20020075.pdf,2
DATE RET7
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PERMIT EXPIRES
CITY OF EDMONDS
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PERM T
NUMIBER
75
CONSTRUCTION PERMIT APPLICATION
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DESCRIBE WORK TO BE DONE
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Description
FEE Description FEE
(PL,EA!5E A-IThri-JED gAW I W.5)
Plan Check
OtED
HEAT SOU GLAZING % LOT sTPE %
Building
N 11, W/A 1 14 A
PLAN CHECK Nb I VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVER WORK TO
t: 11 DONE ON P"11 PROPERTY 1"I I CONSTA CTIONONTHSPUSLIC
Grading
Recording Fee
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC,) WILL REQUIRE
BE
'PARATE PERMISSION.
PERMIT APPLICATION; 180DAYS
Engr. Review
City Suicharge
PERMITUM I YEAR - PROVIDED WORK 13 STARTED WITHIN INDAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
State Surcharge
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTERESt AGREES TO INDEMNIFY DEFEND AND HOLD H—L.S.
EDMONDS, WASHINGTON. ITS OFFICIALS. E.I—EK AND AS—. PRO. ANY AND
Fire Review
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE
Fire Inspection
Total Amount Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
LandscapainsP.
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMA71ON
APPLICATION APPROVAL
GIVEN IS COFIRJECT� AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL
sppli-jon is "' . Ps"I'Flit sign"' by ".
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
THE a E OF WASHINGTON RELATING TO
FOR INSPECTION
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ding Offillaillid, " 0. and
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OFFICIALS SIGNATURE DATE
DATE SIGNED
(425)
//-_S0-0f
771-0220
ATTENTION
EX"r 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
/4/A
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE - YELLOW. IN�FEC�J?a
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 ........................
Pier/Porch
z
Retaining Wall ...........
P
Stab Insulation ..........
PLUMBING:
Underground ............
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0
Rough -in ...................
0
Commercial Final
V
M
M
HEATING:
GasTest ....................
Gas Piping .., ...........
91-
0
Equipment .................
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Commercial Final
rn M
EXTERIOR SHEATHING
0
NAII LING ..........................
0
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FRAMING ........................
0
FIRST FLOOR FRAMING
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INSULATION ...................
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Floor Insulation
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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 ...............