20020054.pdf- —1 1 PERMIT EXPIRES
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CITY OF EDMONDS ZO-D 'UMIEl
CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT#
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CITY ZIP TELEPHONE
By
7ATE
FIRE REVIEWED
TV TELEP ONE
0
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VARIANCE OR CU
SHORELINE OR ADD* INSPECTION
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STATE LICENSE NUMBER
A- O's
DDIA REVIEW
DID. AREA --K!RIT
PROPERTY T
'I ACCO
I_%0q TM Non, 20 01____
COMPLETE EXEMPT
ALLOWED PROPOSED ALLOWED PnO,O"G
EXP
NEW RESIDENTIAL [3 PLUMBING I MECH
LOT COVERAGE REQUIRED SETBACKS (M. PROPOSED SETBACKS fFT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDF REAR
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0 ADDITION COMMERCIAL o COMPLIANCE OR
13 CHANGE OF USE
PARKING
LOT AREA I PLANNING REVIEWED BY DATE
0 REMODEL [] APARTMENT 0 SIGN
REGO I PROVIDED
0 GRADING FENCE
0 REPAIR CYDS X Fri
REMARKS
E3 DEMOLISH [j TANK
GARAGE RETAINING WALL
0 ROOKERY 0 RENEWAL
CARPORT
OMWE OF USE 8 INEss OR Amwny) EVLAIN:
CH E P r OF IC E
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RCUPANT
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NUMBER UMBER 01 CRITICAL
WELL No AREAS
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OCCUPANT
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BTFORIES NITS NUMBER
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EQU IES
DESCRIBE WORK TO BE 1)
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REMA HKS
PROGRESS INSPECTIONS
PER UBC 1081FINAL INSPht;luum
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VALUATION $
Description
FEE
Descript
FEE
Plan Check
HEAT SOURCE GLAZING % LOT SLOPE
Building
PLAN CHECK IN —STED I
Plumbing
Mechanical
THIS PERMIT AUTHORIZED ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE pRopemy 0.11. ANY COIISRRUCTI.. ON THIS PUBLIC
Grading
Recording Fee
' . SIDEWALKS, DFIIVEW.%YS, MARQUISes, ETC.) WILL REQUIRE
CU.
SEPARATE PERMISSION.
Engr. Review
City Surcharge
PERMITAPPLICATIOM: INDAYS
YEAR , PROVIDED WORK is STARTED WITHIN INDAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR Movie IN FORMATION
14
OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
;11 IPX=�T, A To INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
.='
Traffic Mitigation
Receipt #
r
EDMONDS, WASHINUTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
OR INDIRECTLY
F ire Review
ALLCLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Fire Inspection
TotalAmount URS
DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF MY C17Y ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY OR
andscapal
nPi.
Receipt # I
I HERES,Y ACKNOWLEDGE THAT HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN S CORRECT, AND THAT AM THE OWNER, OR THE Duty AUTH RIZED AGENT OF
I
TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL
111" 1" 1 - P"" iI '12"d by I"
Thl� -pp dF Ild
THE OWNER. I AGREE
7ION; AND IN GOING THE WORK AUTH RIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Buil 'a' I,1g . .. P.Id,
ding 0"'1 P , _P .. P,
FOR INSPECTION 11111PI 11,111 — Ild d,
IN VIOLATION
WORKMEWS COMPENSATqtl.�RANCE AND RCW 18,27.
OFFICIALS SIGNATURE DATE
GENIFt 0-1 SIGNED
1-7-62—
(425) /ha A
771-0220
'RELEASE D BY DATE
ATTENTION
Off 1333
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, FILL" - YELLOY1,1INSPIECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. uBc SECTION 109
FAX
PINK -OWNER - GOLD, ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...........
Wall ............... ..........
j.
Pier/Porch
Retaining Wall ...........
Stab Insulation
0
PLUMBING:
Underground .............
M
Rough -in
M 0
Commercial Final
C
HEATING:
X M
M z
Gas Test ....................
Gas Piping .................
Equipment
0 -n
Commercial Final
EXTERIOR SHEATHING
M M
NAILING ..........................
a
0
0
FRAMING ............
C
C v)
FIRST FLOOR FRAMING
M 0
z
74
INSULATION ...................
;U
Floor Insulation
Wall Insulation ...........
z
Calling Insulation
SHEETROCK NAILING
z
SPECIAL INSPECTION
0
RI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............