEMEDTO MODIFY. WAIVE OR REDUCE ANY REQUIRE
PROVISION
PLAN CHECK DEPOSIT
Elp
'OR LIMIT I N ANY WAY I" E CITY'S ABILITY TO ENFORCE ANY ORDINANCE
TOTAL AMOUNT DUE
I E.�.Y` ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THAI THE INFORMATION
APPLI ATION APPROVAL
GIVEN IS CORRECT, A D Y AT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
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THE OWNER. BEE TO COMPLY W17H CITY AND STATE LAWS REGULATING CONST.UC -
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CALL
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TION. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYE"
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION .P, k—l.dged in space prowded
WORKMEN S CO.PENSAT=RANCE AND RCW 18.27._
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771-0221
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A FINAL IN&r WHAS BEEN MADE AND A
ORIGINAL FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. U-C SECTION 109
FAX
PINK -MNER - GOLD. ASSESSOR