20010762.pdfGAT RECEIVED
CITY OF EDMONDS
CONSTP,UCTION PERMIT APPLICATION
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PERMIT APILICATI.W 18D DAYS
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ENG REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
;�PPLICANT. ON BEHALF OF HI OR HER ESPOUSE. HEIRS, ASSIGNS AND SUCCESORS
FEND AND HOLD HARMLESS THE CITY OF
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RECEI
FROM THE ISSUANCE OF THIS PER -IT ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEP051T
DEEMED 70 MODIFY. WAIVE OR REDUCCEANY HCOUIREMENT OF ANY CITY ORDINANCE
N A LIMIT IN ANY WAY I HE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
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TOTAL AMOUNT DUE
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I HEREBY ACI " AT:HAVTE READ THIS APPLICATION. THAT THE INFORMATION
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5 AlUlE DATE
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-SIGNAT.
DATq
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771-0220
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ATTtNTION
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IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL IILE - Y W INSPiCT16H
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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RECEIVED
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CIT*f Copvf -EVELO KiFNT SERVICES CTR.
CIPTY OF EDMONDS
FINAL PROJECT APPROVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE-
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PLANNING DIVISION DATE—
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine final compliance with approved plans. Final approval
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u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2. MICROFILM
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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RECORD OF INSPECTIONS
INSPECTOR
SETBACKS .....................
FOUNDATION:
Footing ......................
wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final
HEATING:
GasTest ....................
GasPiping .................
Equipment ................
Commercial Final
EXTERIOR SHEATHING
NAILING .� ........................
FRAMING........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor insulation
Wall Insulation ...........
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
DATE APPROVED
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PAIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU
GRADING/ FILL
UOLIC
OMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL BEG IRE
SEPARATE PERMISSION.
PERMIT APPUCATION; 180 DAYS
PERMIT LIMIT. I YEAR. PROVIDED WORK IS STARTED WITHIN 130 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFOR ATION
S
��;.App�LCOAE,,ST�.OAM.0,E�Llol.I OR HER SMILES. HEIRS. ASSIGN ANDSUCCESORS
INDEMNIFY. DEFEND AN. I-I.I. HARMLESS THE CITY OF
R E. TO 2
ENG: INSPECTION FEE
EDMONDS AlILGAlN OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
FOR. .,ITS
ALL C"MSW OF WHATEVER NATURE. ARISING DIRECTLY OR IND
MOM T E ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
A/
TO MODIFY, WAWE OR REDU E ANY AEOUtREIVENT OF ANY CITY ORDINANCE
NO LMI IN ANY WAYTHE CITY'S ABIUTY To ENFORCE ANY ORDINANCE MOVISION.'
TOTAL AMOUNT DUE
ET AT: HAVE READ THIS APPLICATION. THAT THE INFORMATION
APPLI ATION APPROVAL
I HEREBY ACKNOWL
GIVEN IS CORREC ANOT AT AM THE OWNER, 08 THE DULY AUTHORIZED A ENTOF
Thi—ppill-I'll '- -C 1-1 �01.191ld by thl
THEOWNER,IA EETO OMPL"iTH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
30d.�l 0III—I �' I,u,y:.MF--P.',L—
TION; AND IN GT ORKAU HORIZEDTHEREBY.NOPERSONWIL E
OF WASHINGTON�FELEAMTPILNYTO
FOR INSPECTION
, .�—.I.dpd in spaco provided.
IN VIOLATION or T LABOR Co E OF THE STATE
WORKMENS NS IONIMSU NCEANDRCW iS.27.
OFAIALS SIGNATURE DATE
(425)
SIGNATUR I NEI RAV
rATIL7 0
771-0220
—FEN—TION
EXT 1333
AT
TO USE OR OCCUPY A BUILDING OR STRUCTURE UNT! 771-0221
IT IS UNLAWFUL
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI
A FINAL
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
FAX