20020137.pdfI DATE RECEIVED
, F-CITY OF EDMONDS
NSTRUCTION PERMIT APPLICATION
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REMARKS
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REMARKS SHALL BE INSTALLED GN Tiff,
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as o GARAGE o RETAINING WALL
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DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 10111/1FINAL INSPECTION REOD
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VALUATION $
Description
FEE
Description
FEE
Plan Check
HEAT SOURCE GLA1!ING % LOT SLOPE %
Building
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY T11E WORK NOTED. THIS PERMIT COVER WORK TO
t: 6 DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC
Grading
Recording Fee
DOMAIN (CURBS, SIDEWALKS, DRIVEMVWS, MARQUEES,ETC. )WILLREQUIRE
SEPARATEPERMISSION.
Engr. Review
City Surcharge
PE IMITAPPUCATION: INDAYS
PERMIT UUM I YEAR - PROVID WORK is STARTED WITHIN ISODAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Oil BEHAL OF His OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CI OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT IRS ANCE OF THIS PERMIT SHALL NOT a'
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Total Amount D.
DEEMED TO MODIFY, WA OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Fire Inspection
NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Receipt #
I HERESY ACKNOWLE BE T14AT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLIC ION APPR6VA1
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNE � I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
in lion 1, not , parent unfit signed by Me
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TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR ..BE .1 THE STATE .1 WASHINGTON RELATINI TO
FOR INSPECTION
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di'goaffic"I"hisihs, Deputy: and Foos Vao paid, i
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WORKMIETS COMPENSAT=.NCE AND FtCW 1 .11.
[CIA DATE
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SIGNATURE (OWNER OI(A)SENT) DATE SIGNED
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771-02: 20
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RELEASED 8' nATEV"
ENTION
EXT 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 - FILE YELLOW - INSPECT R
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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FOUNDATION:
Footing ......................
Pier/Porch ............
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
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Underground ...........
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Sough -in .................
Commercial Final
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HEATING:
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Gas Piping ...........
Equipment '. ................
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Commercial Final
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NAILING ..........................
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FRAMING ..........
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FIRST FLOOR FRAMING
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
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SPECIAL INSPECTION