20020030.pdfDATE RECEIVED
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PERMIT EXPIRES
USE PERMIT
CITY OF EDMONDS ZONE "YM61�21�va9
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CONSTRUCTION PERMIT APPLICATION AJOBRESS Z7' 6 Z_ '*W X 't " SUITEIAPT# I ZO
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PUT NAME/SUBDIVISION NO. 70 NO.
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NO. OF 11-URII
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REMARKS
7/_ f't ... TRACTOR RESPONSIBLE FOR G ... I.N CONTR...FAINAGE
CA- 11io-471-
FIRE REVIEWED BY
1;�;ONE
1 BTA1 E LICENSE NUMBER EXPIRATION n
DATE
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OPERIY TAX ACCOUNT f%R EL NO,
SERA REVIEW
SIGN AREA "EIGHT
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COMPLETE , EXEMPT
ALLOWED PROPOSED ALLOWED , PROPOSED
EXP
NEW
0 NEW
0 RESIDENTIAL
0
LOT COVERAGE
REQUIRED SETHACKS (FTj PROPOSED SETBACIC5 (FF.)
PLUMBING I MECH
ALLOWED PROPOSED
FRONT SIDE HEAR FRONT LIRSIDE HEAR
0 A..rn.
ADDITION
COMMERCIAL
IT
[3 COMPI IANCE 08
CHANGE OF USE
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ED By DATE
REPAIR
0 GRADING
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( _ X FT)
REMARKS
DEMOUSH
0 TANK
[3 OTHER
Ei GARAGE [3 RETAINING WALL
CARPORT ROCKITTY
OWE OF USE, 8 OR ACTIVITY), EXPLAIN:
[3 RENEWAL
CHECKED BY
COUPANT
NUM13ER
NUMBER OF
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PROGRESS INSPECTIONS PER USC
11081FINAL INSPECTION REO'D
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VALUATION III
Description
FEE Description FEE
Plan Check
HEAT SOURCE GLAZING I LOT SLOPE y6
Building
PLAN CHECK NO: —
Plumbing
THIS PERMIT AUTHORIZES ONLY THE IN RK NOTED. THIS PERMIT COVERS WORK 70
Mechanical
It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN iCUROS� SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
Grading
Recording Fee
SEPARATE PERMiSSION.
—
Engr. Review
City Surcharge
PERMITAPPLICATI N: IN DAYS
PERMIT LIMIT, I YEAR - PROVI ED WORK IS STARTED WITHIN 'so DAYS
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
State Surcharge
*APPLICANT ON BEHALF 01 HIS 01 HER 11OURE. EIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST AGREES TO IN.E.NI1 DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, III OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
A_Q_MS FOR DAMAGES OFWHATEVE NATURE,AA 'SING DIRECTLY 08 INDIRECTLY
Fire Review
Recelpt #
FROM THE ISSUANCE OF THIS 11RI111, ISSUANCE OF THIS PERMIT SHALL NOT BE
91 ..EME. To ...IFyWAIVE OR RE UCE ANY REQUIREMENT OF ANY C TY ORDINANCE
Fire Inspection
TotalAmounlDue 15-
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDI NANCE PROVISION.-
- ---
Landscapoinsp.1
I HEREERY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER, 08 THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This -PP%-flo- I� Ps"MI U.01 �Ignod by th.
TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
VIOLATION OF
IdtgOIJI-1 ., hl./hw D�ptfty: no F .. ... p1d, nrul
IN THE LABOR CODE OF THE STATE OF WASHINGTON
WORKMENS COMPENSATI=QSUFRMANC AND HOW 16,27. RELATING TO
FOR INSPECTION
nIPII*nIodg.dIr.p ... p—Lo.d.
77,/, —UlEha
SIGNATURE (OWNER Oft(�AGV DATE .1 HE.
A
%
(425)
771-0220
A17ENTION
EXT 1333
RELEASED BY
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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
to/ol
FAX
ORIGINAL -FILE - YELLOW -INSPECTOR
PINK -OWNER - COLD -ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing
wait _ ....................
Pier/Porch .................
z
Retaining Wall ...........
do
0
Slab Insulation
PLUMBING:
Underground .............
M
Rough -in ...................
ITI 0
-40
0C
Commercial Final
HEATING:
pill
1711
10
Gas Test ...................
C
>
Gas Piping . ..............
0j
Equipment .................
0 In
_n
Commercial Final
rn ITI
EXTERIOR SHEATHING
NAILING ..........................
0
C.) M
FRAMING .. ......................
C 0)
0j
rn 0
FIRST FLOOR FRAMING...
INSULATION ...................
;a
Floor Insulation
Wall Insulation ..........
Ceiling Insulation
z
SHEETROCK NAILING
SPECIAL INSPECTION
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................