20020035.pdfA- D ATE RECEIVED
PERMITEXPIRES�
CITY OF EDMONDS
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PLAN CHECK NO.6
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1: 6 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON T14E PUUUC
DOMAIN (CURBS, SIDEWALKS, DFIRIEWAYS, MARQUEES, ETC.) WILL REQUIRE
Grading
Recording Fee
SEPARATE PERMISSION.
----
Engr. Review
City Surcharge
PERMIT APPLUCATION: INDAYS
PERIMMIUMITIVEAR-PROVID D WORK IS STAFTED WITHIN ISGDAVS
SEE BACKOF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
State Surcharge
'APPLICAW,ONBE F OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INWTEREST, AGREE TO INDEMNIFY, DEFEND AND HOLD HARM EBB THE CITY OF
IOMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, AR SING DIRECTLY OR INDIRECTLY
Fire Review
Receipt #
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT 814ALL NOT BE
DEEMEOTTO MODIFVAYWAIVE OR RE UCE ANY REQUIREMENT OF MY CITY ORDINANCE
Fire Inspection
Tota[AmountDue
NORLat NANyW THE Cni ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Landscapelnsp.
Receipt #
I HEREBY ACKNOWLEDGE TH IHAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN 18 CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
ThIl.ppilefl.r. 1. role Parts' up'll signed by she
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Building Officlal or hosither Deputy: and Fees are puld, and
FOR INSPECTION necolpt 11 ank—lodged 11 space lamided.
.
WORKMENS COMPENSAR , RANCE AND RM 10.2 �
DAT SIGNED
(425)
OFF IALS SIGNATURE DATE
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LIGUAT�=
1)(Ir
771-0220
A17ENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNT:L
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - IN E C'
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK � OWNER GOLD - ASSESSOORT
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APPROVED DATE: � I I IL3 /I-*-
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PFERMIT HUMBF-F!
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ING 97 UBC
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Any request for modification, variance or other M
administrative deviation (hereinafter "variance-)
must be specifically called out and identified.
Approval of any plat or plan containing
provisions which do not comply with city code
and for which
a variance has not been
specifically identified, requested and considered
by the appropriate city official in accordance
with the appropriate provision of city code or
:late law don not approve any items not to code
pecification.
g�likCEIVED
CITY COPY DEC 17 2001
DEVELOPMENT SERVICES OTFL
CITY OF EDMONDS
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ....................
FOUNDATION:
Footing .............
wall .......................
Pier/Porch .................
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Retaining Wall ...........
Slab Insulation
PLUMBING:
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Underground .............
0 M
Rough -In ...................
C
ITI 0
Commercial Final
HEATING:
X M
ITI z
ID
Gas Test .................... .
C
GasPiping .................
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Equipment
Commercial Final
M M
EXTERIOR SHEATHING
NAILING - .......................
ms
0
FRAMING .................
ED
0
FIRST FLOOR FRAMING...
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INSULATION ..................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................